The CoreQ: Development and Testing of a Nursing Facility Resident Satisfaction Survey

Castle, Nicholas G.; Gifford, David; Schwartz, Lindsay

doi:10.1177/0733464820940871

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…9,[17][18][19] The US Government Accountability Office recommended in 2016 that CMS evaluate the feasibility of adding consumer satisfaction survey results to the Five-Star system, 8 in line with studies that have found satisfaction surveys measure unique dimensions of nursing home quality. 20,21 Numerous surveys have been developed to measure nursing home satisfaction, though many are lengthy and/or not publicly available, 22 with the exception of some states' mandated surveys (eg, Minnesota, Ohio). [21][22][23] As another way to augment the star ratings, a consumer-based measure of quality has been studied, with evidence indicating consumers place value on several nontechnical dimensions (eg, attentiveness to residents, physical environment) not captured in the Five-Star system ratings.…”

Section: Discussionmentioning

confidence: 99%

“… 20 , 21 Numerous surveys have been developed to measure nursing home satisfaction, though many are lengthy and/or not publicly available, 22 with the exception of some states’ mandated surveys (eg, Minnesota, Ohio). 21 , 22 , 23 As another way to augment the star ratings, a consumer-based measure of quality has been studied, with evidence indicating consumers place value on several nontechnical dimensions (eg, attentiveness to residents, physical environment) not captured in the Five-Star system ratings. The researchers suggested adding such information to Care Compare, formerly Nursing Home Compare.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Consumer Complaint Investigation Scores, Recertification Survey Scores, and Overall Nursing Home Health Inspection Star Quality Rating

Peterson

Bowblis

2023

JAMA Netw Open

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ImportanceThe Centers for Medicare &amp; Medicaid Services’ Five-Star Quality Rating System combines results from nursing home recertification surveys and complaint investigations into a single indicator for health inspections. This combination may mask complaint investigation results.ObjectiveTo construct and compare star ratings specific to recertification surveys and specific to complaint investigations to discern whether they provide different information.Design, Setting, and ParticipantsIn this quality improvement study, the Nursing Home Compare Five-Star Quality Rating System was used to calculate three 5-star ratings: 1 overall health inspection rating combining recertification survey scores and complaint investigation scores, 1 using only recertification scores, and 1 using only complaint investigation scores. The study included US nursing homes. The sample calculated star ratings for nursing homes in November 2017. This sample included all whose most recent recertification surveys occurred in 2016 up to and including November 2017, and those with 36 months of data from the ASPEN Complaints/Incidents Tracking System and the Certification and Survey Provider Enhanced Reports. Data analyses were completed on different days in 2022, depending on which questions were being addressed.Main Outcomes and MeasuresComparison of the 3 star rating distributions. The recertification survey and complaint investigation star ratings were compared with respect to the overall health investigation rating. The recertification and complaint star ratings were cross-tabulated.ResultsAmong the 15 499 nursing homes, 19.8% had 1 overall health inspection star, 23.2% had 2, 23.2% had 3, 23.2% had 4, and 9.8% had 5 overall health inspection stars. Most had the same overall and recertification star ratings; for example, 79.4% had 5 overall stars and 5 recertification survey stars. However, overall and complaint-based star ratings were discordant, with a relatively large proportion of nursing homes (25.7%) having no complaint deficiencies and therefore high star ratings.Conclusions and RelevanceIn this quality improvement study assessing the 2 components of the Five-Star Quality Rating System, results of recertification surveys were largely similar to health inspection star ratings. However, recertification survey scores differed from complaint inspection scores, suggesting health inspection ratings may not reflect consumers’ views of care, services, or other valued amenities. A complaint-focused metric may have utility. However, research is needed concerning the many nursing homes with no or very few complaint deficiencies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of Consumer Complaint Investigation Scores, Recertification Survey Scores, and Overall Nursing Home Health Inspection Star Quality Rating

Peterson

Bowblis

2023

JAMA Netw Open

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“…They developed a short, four-item survey measuring patient experience of care at skilled nursing facilities. The fourquestion survey produces valid and reliable data for distinguishing between facilities and is endorsed by the National Quality Forum (Castle et al, 2021).…”

Section: Reduce Questionnaire Lengthmentioning

confidence: 99%

Challenges Facing CAHPS Surveys and Opportunities for Modernization

Bland¹,

Zuckerbraun²,

Lines³

et al. 2022

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Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are a standard survey tool for obtaining patient assessments of health plans, hospitals, and health care providers. These surveys measure patient experiences of care, which is considered a component of health care quality. Providers use their survey results to improve patient experience, which is associated with better health care outcomes and reduced costs. CAHPS data also empower consumers and payers to make more informed choices about providers or facilities. Some people argue that CAHPS surveys are outdated and distract providers from clinical health care quality. In this paper, we review the benefits of CAHPS, the current challenges of these surveys, and ideas for modernization and innovation to ensure these surveys remain relevant. We encourage the Centers for Medicare & Medicaid Services (CMS) and its contractors to review and implement these innovations to the CAHPS surveys and the dissemination of their results.

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“…The instruments cover almost all aspects of a resident`s experiences, such as room, staff, food, care services, activities, laundry, choice, nances, environment, engagement, administration overall rating, and so on. Across instruments, the number of factors or domains varied from as few as 4 [30], [33][34][35][36]. The median number of factors is six.…”

Section: Datementioning

confidence: 99%

Resident satisfaction Indicators in long term care settings in the United States: A scoping review

Mpofu

Yin

2022

Preprint

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Background Due to an increasingly aging population and long-term care available, the number of older adults seeking long-term care facilities is growing. Resident satisfaction indicators have become important measurements of service quality. However, few scoping reviews have investigated the evidence on prevalent resident satisfaction indicators and associated factors. The aim of the study is to summarize the evidence on the types of resident satisfaction indicators utilized in long term care settings in the United States Methods We searched the PubMed, PsycInfo, AgeLine, MEDLINE, Web of Science for articles that published on resident care satisfaction indicators in long-term care facilities and that published in English language journals from inception to 2021. Following PRSMA guideline, 510 titles and abstracts were screened for relevance. Results A total of 33 articles provided evidence about the determinants of resident satisfaction in different long-term care settings. The analysis yielded to groups of indicators of resident care satisfaction: multi-factors indicators spanning room, staff, food, care services, activities, laundry, choice, finances, overall rating, and those relating to single factors of resident satisfaction, including facility factor, resident factors, service program factor, food service factor, and staff factor. Conclusion Most residential care facilities used multifactor indicators for the benefit of comprehensiveness. Single factor indicators tend to be used for getting a clear picture of what specific changes need to be made in certain service area. Combinations of multiple factors and single factors can obtain both a comprehensive satisfaction and detailed information to guide change.

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The CoreQ: Development and Testing of a Nursing Facility Resident Satisfaction Survey

Cited by 5 publications

References 17 publications

Assessment of Consumer Complaint Investigation Scores, Recertification Survey Scores, and Overall Nursing Home Health Inspection Star Quality Rating

Assessment of Consumer Complaint Investigation Scores, Recertification Survey Scores, and Overall Nursing Home Health Inspection Star Quality Rating

Challenges Facing CAHPS Surveys and Opportunities for Modernization

Resident satisfaction Indicators in long term care settings in the United States: A scoping review

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