Performing well on nursing home report cards: does... [Health Serv Res. 2011] - PubMed result

Health Serv Res. 2011 Apr;46(2):531-54. doi: 10.1111/j.1475-6773.2010.01197.x. Epub 2010 Oct 28.
Performing well on nursing home report cards: does it pay off?
Park J, Konetzka RT, Werner RM.
SourceAmerican Board of Internal Medicine, Philadelphia, PA 19106, USA. jpark@abim.org


Abstract
OBJECTIVE: To examine whether high performance or improvement on quality measures leads to economic rewards for nursing homes in the presence of public reporting.

DATA SOURCES: Data from 6,286 freestanding Medicare-certified nursing homes between 1999 and 2005 were identified in Medicare Cost Reports, Minimum Data Set, and Online Survey and Certification Reporting System.

STUDY DESIGN: Using a facility-level fixed-effects model, the effect of public reporting on financial performance was measured by comparing each of four financial outcomes (revenues, expenses, operating, and total profit margins) before (1999-2002) to after (2003-2005) public reporting was initiated. The effects were estimated separately by level of performance and improvement over time.

PRINCIPAL FINDINGS: Facilities that improved on publicly reported performance had increased revenues and higher profit margins after public reporting, mainly through increased Medicare admissions. High-scoring facilities showed similar patterns, though differences were not statistically significant.

CONCLUSIONS: Providers that improve their performance under public reporting may receive a return on their investment in quality improvement. This supports the business case for public reporting.

© Health Research and Educational Trust.

PMID:21029093[PubMed - indexed for MEDLINE]
Performing well on nursing home report cards: does... [Health Serv Res. 2011] - PubMed result