Accuracy of infection reporting in US nursing home ratings.
Accuracy of infection reporting in US nursing home ratings.
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DOI：
10.1111/1475-6773.14195
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发表时间：
2023-10
影响因子：
3.4
通讯作者：
Sanghavi, Prachi
中科院分区：
文献类型：
--
作者：
Chen, Zihan;Gleason, Lauren J.;Konetzka, R. Tamara;Sanghavi, Prachi
评估养老院报告的尿路感染（uti）数据的准确性，这些数据在养老院护理比较中公开报道，而肺炎则没有公开报道。我们使用了2011年至2017年间美国100%的医疗保险服务收费受益人的二手数据。我们确定了2011年至2017年期间疗养院居民的医疗保险服务收费受益人，并因初步诊断为尿路感染或肺炎而入院。在将这些医院索赔与最小数据集中居民级养老院报告的评估数据联系起来后，我们计算了适当报告的感染百分比，并根据居民级和养老院级别的特征评估了差异。我们开发了一种基于索赔的疗养院住院感染水平测量方法，并估计了其与公开报告评级之间的相关性。在研究期间，因尿路感染或肺炎住院的疗养院居民和医疗保险服务收费受益人被纳入研究范围。两种感染的报告率都很低（尿路感染：短期住院居民29.1%，长期住院居民19.2%；肺炎：短期住院居民66.0%，长期住院居民70.6%）。当计算额外评估时，尿路感染报告率增加，但不清楚这些报告是否与新发展的尿路感染相同。黑人居民的报告率略低，黑人居民较多的养老院也是如此。我们基于索赔的衡量标准与公开报道的评级之间的相关性很差。在用于国家公开报告的数据中，尿路感染和肺炎的报告严重不足。需要其他方法来改善对养老院质量的监督。
To assess the accuracy of nursing home‐reported data on urinary tract infections (UTIs), which are publicly reported on Nursing Home Care Compare, and pneumonia, which are not publicly reported. We used secondary data for 100% of Medicare fee‐for‐service beneficiaries in the United States between 2011 and 2017. We identified Medicare fee‐for‐service beneficiaries who were nursing home residents between 2011 and 2017 and admitted to a hospital with a primary diagnosis of UTI or pneumonia. After linking these hospital claims to resident‐level nursing home‐reported assessment data in the Minimum Data Set, we calculated the percentages of infections that were appropriately reported and assessed variation by resident‐ and nursing home‐level characteristics. We developed a claims‐based nursing home‐level measure of hospitalized infections and estimated correlations between this and publicly reported ratings. Medicare fee‐for‐service beneficiaries who were nursing home residents and hospitalized for UTI or pneumonia during the study period were included. Reporting rates were low for both infections (UTI: short‐stay residents 29.1% and long‐stay residents 19.2%; pneumonia: short‐stay residents 66.0% and long‐stay residents 70.6%). UTI reporting rates increased when counting additional assessments, but it is unclear whether these reports are for the same versus a newly developed UTI. Black residents had slightly lower reporting rates, as did nursing homes with more Black residents. Correlations between our claims‐based measure and publicly reported ratings were poor. UTI and pneumonia were substantially underreported in data used for national public reporting. Alternative approaches are needed to improve surveillance of nursing home quality.
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影响因子：
4.4
作者：
Foxman, Betsy
通讯作者：
Foxman, Betsy
DOI：
10.1111/j.1532-5415.2005.00470.x
发表时间：
2005-11-01
影响因子：
6.3
作者：
Juthani-Mehta, M;Drickamer, MA;Quagliarello, VJ
通讯作者：
Quagliarello, VJ
影响因子：
4.9
作者：
Cooper, Denise L.;Buterakos, Roxanne;Lee, Shoou-Yih D.
通讯作者：
Lee, Shoou-Yih D.
DOI：
10.1016/j.jamda.2020.09.010
发表时间：
2020-12
影响因子：
7.6
作者：
Griffith MF;Levy CR;Parikh TJ;Stevens-Lapsley JE;Eber LB;Palat ST;Gozalo PL;Teno JM
通讯作者：
Teno JM
影响因子：
4.1
作者：
Phillips CD;Adepoju O;Stone N;Moudouni DK;Nwaiwu O;Zhao H;Frentzel E;Mehr D;Garfinkel S
通讯作者：
Garfinkel S