Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare.

ABSTRACT:

Objective

To assess the accuracy of nursing home self-report of major injury falls on the Minimum Data Set (MDS).

Data sources

MDS assessments and Medicare claims, 2011-2015.

Study design/methods

We linked inpatient claims for major injury falls with MDS assessments. The proportion of claims-identified falls reported for each fall-related MDS item was calculated. Using multilevel modeling, we assessed patient and nursing home characteristics that may be predictive of poor reporting. We created a claims-based major injury fall rate for each nursing home and estimated its correlation with Nursing Home Compare (NHC) measures.

Principal findings

We identified 150,828 major injury falls in claims that occurred during nursing home residency. For the MDS item used by

SUBMITTER: Sanghavi P 

PROVIDER: S-EPMC7080404 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature