VOLUME 48 | NUMBER 4 | AUGUST 2013
Association between Traditional Nursing Home Quality Measures and Two Sources of Nursing Home Complaints
Objective: To test for an association between traditional nursing home quality measures and two sources of resident- and caregiver-derived nursing home complaints.
Data Sources: Nursing home complaints to the North Carolina Long-Term Care Ombudsman Program and state certification agency from October 2002 through September 2006 were matched with Online Survey Certification and Reporting data and Minimum Data Set Quality Indicators (MDS-QIs).
Study Design:We examine the association between the number of complaints filed against a facility and measures of inspection violations, staffing levels, and MDS-QIs.
Data Extraction: One observation per facility per quarter is constructed by matching quarterly data on complaints to OSCAR data from the same or most recent prior quarter and to MDS-QIs from the same quarter. One observation per inspection is obtained by matching OSCAR data to complaint totals from both the same and the immediate prior quarter.
Principal Findings: There is little relationship between MDS-QIs and complaints. Ombudsman complaints and inspection violations are generally unrelated, but there is a positive relationship between state certification agency complaints and inspection violations.
Conclusions: Ombudsman and state certification agency complaint data are resident- and caregiver-derived quality measures that are distinctive from and complement traditional quality measures.
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