|August 28, 2001
Should Consider Eight Basic Categories When Evaluating Nursing Homes, Say UCSF Researchers
have identified the most useful dimensions for measuring and reporting nursing home
quality. They report that an annual survey used to evaluate quality in U.S. nursing homes
should be simplified to focus on the most critical dimensions of care.
Using data from annual surveys for all nursing facilities in the U.S., the researchers
found that 40 survey items (or 20 percent) of 185 items now used for evaluation account
for 58 % of all deficiencies actually issued by state inspectors to U.S. nursing
The 40 items can be grouped into eight major dimensions of quality, according to Joseph
Mullan, PhD, assistant professor of social and behavioral sciences in the UCSF School of
Nursing and lead author on the paper, which appears in the September issue of Research On
"These eight categories are the most important for reporting information to
consumers about the quality of nursing home care," said Mullan. He explained that the
smaller checklist will ease the work load of inspectors as well.
The eight categories include: - Quality of care - maintaining good nutrition and
hydration; preventing or treating pressure ulcers, incontinence, and weight loss; and
maintaining independence - Preventing abuse and the use of physical restraints
- Assessing health needs accurately and providing appropriate care
- Protecting resident's rights
- Providing a safe, clean and hazard-free environment
- Meeting resident nutritional needs
- Proper administration of drugs
- A staff that meets minimum state and federal standards
The streamlined dimensions are currently being used to evaluate nursing homes on the
official U.S. government site for Medicare information.
Charlene Harrington, PhD, professor of social and behavioral sciences in the UCSF
School of Nursing and co-investigator on the report, added that the information from this
study also will be used to develop a new consumer information web site for California,
funded by the California HealthCare Foundation. The foundation's mission is to expand
access to affordable, quality health care for underserved individuals and communities and
to promote fundamental improvements in the health status of the people of California.
The study was funded by the Agency for Healthcare Research and Quality (AHRQ). Agency
research provides evidence-based information to improve the quality of health care
services and to help people make more informed decisions. AHRQ was formerly known as the
Agency for Health Care Policy and Research.
The Official U.S.
Government Site for Medicare Information