Thứ Hai, Tháng Mười Hai 5, 2022
HomeHealthU.S. News & World Report nursing home ratings poke holes in CMS ratings

U.S. News & World Report nursing home ratings poke holes in CMS ratings

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US News & World Report recently released its 2022-2023 nursing home ratings, showing a large divergence in its assessments from Centers for Medicare and Medicaid’s (CMS) star rating system. The media company found that only a small fraction of the nation’s 15,000 nursing homes were high-performing in short- or long-term rehabilitation, and only a few hundred were high-performing in both.

The data team is making their numbers available to journalists who want to conduct their own analysis of facilities in their state or community.

While CMS’s most recent ratings showed that 4,261 short-term properties and 5,080 long-term properties received five stars, the US News analysis found only 1,658 homes high-performing in short-term recovery, 1,103 homes performing high in recovery. long-term care and 335 high-performance homes in both. In one example, 25 homes that CMS called “five stars,” which US News rated as just one out of five. And more than 3,600 nursing homes received four or five stars from CMS, but only one, two, or three out of five from US News.

According to Ben Harder, managing editor and chief health analyst for US News, reporters with one or more such facilities in their community can decide that their readers deserve to be informed. newspaper.

“We evaluate each SNF in short-term rehabilitation and long-term care, as well as a one-to-five summary rating that takes into account both short-term and long-term care. That will make it easy for them [reporters] Harder said in an email.

Two completely different methods

Harder says a team of data analysts has been processing the numbers with fine-tuned criteria for years. They conducted statistical modeling of CMS data of more than 15,000 Medicare and Medicaid certified nursing homes as part of the July 2022 CMS nursing home provider census conducted in July 2022 and ranked most of these nursing homes by two different areas, short-term rehabilitation and long-term care. The team also conducted interviews with academics and other experts to determine what government data to rely on.

He explains that empirical models tell analysts which CMS measures are reliable or unreliable. The two rating systems use completely different methods, and the US News Best Nursing Homes rating is not based on domain-specific or overall star ratings from CMS, according to their information. public method.

For example, detailed payroll log (PBJ) of personnel, easy to verify; however, the use of antipsychotics may or may not include patients with a psychiatric diagnosis, which may bias the results. In February, CMS raise its rating to include employee rate and weekend turnover.

Ratings are determined for both short-term and long-term care facilities based on measures including staffing, medical outcomes, and resident complaints; Long-term care criteria also include staff and resident immunization rates and appropriate medication use. The highest performing institutions scored “5” and “1” for the lowest score according to the publication’s methodology. All data is from publicly available sources, including CMS nursing home data storagethe CMS COVID-19 nursing home data and data on use of antipsychotic drugs are from Long Term Community Care Alliance.

Like us recent report, CMS is cracking down on the worst performing nursing homes, but “it requires the fourth estate to hold the facilities and CMS to be held accountable for their information,” Harder said. “That’s why we’re happy to give our data to other journalists about their coverage, so they can do their own analysis and see if that five-star home really is all that matters. whether it’s cracked or not.”

Journalists interested in mining US News data can contact Michelle Day at [email protected].


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