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 |
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| creator | Shih, Anthony Dewar, Diane M Hartman, Thomas |
| description | 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. |
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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.</description><identifier>ISSN: 0195-8631</identifier><identifier>EISSN: 1554-9887</identifier><identifier>PMID: 17645159</identifier><language>eng</language><publisher>United States: Superintendent of Documents</publisher><subject>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</subject><ispartof>Health care financing review, 2007-03, Vol.28 (3), p.109-116</ispartof><rights>COPYRIGHT 2007 Superintendent of Documents</rights><rights>Copyright Superintendent of Documents Spring 2007</rights><rights>2007</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194992/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194992/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17645159$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shih, Anthony</creatorcontrib><creatorcontrib>Dewar, Diane M</creatorcontrib><creatorcontrib>Hartman, Thomas</creatorcontrib><title>Medicare's quality improvement organization program value in nursing homes</title><title>Health care financing review</title><addtitle>Health Care Financ Rev</addtitle><description>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.</description><subject>Aged</subject><subject>Beneficiaries</subject><subject>Centers for Medicare and Medicaid Services (U.S.)</subject><subject>Collaboration</subject><subject>Cost benefit analysis</subject><subject>Cost estimates</subject><subject>Cross-Sectional Studies</subject><subject>Expenditures</subject><subject>Health administration</subject><subject>Health care policy</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Medicaid</subject><subject>Medical care</subject><subject>Medicare</subject><subject>Medicare - economics</subject><subject>Medicare - standards</subject><subject>Nursing home care</subject><subject>Nursing homes</subject><subject>Nursing Homes - economics</subject><subject>Nursing Homes - standards</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Physical restraints</subject><subject>Preferences</subject><subject>Program Evaluation</subject><subject>Quality improvement</subject><subject>Quality Indicators, Health Care - statistics & numerical data</subject><subject>Quality of care</subject><subject>Quality of life</subject><subject>Quality-Adjusted Life Years</subject><subject>Sensitivity analysis</subject><subject>Studies</subject><subject>Total Quality Management</subject><subject>United States</subject><subject>Utility functions</subject><issn>0195-8631</issn><issn>1554-9887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkVtL5TAURosoerz8BSkK-tQhaS5NXgQRLzMo8zI-h912t0ba5Ji0B_TXTw5eGIdDHgI7K2t_2dnKFlQIXmilqu1sQagWhZKM7mX7MT4TQkvC9G62RyvJBRV6kf16wNY2EPA85i8zDHZ6ze24DH6FI7op96EHZ99gst7lqdwHGPMVDDPm1uVuDtG6Pn_yI8bDbKeDIeLRx36QPd5c_7m6K-5_3_68urwveqblVHBRIoCCtqwaXZeyLHUHGmQNRHEiOuyY6KAWKLHRnWhQCYY1rUmrW1lqxg6yi3fvcq5HbJsUM8BglsGOEF6NB2u-nzj7ZHq_MpxqrnWZBGcfguBfZoyTGW1scBjAoZ-jqUglGOcqgSf_gc9-Di49zlAtteSEr-OcvkM9DGis63xq2qyN5pJKQWil1FpVbKB6dJgSeoedTeVv_I8NfFotjrbZeOH436l8jePzq9lfQp6mpw</recordid><startdate>20070322</startdate><enddate>20070322</enddate><creator>Shih, Anthony</creator><creator>Dewar, Diane M</creator><creator>Hartman, Thomas</creator><general>Superintendent of Documents</general><general>CENTERS for MEDICARE & MEDICAID SERVICES</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070322</creationdate><title>Medicare's quality improvement organization program value in nursing homes</title><author>Shih, Anthony ; Dewar, Diane M ; Hartman, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g396t-452eaa8ad27c9b26229fa9a6ba08405fef35fab5e6ec9f5ce853eb1b0d9d62933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Beneficiaries</topic><topic>Centers for Medicare and Medicaid Services (U.S.)</topic><topic>Collaboration</topic><topic>Cost benefit analysis</topic><topic>Cost estimates</topic><topic>Cross-Sectional Studies</topic><topic>Expenditures</topic><topic>Health administration</topic><topic>Health care policy</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Medicaid</topic><topic>Medical care</topic><topic>Medicare</topic><topic>Medicare - economics</topic><topic>Medicare - standards</topic><topic>Nursing home care</topic><topic>Nursing homes</topic><topic>Nursing Homes - economics</topic><topic>Nursing Homes - standards</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Physical restraints</topic><topic>Preferences</topic><topic>Program Evaluation</topic><topic>Quality improvement</topic><topic>Quality Indicators, Health Care - statistics & numerical data</topic><topic>Quality of care</topic><topic>Quality of life</topic><topic>Quality-Adjusted Life Years</topic><topic>Sensitivity analysis</topic><topic>Studies</topic><topic>Total Quality Management</topic><topic>United States</topic><topic>Utility functions</topic><toplevel>online_resources</toplevel><creatorcontrib>Shih, Anthony</creatorcontrib><creatorcontrib>Dewar, Diane M</creatorcontrib><creatorcontrib>Hartman, Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - 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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.</abstract><cop>United States</cop><pub>Superintendent of Documents</pub><pmid>17645159</pmid><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central Open Access; EBSCOhost Business Source Complete; U.S. Government Documents; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | 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 |
| title | Medicare's quality improvement organization program value in nursing homes |
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