![]() We used “dual eligibility” – patients eligible for both Medicare and Medicaid – as a socioeconomic factor. When hospitals differ by the socioeconomic status of their patients, this can create bias in comparing outcomes. Synopsis: Nursing Home Compare presents information on the quality of care provided by more than 15, 000 Medicare and Medicaid-participating nursing homes. This can affect their risk of death, readmission and complications. Patients with lower incomes and education are typically sicker when they arrive at the hospital and may face more challenges in obtaining or managing their care after discharge. If a patient is eligible for Medicare because of age, disability or end-stage renal failure, this is a proxy for comorbidities. Centers for Medicaid and Medicare Services Design for Nursing Home Compare Five-Star Quality Rating System: technical users’ guide. Join the Kare Revolution and gain access to hundreds of assisted living and skilled nursing facilities in your. We used an inventory known as the Elixhauser comorbidities in risk adjustment. Nursing Home Compare (NHC) introduced this measure in 2008, and it now is included in most other report cards published by CMS. This means a patient has multiple diagnoses, with the primary diagnosis being treated, which typically means more challenging care. A wide range of comorbidities, such as diabetes, is associated with higher death rates. For that reason, and given that the ratings use five years of data, year of admission is included as a risk factor. This means the risk of adverse outcomes is less each year. Quality of care tends to improve over time. Patients were classified as inbound transfers if they were treated at another acute-care hospital on the day of admission, if claims data indicated they were transferred or if a previous claim indicated an outbound transfer. A patient transfer from the initial receiving hospital may indicate a complex procedure or condition. ![]()
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