5. Public Reporting as a Quality Improvement Strategy

Author
Year
Castle
2007 79
Cont.
11. Results: KQ1 (Health
Care Outcomes)
12. Results: KQ2
(Harms)
13. Results: KQ3 (Provider
Outcomes-QI & other
Behaviors)
14. Results
KQ4:(Selection
by Patients &
Payers)
N-9
15. Results: KQ5
(Impact of Public
Report
Characteristics)
16. Results: KQ6
(Impact of Contextual
Factors)
have pressure sores
1.14 (1.01 to 1.26*) 0.86
(0.70 to 0.97*) 0.88
(0.71 to 0.97*)
Physically restrained
0.81 (0.76 to 1.03) 1.11
(0.90 to 1.32) 0.91 (0.86
to 1.12)
More depressed or
anxious 0.95 (0.80 to
1.02) 0.96 (0.80 to 1.12)
0.97 (0.82 to 1.15)
Lost control over their
bowels or bladder 0.92
(0.81 to 1.08) 0.98 (0.81
to 1.22) 0.93 (0.78 to
1.19)
Catheter inserted and
left in 1.07 (0.89 to 1.10)
0.89 (0.77 to 1.00*) 0.90
(0.79 to 0.98*)
Spend most of their time
in bed or in a chair 0.93
(0.81 to 1.05) 0.90 (0.72
to 1.15) 0.95 (0.77 to
1.12)
Ability to move about
has become worse 0.96
(0.86 to 1.11) 0.93 (0.88
to 0.99*) 0.95 (0.82 to
0.99*)
Urinary tract infection
0.95 (0.86 to 1.05) 1.03
(0.93 to 1.12) 0.93 (0.86
to 1.10)
Lost too much weight
0.87 (0.79 to 1.08) 0.91
(0.88 to 1.13) 0.97 (0.89
to 1.10)
Short-stay residents
with delirium 1.25 (1.04
to 1.29*) 0.85 (0.69 to
0.99*) 0.88 (0.70 to
0.97*)
Short-stay residents
with moderate to severe
pain 1.21 (1.07 to 1.33*)
0.73 (0.61 to 0.95*) 0.75
(0.68 to 0.98*)
17. Summary/
Conclusion
for short-stay
residents, NH may
be more open to
influence by market
forces for short
stay (Medicare
rates are higher
and turn over may
allow faster gains
in improvement).
18. Funder of
Research/
and Conflicts
of Interest