ArticleInquiry : a journal of medical care organization, provision and financing
Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Nursing home performance in a trial to reduce hospitalizations: Implications for future trials.Journal of the American Geriatrics Society · 2021Trial
- Nursing Home Profit Status and Pain Among Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026Article
- PRODUCING HEALTH: MEASURING VALUE ADDED OF NURSING HOMES.Econometrica : journal of the Econometric Society · 2025Article
- Construct validity of measures of care home resident quality of life: cross-sectional analysis using data from a pilot minimum data set in England.Health and quality of life outcomes · 2025Article
- Nursing Home Compare star ratings before versus after a change in nursing home ownership.Journal of the American Geriatrics Society · 2024Article
- Geriatric conditions and healthcare utilization among older adults living in subsidized housing.Journal of the American Geriatrics Society · 2024Article
- Accuracy of infection reporting in US nursing home ratings.Health services research · 2023Article
- Underreporting of Quality Measures and Associated Facility Characteristics and Racial Disparities in US Nursing Home Ratings.JAMA network open · 2023Article
- Measuring Nursing Home Performance Using Administrative Data.Medical care research and review : MCRR · 2023Article
- [Emergency situations and emergency department visits in nursing homes-a scoping review about circumstances and healthcare interventions].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Association of Power Outage With Mortality and Hospitalizations Among Florida Nursing Home Residents After Hurricane Irma.JAMA health forum · 2021Article
- Older adults' access to primary care: Gender, racial, and ethnic disparities in telemedicine.Journal of the American Geriatrics Society · 2021Article
- Risk Factors Associated with Nursing Home COVID-19 Outbreaks: A Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
- Evaluating national trends in outcomes after implementation of a star rating system: Results from dialysis facility compare.Health services research · 2021Article
- Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Association of Online Consumer Reviews of Skilled Nursing Facilities With Patient Rehospitalization Rates.JAMA network open · 2020Article
- Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores.Journal of the American Medical Directors Association · 2019Article
- Do report cards predict future quality? The case of skilled nursing facilities.Journal of health economics · 2019Article
- Quality measurement and nursing homes: measuring what matters.BMJ quality & safety · 2019Article
- Do Hospitals Participating in Accountable Care Organizations Discharge Patients to Higher Quality Nursing Homes?Journal of hospital medicine · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Nursing homes' publicly reported star ratings increased substantially since Centers for Medicare & Medicaid Services's Nursing Home Compare adopted a 5-star rating system. Our objective was to test whether the improvements in nursing home 5-star ratings were correlated with reductions in rates of hospitalization. We hypothesized that increased attention to 5-star star ratings motivated nursing homes to make changes that improved their star ratings but did not affect their hospitalization rate, resulting in a weakened association between ratings and hospitalizations. We used 2007-2010 Medicare hospital claims and nursing home clinical assessment data to compare the correlation between nursing home 5-star ratings and hospitalization rates before versus after 5-star ratings were publicly released. The correlation between the rate of hospitalization and a nursing home's 5-star rating weakened slightly after the ratings became publicly available. This decrease in correlation was concentrated among patients receiving post-acute care, who experienced relatively more hospitalizations from best-rated nursing homes. The improvements in nursing home star ratings after the release of Medicare's 5-star rating system were not accompanied by improvements in a broader measure of outcomes for post-acute care patients. Although this dissociation may be due to better matching of sicker patients to higher-quality nursing homes or superficial improvements by nursing homes to increase their ratings without substantial investments in quality improvement, the 5-star ratings nonetheless became less meaningful as an indicator of nursing home quality for post-acute care patients.
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Registered trials
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