Home care quality indicators (HCQIs) based on the MDS-HC

John P. Hirdes; Brant E. Fries; John N. Morris; Naoki Ikegami; David Zimmerman; Dawn M. Dalby; Pablo Aliaga; Suzanne Hammer; Richard Jones

doi:10.1093/geront/44.5.665

Home care quality indicators (HCQIs) based on the MDS-HC

John P. Hirdes, Brant E. Fries, John N. Morris, Naoki Ikegami, David Zimmerman, Dawn M. Dalby, Pablo Aliaga, Suzanne Hammer, Richard Jones

Research output: Contribution to journal › Article › peer-review

110 Citations (Scopus)

Abstract

Purpose: This study aimed to develop home care quality indicators (HCQIs) to be used by a variety of audiences including consumers, agencies, regulators, and policy makers to support evidence-based decision making related to the quality of home care services. Design and Methods: Data from 3,041 Canadian and 11,252 U.S. home care clients assessed with the Minimum Data Set-Home Care (MDS-HC) were used to evaluate a series of indicators suggested by international experts and by focus groups conducted in Canada and the United States. Risk adjustment methods were derived and validated using data from Ontario and Michigan. Results: Of the 73 original candidate HCQIs, 22 were retained for the final list of recommended indicators. All but three indicators include risk adjusters based on individual-level covariates. An agency-level risk adjustment was developed to correct for selection and ascertainment bias. Implications: The HCQIs are new tools providing a first step along the path of quality improvement for home care. These indicators can provide high-quality evidence on performance at the agency level and on a regional basis.

Original language	English
Pages (from-to)	665-679
Number of pages	15
Journal	Gerontologist
Volume	44
Issue number	5
DOIs	https://doi.org/10.1093/geront/44.5.665
Publication status	Published - 2004 Oct
Externally published	Yes

Keywords

Home care
Inter-RAI
MDS-HC
Quality of care
Risk adjustment

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1093/geront/44.5.665

Cite this

@article{3a9abf23aaf1423ba50ebdb706f6c3e1,

title = "Home care quality indicators (HCQIs) based on the MDS-HC",

abstract = "Purpose: This study aimed to develop home care quality indicators (HCQIs) to be used by a variety of audiences including consumers, agencies, regulators, and policy makers to support evidence-based decision making related to the quality of home care services. Design and Methods: Data from 3,041 Canadian and 11,252 U.S. home care clients assessed with the Minimum Data Set-Home Care (MDS-HC) were used to evaluate a series of indicators suggested by international experts and by focus groups conducted in Canada and the United States. Risk adjustment methods were derived and validated using data from Ontario and Michigan. Results: Of the 73 original candidate HCQIs, 22 were retained for the final list of recommended indicators. All but three indicators include risk adjusters based on individual-level covariates. An agency-level risk adjustment was developed to correct for selection and ascertainment bias. Implications: The HCQIs are new tools providing a first step along the path of quality improvement for home care. These indicators can provide high-quality evidence on performance at the agency level and on a regional basis.",

keywords = "Home care, Inter-RAI, MDS-HC, Quality of care, Risk adjustment",

author = "Hirdes, {John P.} and Fries, {Brant E.} and Morris, {John N.} and Naoki Ikegami and David Zimmerman and Dalby, {Dawn M.} and Pablo Aliaga and Suzanne Hammer and Richard Jones",

note = "Funding Information: The Home Care Quality Indicators (HCQIs) reported here were created for use with the Minimum Data Set—Home Care (MDS-HC) version 2.0 by interRAI, a 21-country, nonprofit network of researchers and clinicians responsible for the development and application of the RAI/MDS series of instruments. Italian data were made available courtesy of Prof. Roberto Bernabei. The authors are grateful for contributions to the development effort by Mary James, Nancy Curtin-Telegdi, Jeff Poss, Colleen Maxwell, Lori Mitchell, Trevor Smith, Paula Fletcher, Gary Teare, Michael Stones, Kim Voelker, and Judy Bowyer. The authors thank the following agencies for financial support of this research: Agency for Health Care Policy Research (Grant 5 U18 HS09455), the Health Transition Fund—Health Canada (ON 421), interRAI, the State of Michigan and the Robert Wood Johnson Foundation.",

year = "2004",

month = oct,

doi = "10.1093/geront/44.5.665",

language = "English",

volume = "44",

pages = "665--679",

journal = "Gerontologist",

issn = "0016-9013",

publisher = "Oxford University Press",

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T1 - Home care quality indicators (HCQIs) based on the MDS-HC

AU - Hirdes, John P.

AU - Fries, Brant E.

AU - Morris, John N.

AU - Ikegami, Naoki

AU - Zimmerman, David

AU - Dalby, Dawn M.

AU - Aliaga, Pablo

AU - Hammer, Suzanne

AU - Jones, Richard

N1 - Funding Information: The Home Care Quality Indicators (HCQIs) reported here were created for use with the Minimum Data Set—Home Care (MDS-HC) version 2.0 by interRAI, a 21-country, nonprofit network of researchers and clinicians responsible for the development and application of the RAI/MDS series of instruments. Italian data were made available courtesy of Prof. Roberto Bernabei. The authors are grateful for contributions to the development effort by Mary James, Nancy Curtin-Telegdi, Jeff Poss, Colleen Maxwell, Lori Mitchell, Trevor Smith, Paula Fletcher, Gary Teare, Michael Stones, Kim Voelker, and Judy Bowyer. The authors thank the following agencies for financial support of this research: Agency for Health Care Policy Research (Grant 5 U18 HS09455), the Health Transition Fund—Health Canada (ON 421), interRAI, the State of Michigan and the Robert Wood Johnson Foundation.

PY - 2004/10

Y1 - 2004/10

N2 - Purpose: This study aimed to develop home care quality indicators (HCQIs) to be used by a variety of audiences including consumers, agencies, regulators, and policy makers to support evidence-based decision making related to the quality of home care services. Design and Methods: Data from 3,041 Canadian and 11,252 U.S. home care clients assessed with the Minimum Data Set-Home Care (MDS-HC) were used to evaluate a series of indicators suggested by international experts and by focus groups conducted in Canada and the United States. Risk adjustment methods were derived and validated using data from Ontario and Michigan. Results: Of the 73 original candidate HCQIs, 22 were retained for the final list of recommended indicators. All but three indicators include risk adjusters based on individual-level covariates. An agency-level risk adjustment was developed to correct for selection and ascertainment bias. Implications: The HCQIs are new tools providing a first step along the path of quality improvement for home care. These indicators can provide high-quality evidence on performance at the agency level and on a regional basis.

AB - Purpose: This study aimed to develop home care quality indicators (HCQIs) to be used by a variety of audiences including consumers, agencies, regulators, and policy makers to support evidence-based decision making related to the quality of home care services. Design and Methods: Data from 3,041 Canadian and 11,252 U.S. home care clients assessed with the Minimum Data Set-Home Care (MDS-HC) were used to evaluate a series of indicators suggested by international experts and by focus groups conducted in Canada and the United States. Risk adjustment methods were derived and validated using data from Ontario and Michigan. Results: Of the 73 original candidate HCQIs, 22 were retained for the final list of recommended indicators. All but three indicators include risk adjusters based on individual-level covariates. An agency-level risk adjustment was developed to correct for selection and ascertainment bias. Implications: The HCQIs are new tools providing a first step along the path of quality improvement for home care. These indicators can provide high-quality evidence on performance at the agency level and on a regional basis.

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KW - Inter-RAI

KW - MDS-HC

KW - Quality of care

KW - Risk adjustment

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JO - Gerontologist

JF - Gerontologist

IS - 5

ER -

Home care quality indicators (HCQIs) based on the MDS-HC

Abstract

Keywords

ASJC Scopus subject areas

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