Associations between published quality ratings of skilled nursing facilities and outcomes of medicare beneficiaries with heart failure.

Published

Journal Article

INTRODUCTION: Nursing Home Compare quality ratings are designed to allow patients, families, and clinicians to compare facilities based on quality, but associations of the current measures with important clinical outcomes are not known. Our study examined associations between ratings and readmission and mortality among Medicare beneficiaries admitted to a skilled nursing facility with a primary diagnosis of heart failure. METHODS: We conducted a retrospective cohort study of 164,672 Medicare beneficiaries discharged to skilled nursing facilities after hospitalization for heart failure in 2006-2007. The main outcome measures were readmission and mortality within 90 days. RESULTS: One-fifth of the 13,619 skilled nursing facilities received a 1-star rating and 11% received a 5-star rating. Nearly half of the patients discharged to a skilled nursing facility were readmitted to a hospital within 90 days after discharge, and 30% died within 90 days. Compared with patients in 5-star skilled nursing facilities, patients in 1-star facilities had higher risks of 90-day readmission (hazard ratio, 1.08) and mortality (1.15). After adjustment for facility size and ownership type, the associations between the quality rating and readmission were not statistically significant, but the associations with mortality were significant. CONCLUSION: Publicly reported Nursing Home Compare quality ratings of Medicare-certified skilled nursing facilities were modestly associated with 90-day readmission and mortality among Medicare beneficiaries discharged to these facilities after hospitalization for heart failure.

Full Text

Duke Authors

Cited Authors

  • Unroe, KT; Greiner, MA; Colón-Emeric, C; Peterson, ED; Curtis, LH

Published Date

  • February 2012

Published In

Volume / Issue

  • 13 / 2

Start / End Page

  • 188.e1 - 188.e6

PubMed ID

  • 21621479

Pubmed Central ID

  • 21621479

Electronic International Standard Serial Number (EISSN)

  • 1538-9375

Digital Object Identifier (DOI)

  • 10.1016/j.jamda.2011.04.020

Language

  • eng

Conference Location

  • United States