Relationship Between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery After Hip Replacement

Abstract

Objective: To determine whether patients with a total or partial hip replacement admitted to a skilled nursing facility (SNF) after the improvement in function quality measure was added to Nursing Home Compare in July 2016 have greater physical recovery than patients admitted before July 2016. Design: Pre (January 1, 2015-June 30, 2016) vs post (July 1, 2016-December 31, 2017) design. Setting: Skilled nursing facilities (n=12,829). Participants: Medicare fee-for-service beneficiaries (N=106,832) discharged from acute hospitals to SNF after hip replacement between January 1, 2015 and December 31, 2017. Interventions: Not applicable. Main Outcome Measures: The 5- and 14-day minimum data set assessments were used to calculate total scores for the quality measure, self-care, mobility, and balance. We calculated the average adjusted change per 10 days and any improvement between the 5- and 14-day assessments. Results: The average adjusted change per 10 days for the quality measure total score for patients admitted before July 2016 and after July 2016 was 1.00 points (standard error, 0010) and 1.06 points (standard error, 0.010), respectively (P