ArticleThe American journal of managed care2013
Creating peer groups for assessing and comparing nursing home performance.
Article in The American journal of managed care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Evaluating feedback reports to support documentation of veterans' care preferences in home based primary care.BMC geriatrics · 2024Article
- Evaluating implementation strategies to support documentation of veterans' care preferences.Health services research · 2022Article
- Preferences Elicited and Respected for Seriously Ill Veterans through Enhanced Decision-Making (PERSIVED): a protocol for an implementation study in the Veterans Health Administration.Implementation science communications · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPublicly reported performance data for hospitals and nursing homes are becoming ubiquitous. For such comparisons to be fair, facilities must be compared with their peers.
objectivesTo adapt a previously published methodology for developing hospital peer groupings so that it is applicable to nursing homes and to explore the characteristics of "nearest-neighbor" peer groupings. STUDY
designAnalysis of Department of Veterans Affairs administrative databases and nursing home facility characteristics.
methodsThe nearest-neighbor methodology for developing peer groupings involves calculating the Euclidean distance between facilities based on facility characteristics. We describe our steps in selection of facility characteristics, describe the characteristics of nearest-neighbor peer groups, and compare them with peer groups derived through classical cluster analysis.
resultsThe facility characteristics most pertinent to nursing home groupings were found to be different from those that were most relevant for hospitals. Unlike classical cluster groups, nearest neighbor groups are not mutually exclusive, and the nearest-neighbor methodology resulted in nursing home peer groupings that were substantially less diffuse than nursing home peer groups created using traditional cluster analysis.
conclusionIt is essential that healthcare policy makers and administrators have a means of fairly grouping facilities for the purposes of quality, cost, or efficiency comparisons. In this research, we show that a previously published methodology can be successfully applied to a nursing home setting. The same approach could be applied in other clinical settings such as primary care.
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Identifiers
24511989PMC9980409What OpenQuestion holds
Registered trials
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