Similarly, facilities appear to amend their practices specifically to dominate the Care Compare tool’s 5 star system. Still, audits are not regularly conducted on all facilities, and the industry is largely unpoliced on this self-reporting. Now, a data collection process based on payroll has been enacted to remove some of this gaming of the system. Previously, staffing was self-reported, and so a nursing home could claim to have more staff than they actually employed, or they could boost the number of minutes they claimed that staff spent with each resident. Recent changes have made this more difficult in certain areas, such as staffing. Many elements of the Care Compare tool are self-reported, and evidence suggests that some facilities inaccurately report data (or obfuscate certain information) to boost their overall rating on the service. Nursing Homes Game the Medicare 5 Star Systemįurther research into the ways that the Care Compare database is used has revealed that it is possible for nursing homes to utilize the system to their own advantage-and not just in terms of increasing quality that leads to increased resident application. Further, savvy nursing home owners have learned tricks to game the CMS 5 star system, thereby masking a poorly performing nursing home as a 4 or 5 star facility. However, the data reflected in the Care Compare tool appears, upon further study, not to adequately reflect certain subsets of information. Studies have indicated that a modest change in the behavior of nursing homes occurred following the introduction of the Care Compare tool, as providers with low scores gradually lost market share and were incentivized to increase their appeal through higher ratings (and thus, better quality). Later, in 2003, quality measures were added to multiple sections of the database, such as health inspection results and staffing data. After consistent issues with nursing home quality, the organization determined that the public did not have enough information to adequately compare different nursing homes when making a selection for their families. In 1998, the Centers for Medicare and Medicaid Services created the Nursing Home Compare database. The Data Behind Care Compare: What Is Missing? However, recent data suggests that Medicare’s 5 star care compare system is deeply flawed and misses many critical reporting areas. Medicare’s Care Compare tool allows users to compare local nursing homes utilizing Medicare’s 5 star nursing home rating system.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |