Development and testing of nursing home quality indicators |
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Authors: | Zimmerman D R Karon S L Arling G Clark B R Collins T Ross R Sainfort F |
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Affiliation: | Center for Health Systems Research and Analysis, University of Madison-Wisconsin, USA. |
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Abstract: | In this article, the authors report on the development and testing of a set of indicators of quality of care in nursing homes, using resident-level assessment data. These quality indicators (QIs) have been developed to provide a foundation for both external and internal quality-assurance (QA) and quality-improvement activities. The authors describe the development of the QIs, discuss their nature and characteristics, address the development of a QI-based quality-monitoring system (QMS), report on a pilot test of the QIs and the system, comment on methodological and current QI validation efforts, and conclude by raising further research and development issues. |
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