This study compares quality measures among nursing homes that have adopted different levels of clinical health information technology (HIT) and examines the perceived barriers and benefits of the adoption of electronic health records as reported by Nursing Home Administrators and Directors of Nursing. A cross-sectional survey distributed online to…

With reference to a questionnaire aimed at assessing the performance of Italian nursing homes on the basis of the health conditions of their patients, we investigate two relevant issues: dimensionality of the latent structure and discriminating power of the items composing the questionnaire. The approach is based on a multidimensional item…

Purpose: A national quality report card for nursing homes, Nursing Home Compare, has been published since 2002. It has been shown to have some, albeit limited, positive impact on quality of care. The objective of this study was to test empirically the hypothesis that nursing homes have responded to the publication of the report by adopting cream…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

States the general assumptions and principles underlying standards for terminal care for those who have initiated or are planning programs for the terminally ill. These are urgently needed in view of the rapid development of the hospice movement. Patient-oriented, family-oriented, and staff-oriented standards are also enumerated. (BEF)

This study derives the economic costs of misclassification in nursing home patient classification systems. These costs are then used as weights to estimate the reliability of a functional assessment instrument. Results suggest that reliability must be redefined and remeasured with each substantively new application of an assessment instrument.…

Examines behavioral differences between for-profit (FP) and not-for-profit (NFP) nursing homes. Uses a simultaneous equation model to control for potential endogeneity among system variables, with model parameters estimated using 3SLS. Provides evidence that NFPs provide significantly higher quality care to Medicaid beneficiaries and to self-pay…

Studied discharge plans for 369 African American and white elderly patients and examined posthospital care options pursued by social workers, patients, and families. Discharge planning with African American patients and family members involved less pursuit of nursing home care and more pursuit of formal services in the home than planning with…