Survey-based indices for nursing home quality incentive reimbursement.
Willemain, Thomas R
Date of Pub
Incentive payments are a theoretically appealing complement to nursing home quality assurance systems that rely on regulatory
enforcement. However, the practical aspects of incentive program design are not yet well understood. After reviewing the rationale
for incentive approaches and recent State and Federal initiatives, the article considers a basic program design issue: creating
an index of nursing home quality. It focuses on indices constructed from routine licensure and certification survey results
because State initiatives have relied heavily on these readily accessible data. It also suggests a procedure for creating
a survey-based index and discusses a sampling of implementation issues.
Data Collection : Reimbursement Mechanisms : Reimbursement, Incentive : Abstracting and Indexing : Health Plan Implementation/economics
: Nursing Homes/standards : Quality Assurance, Health Care/economics : Support, U.S. Gov't, P.H.S. : United States