Medicare's quality improvement organization program value in nursing homes

CMS operates the quality improvement organization (QIO) program to improve the quality of care delivered to Medicare beneficiaries. Although there have been several studies regarding the effectiveness of this program, there have not been studies regarding this program's value. This article seek...

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Veröffentlicht in:	Health care financing review 2007-03, Vol.28 (3), p.109-116
Hauptverfasser:	Shih, Anthony, Dewar, Diane M, Hartman, Thomas
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Beneficiaries Centers for Medicare and Medicaid Services (U.S.) Collaboration Cost benefit analysis Cost estimates Cross-Sectional Studies Expenditures Health administration Health care policy Health Services Research Humans Medicaid Medical care Medicare Medicare - economics Medicare - standards Nursing home care Nursing homes Nursing Homes - economics Nursing Homes - standards Pain Pain Measurement Physical restraints Preferences Program Evaluation Quality improvement Quality Indicators, Health Care - statistics & numerical data Quality of care Quality of life Quality-Adjusted Life Years Sensitivity analysis Studies Total Quality Management United States Utility functions
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Beschreibung
Zusammenfassung:	CMS operates the quality improvement organization (QIO) program to improve the quality of care delivered to Medicare beneficiaries. Although there have been several studies regarding the effectiveness of this program, there have not been studies regarding this program's value. This article seeks to answer the value question using costutility analysis. Although additional research is warranted, the results suggest that CMS' investment in the QIO program, estimated at $2,063 to $7,667 per quality-adjusted life year (QALY) gained for nursing home quality improvement (QI) work, represents a good value for health care dollars.
ISSN:	0195-8631 1554-9887