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5. Public Reporting as a Quality Improvement Strategy

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Author<br />

Year<br />

Zinn<br />

2008 98<br />

11. Results: KQ1 (Health<br />

Care Outcomes)<br />

Short-Stay Residents<br />

Delirium Risk Adjusted: 3.8,<br />

3.2, 3.2, 3, 2.9<br />

Walking for Short-Stay<br />

Residents w<strong>as</strong> not significant.<br />

12. Results: KQ2<br />

(Harms)<br />

13. Results: KQ3 (Provider<br />

Outcomes-QI & other<br />

Behaviors)<br />

None None Odd Ratios Results from<br />

Logistic Regression<br />

for Action Taken by Strategic<br />

Orientation<br />

(Defender, Prospector,<br />

Analyzer Reactor) followed<br />

by other significant variables<br />

1. Immediate Response (Ref,<br />

1.58**, 1.39*, 0.26**)<br />

for profit status 0.62**;<br />

Perceived completion 1.15*<br />

2. No response to NHC<br />

(1.62*, Ref., 0.96, 1.54)<br />

Initial quality 0.89*; perceived<br />

competition 0.79***<br />

3. Discussed with residents<br />

or families (Ref., 1.49, 1.24,<br />

0.98, 0.96)<br />

Chain affiliation 1.49+;<br />

perceived competition<br />

1.37***<br />

4. Investigate re<strong>as</strong>ons for<br />

poor scores (Ref., 1.59**,<br />

1.54*, 0.64)<br />

initial quality 1.14*<br />

<strong>5.</strong> Revise job descriptions<br />

(Ref., 2.02**, 1.18, 0.52)<br />

initial quality 1.21*; perceived<br />

competition 1.21+<br />

6. Change priorities for QI<br />

(Ref., 1.89***, 1.67**, 0.84)<br />

initial quality 1.10+<br />

7. Invest in new technology<br />

of equipment: none (0.83,<br />

Ref., 1.63+, 0.43)<br />

for-profit 1.57+; initial quality<br />

1.14+<br />

+p,.10, *p

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