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Impact of Voluntary Accreditation on Short-Stay Rehabilitative Measures in U.S. Nursing Homes

Authors

  • Laura M. Wagner PhD, RN,

    Corresponding author
    • Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, CA, USA
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  • Shawna M. McDonald MSc,

    1. Department of Health Policy, Management, and Evaluation, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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  • Nicholas G. Castle PhD

    1. Department of Health Policy & Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
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Correspondence

Laura M. Wagner, PhD, RN, Assistant Professor, University of California, San Francisco, School of Nursing, Department of Community Health Systems, 2 Koret Way, Rm 511R, San Francisco, CA 94143.

E-mail: laura.wagner@nursing.ucsf.edu

Abstract

Purpose

To examine accreditation from nursing homes accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and whether this is associated with improved rehabilitation care.

Design

Cross-sectional association of CARF accreditation and quality.

Methods

Comparison of the short-stay quality measures (influenza and pneumococcal vaccination; pain; delirium; pressures sores; five-star quality and health inspection scores) between the sample of 246 CARF-accredited homes compared with the 15,393 nursing homes in the 2010 On-Line Survey Certification of Automated Records (OSCAR).

Findings

CARF-accredited nursing homes demonstrate better quality with regard to the short-stay quality measures.

Conclusions

Approaches beyond traditional regulation and governmental inspections are necessary to improve the quality of care in nursing homes.

Clinical Relevance

During a patient's rehabilitation stay, minimizing iatrogenic complications is paramount. Given the findings of this study, it is unfortunate that very few nursing homes are CARF accredited.

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