Annual Meeting Recordings are now available for purchase
304084
Nursing Home Compare Plus - A Personalized Report Card for Nursing Homes
Tuesday, November 18, 2014
: 4:30 PM - 4:42 PM
Dana B. Mukamel, PhD
,
Department of Medicine, Health Policy Research Institute, University of California, Irvine, Irvine, CA
Derek Gustafson
,
Network & Desktop Computing, University of California, Irvine, Orange, CA
Alpesh Amin, MD
,
Department of Medicine, University of California, Orange
David L. Weimer, PhD
,
LaFollette School of Public Affairs, University of Wisconsin - Madison, Madison, WI
Joseph Sharit, PhD
,
Center in Aging, University of Miami, Miami, FL
Dara Sorkin, PhD
,
Health Policy Research Institute, University of California, Irvine, Irvine, CA
The Nursing Home Compare (NHC) report card published by CMS includes 19 clinical quality-measures (QMs), staffing, and citation information. These measures are not correlated, making the choice of a nursing-home a difficult task. NHCPlus is an iPad application designed to be used at the hospital bedside. It simplifies the choice by allowing patients to create a personalized quality composite measure. It includes an educational module, explaining each QM and its implications, a preference elicitation module, guiding the patient through a value-clarification exercise, and a personally-tailored solution module that provides the patient with information about the nursing homes in their choice-set, ranked on a composite measure constructed from their personal preferences and the NHC information. Key informant interviews were performed with 20 patients and family members who tested the application to obtain feedback about its usability, usefulness, and applicability. All, without exception, reported that an application like NHCPlus would have been extremely helpful at the time they had to choose a nursing home. Several had accessed NHC, but indicated that nonetheless the application had provided an added value and would have made their decision easier and better. All felt that choosing a nursing home is an important decision and were willing to spend a substantial amount of time with the application to help them make it. In the era of personalized medicine and patient-centered care, report cards are another frontier. Like other decisions that patients and families make about their care, choosing a provider should be patient-centered. NHCPlus offers this opportunity.
Learning Areas:
Communication and informatics
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Public health or related research
Learning Objectives:
Explain the difficulty that patients and families have in using the CMS Nursing Home Compare quality report card.
Demonstrate an alternative approach to quality reporting that offers personalized composite quality measures based on the patients' health needs and preferences.
Keyword(s): Quality of Care, Long-Term Care
Presenting author's disclosure statement:Organization/institution whose products or services will be discussed: n/a
Qualified on the content I am responsible for because: I am a researcher in this topic area with over 20 years' experience.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
