![]() ![]() The NHC data are maintained and updated by the CMS and contain key nursing home characteristics such as facility name and address, nurse staffing, deficiency citations, consumer complaints filed against the facility, and 5-star ratings. This study relied on data from 3 major sources: the archived Nursing Home Compare (NHC) data of 20 Maryland nursing home experience-of-care survey conducted by the Maryland Health Care Commission (MHCC) and on-line consumer ratings we collected from 4 popular social networking sites. We then determined if aggregated ratings from these crowdsourcing sites were associated with family-reported care experience scores, and with CMS’ “Nursing Home Compare” 5-star ratings and other quality measures. This study collected on-line consumer ratings of Maryland nursing homes in the most recent two years (2015–17) from 4 popular social media or online review sites (Facebook, Yelp, Google Review, and ). Nevertheless, little is known if this is the case for nursing home care, and two recent studies analyzing on-line ratings of nursing homes available on Yelp or Facebook found no or minimal correlation with the 5-star ratings that the Centers for Medicare and Medicaid Services (CMS) developed based on deficiency of care, nurse staffing, and outcome measures. Įmerging evidence suggests that consumer-generated social media ratings of hospitals tend to reflect the more subjective aspects of inpatient care experiences and may also be correlated with clinically-oriented quality measures. Moreover, the use of social networking sites among adults 50 to 64 years increased from 33 to 51%, and usage among adults 65 and older tripled from 11 to 35%, during the period of 2010–2015. Social media use has increased dramatically in the past decade with, for example, over 200 million unique Facebook users in the United States as of January 2018, 170 million monthly visitors to Yelp in 2017, and 245.5 million monthly visitors to Google in the U.S. In addition to these government published experience-of-care and quality measures, social media platforms, such as Facebook, Yelp, Google Reviews, and Twitter, offer unique opportunities for patients and families to provide real-time feedback on their experiences with individual healthcare providers. Publications of these experience-of-care measures are intended to promote person-centered care in nursing homes that emphasizes collaborative care decision making, patient autonomy, and engagement of patients and family members. ![]() More recently, several states started to publicly report experience-of-care ratings of nursing homes which are derived from rigorously designed surveys of nursing home patients or their family members. Federal and state programs have been developed in the past several decades to address these quality deficits through stronger state regulations, as well as the national “Nursing Home Compare” report cards that publish key quality measures, such as nurse staffing and deficiency citations, to foster market competition and consumer choices of local facilities. Concerns exist that the quality of care in many nursing homes is less than adequate, and that patient outcomes and experience of care vary substantially over facilities. Each year, the nation’s 15,000 nursing homes provide residential post-acute and long-term care to over 3 million older and disabled Americans who are too frail to be supported in community-based settings. Nearly 70% of individuals currently 65 years old will require long-term care during the remainder of their lives. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |