Nursing home facilities improved scores on nine of 10 quality measures in 2010, according to a report released by the Alliance for Quality Nursing Home Care, a member organization of for-profit facilities, and the American Health Care Association, which represents all facilities.
Gains seen in nursing home quality measures
Nursing homes showed improvement in the following categories related to long stays, which are generally covered by Medicaid: activities of daily living; high-risk pressure ulcers; in-dwelling catheter; pain; mobility; and urinary tract infections, according to the organizations' 2011 Quality Report. The one measure in which scores got worse was the long-stay category of use of physical restraints, according to the report.
Improvement was made in all three short-stay categories, which are generally paid for by Medicare: delirium, pain and pressure ulcers.
The report also makes recommendations about how to improve the quality measures, suggesting that more short-stay measures be developed and endorsed, a previously raised issue. The report also suggests that risk-adjustment methodologies be refined and improved and that measures be developed that can be used in different post-acute settings, such as skilled-nursing facilities, inpatient rehabilitation facilities and home health.
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