When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government's Version. Mukamel, D., B., Amin, A., Weimer, D., L., Sharit, J., Ladd, H., & Sorkin, D., H. Health affairs (Project Hope), 35(4):714-719, 4, 2016.
abstract   bibtex   
Report cards currently published by the Centers for Medicare and Medicaid Services (CMS) offer composite (summary) quality measures based on a five-star ratings system, such as the one featured on the Nursing Home Compare website. These ratings are "one size fits all patients" measures. Nursing Home Compare Plus is an alternative that allows patients and their families to create their own composite scores based on their own preferences and medical needs. We present data from 146 patients who were discharged from the hospital to nursing homes who used Nursing Home Compare Plus. We found that the individual patient-constructed composites differed from CMS's five-star ratings composite. Patients differed from each other and from CMS in the number of performance measures they chose to include in their composite and in their weighting of each performance measure. When comparing Nursing Home Compare Plus to Medicare's five-star ratings, we found only minimal agreement on ranking of nursing homes. We conclude that patients might benefit if current report cards are modified to include an option for personalized ranking.
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 title = {When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government's Version},
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 year = {2016},
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 keywords = {Decision Making,Patient Centered Care,Personalized Patient Referrals,Precision Medicine,Quality Report Cards},
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 city = {Dana B. Mukamel (dmukamel@uci.edu) is a professor in the Department of Medicine at the University of California, Irvine.; Alpesh Amin is a chair and professor in the Department of Medicine as well as executive director of the Hospitalist Program at the Un},
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 abstract = {Report cards currently published by the Centers for Medicare and Medicaid Services (CMS) offer composite (summary) quality measures based on a five-star ratings system, such as the one featured on the Nursing Home Compare website. These ratings are "one size fits all patients" measures. Nursing Home Compare Plus is an alternative that allows patients and their families to create their own composite scores based on their own preferences and medical needs. We present data from 146 patients who were discharged from the hospital to nursing homes who used Nursing Home Compare Plus. We found that the individual patient-constructed composites differed from CMS's five-star ratings composite. Patients differed from each other and from CMS in the number of performance measures they chose to include in their composite and in their weighting of each performance measure. When comparing Nursing Home Compare Plus to Medicare's five-star ratings, we found only minimal agreement on ranking of nursing homes. We conclude that patients might benefit if current report cards are modified to include an option for personalized ranking.},
 bibtype = {article},
 author = {Mukamel, D B and Amin, A and Weimer, D L and Sharit, J and Ladd, H and Sorkin, D H},
 journal = {Health affairs (Project Hope)},
 number = {4}
}
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