QI measures can be improved, report finds

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More comprehensive quality indicators should be developed that better align with the Minimum Data Set 3.0, according to a just-released study appearing in the April issue of the Gerontologist.

In addition, the validity and reliability of the quality indicators should
be evaluated to ensure more accurate measurements. The report's four authors added that statistical criteria should be incorporated for indicator scoring and outlier targeting.

Additional suggestions included a thorough examination of how well the quality indicators are structured, the refinement and broadening of risk-adjustment methods and better reporting systems.

Quality indicators are markers of potentially poor or excellent healthcare quality. Nursing home quality indicators have been developed over the past decade to quantify nursing home quality and allow systematic comparisons between facilities.

While these indicators have been applied widely for nursing home regulation, quality improvement and public reporting, researchers and stakeholders have raised concerns about their accuracy and usefulness, according to the report.