Monday, August 25, 2014

Beware the nursing home star rating system

Posted By on Mon, Aug 25, 2014 at 6:20 AM

The New York Times reports today on flaws in the Medicare-developed star system of rating nursing homes. Top-rated nursing homes often turn up with serious problems. How does this happen?

The Medicare ratings, which have become the gold standard across the industry, are based in large part on self-reported data by the nursing homes that the government does not verify. Only one of the three criteria used to determine the star ratings — the results of annual health inspections — relies on assessments from independent reviewers. The other measures — staff levels and quality statistics — are reported by the nursing homes and accepted by Medicare, with limited exceptions, at face value.

Insiders say the homes have figured out how to game the system. Ratings are going up in the industry. Results:

The Times analysis shows that even nursing homes with a history of poor care rate highly in the areas that rely on self-reported data. Of more than 50 nursing homes on a federal watch list for quality, nearly two-thirds hold four- or five-star ratings for their staff levels and quality statistics. 

The system seems likely to spread.

Beginning this year, Medicare plans to introduce similar five-star ratings for hospitals, dialysis centers and home-health-care agencies.

It puts me in mind of the Arkansas legislature's push to reduce school assessment to a simple letter grade. Nobody would ever dare suggest a school administrator would game a rating system. Or that a rating might be as much a product of the raw material put into those education factors as of the quality of teachers and programs.

Tags: , ,

Favorite

Speaking of...

Comments (3)

Showing 1-3 of 3

Add a comment

 
Subscribe to this thread:
Showing 1-3 of 3

Add a comment

More by Max Brantley

Readers also liked…

  • In defense of Planned Parenthood and abortion rights

    An op-ed in today's New York Time by Katha Pollitt says what I've been struggling to say about the reaction to the attack on women's reproductive rights launched by means of the undercover videos made by anti-abortion activists.
    • Aug 5, 2015
  • Payday lenders on the march at legislature

    Payday lenders are working hard to get legislative cover for the reintroduction of their usurious loan business to Arkansas. Some are fighting back.
    • Mar 10, 2017
  • Matt Campbell files ethics complaint against Dennis Milligan

    Little Rock attorney and blogger Matt Campbell, whose knack for deep research brought down Mark Darr, Mike Maggio and Dexter Suggs, now has his sights trained on another worthy target. Today, he filed a 113-page ethics complaint against state Treasurer Dennis Milligan that includes 14 separate allegations.
    • Aug 20, 2015

Most Shared

Visit Arkansas

Forest bathing is the Next Big Thing

Forest bathing is the Next Big Thing

Arkansas is the perfect place to try out this new health trend. Read all about the what, why, where and how here.

Most Viewed

Most Recent Comments

Blogroll

 

© 2017 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation