The Alliance President outlined five key principles that should guide
efforts to develop a rating system that "will effectively help inform
decisions regarding post-acute and long-term care:"
-- Valid Metrics. Statistically validated metrics must form the basis of
any rating system that attempts to measure quality and translate those
measurements for consumers.
-- Customer Satisfaction. Metrics must go beyond process and outcomes
measures to include the satisfaction levels of patients and, when
appropriate, family members and employees.
-- Specialization. A reliable system must differentiate the quality of
care in facilities that specialize in certain types of care, including,
for example, differentiating facilities providing care to post-acute
care to high acuity patients from facilities that care for long-term,
chronic care patients.
-- Availability of Detailed Information. Even the most rigorous set of
metrics has limitations when it comes to making health care decisions.
It is essential that consumers have access to more information than
basic ratings alone.
-- Validation. Before any rating system is made available to consumers
broadly, it should be tested and validated. Both consumers and
providers could be irreparably harmed by relying on inadequately tested
"We intend to respond in greater detail to CMS' request for public
comments with the goal of maximizing the accuracy and practical value of
the rating system, and look forward to working closely with CMS and other
stakeholders on this initiative
|SOURCE The Alliance for Quality Nursing Home Care|
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