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Impact of Public Reporting on Quality of Postacute Care

dc.contributor.authorWerner, Rachel M.en_US
dc.contributor.authorKonetzka, R. Tamaraen_US
dc.contributor.authorStuart, Elizabeth A.en_US
dc.contributor.authorNorton, Edward C.en_US
dc.contributor.authorPolsky, Danielen_US
dc.contributor.authorPark, Jeongyoungen_US
dc.date.accessioned2010-06-01T21:45:14Z
dc.date.available2010-06-01T21:45:14Z
dc.date.issued2009-08en_US
dc.identifier.citationWerner, Rachel M.; Konetzka, R. Tamara; Stuart, Elizabeth A.; Norton, Edward C.; Polsky, Daniel; Park, Jeongyoung (2009). "Impact of Public Reporting on Quality of Postacute Care." Health Services Research 44(4): 1169-1187. <http://hdl.handle.net/2027.42/74796>en_US
dc.identifier.issn0017-9124en_US
dc.identifier.issn1475-6773en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/74796
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19490160&dopt=citationen_US
dc.description.abstractEvidence supporting the use of public reporting of quality information to improve health care quality is mixed. While public reporting may improve reported quality, its effect on quality of care more broadly is uncertain. This study tests whether public reporting in the setting of nursing homes resulted in improvement of reported and broader but unreported quality of postacute care. Data Sources/Study Setting . 1999–2005 nursing home Minimum Data Set and inpatient Medicare claims. Study Design . We examined changes in postacute care quality in U.S. nursing homes in response to the initiation of public reporting on the Centers for Medicare and Medicaid Services website, Nursing Home Compare. We used small nursing homes that were not subject to public reporting as a contemporaneous control and also controlled for patient selection into nursing homes. Postacute care quality was measured using three publicly reported clinical quality measures and 30-day potentially preventable rehospitalization rates, an unreported measure of quality. Principal Findings . Reported quality of postacute care improved after the initiation of public reporting for two of the three reported quality measures used in Nursing Home Compare. However, rates of potentially preventable rehospitalization did not significantly improve and, in some cases, worsened. Conclusions . Public reporting of nursing home quality was associated with an improvement in most postacute care performance measures but not in the broader measure of rehospitalization.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Publishing Incen_US
dc.rights© 2009 Health Research and Education Trusten_US
dc.subject.otherQuality of Careen_US
dc.subject.otherPostacute Careen_US
dc.subject.otherNursing Home Qualityen_US
dc.subject.otherPublic Reportingen_US
dc.titleImpact of Public Reporting on Quality of Postacute Careen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Health Management and Policy and Department of Economics, University of Michigan, Ann Arbor, MI ;en_US
dc.contributor.affiliationotherCenter for Health Equity Research and Promotion, Philadelphia VAMC, the Division of General Internal Medicine, University of Pennsylvania School of Medicine, and the Leonard Davis Institute of Health Economics, University of Pennsylvania ;en_US
dc.contributor.affiliationotherDepartment of Health Studies, University of Chicago, Chicago, IL ;en_US
dc.contributor.affiliationotherDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD ;en_US
dc.contributor.affiliationotherUniversity of Pennsylvania School of Medicine, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA anden_US
dc.contributor.affiliationotherUniversity of Pennsylvania School of Medicine, Philadelphia, PA.en_US
dc.identifier.pmid19490160en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/74796/1/j.1475-6773.2009.00967.x.pdf
dc.identifier.doi10.1111/j.1475-6773.2009.00967.xen_US
dc.identifier.sourceHealth Services Researchen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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