Report On Comparison Of Nursing Homes’ Quality Measures
Nursing Home quality measures are derived from the resident assessment data collected routinely by nurses at specified intervals during their stay in the homes. There are four purposes for the Nursing Home quality measures; information on the quality of care, information about the care, helps in care improvement and the information is used by nurses on their discussions. The measures assess the residents’ clinical and physical conditions, preferences, abilities and care wishes. They show the uniqueness of each nursing home, and the data are a source of information for many health’s related researches. Short stay qualities investigate residents with 100days or less in hospital beds while long stay quality measure uses residents with more than 101 cumulative days in the care(U.S, 2015).
Lakeview Rehabilitation and nursing home is located in Chicago at 16411 Robinson Road Gulf Port MS The quality measures were updated on 18th March 2015 and the state used in comparison is percentage of patients who had bedsores, urinary tract infections and other related pains, percentages of patients in the residence recommended for care on vaccines. Aberdeen village located 17500 west of 119th street Ola Kansas, the comparison state used is percentage of residents who had referrals for care, such as flu vaccination, and percentage of residents with pain bedsores, urinary tract infection. Golden living centre nursing home is situated in North Carolina 2701 Lyn-Mar Dr., Municia, Indian 4704 and used the same comparison state and all the quality measures were updated on 18th March 2015(U.S, 2015).
Aberdeen Village centre has the large number of long-stay residents given influenza vaccine (97.6) with Lakeview rehabilitation and Golden living centres with equal percent 94.1%. The percent of the three nursing centre is almost equal. Influenza vaccine is well covered by the three nursing homes which is evident with their high number of coverage. In Aberdeen Village centre, the coverage is high and this indicates acceptance of the vaccine in the area and dedicated nurses who insist on the same. The small variation leads to the average of influenza vaccine in US and has been illustrated in the figure 1 to be 94.6%.
Pressure ulcers percent has a big variation ofGolden Living centre 8.2%, that of Aberdeen being 13% and Lakeview rehabilitation with the least at 1.2%. Lakeview centre had the least percent of pressure ulcers patients; it is lower compared to total US average of 6%. The large difference would be caused by incorrect data or many patients self-treating ulcers in the area rather than going to the centre. Aberdeen centre had the least number of residents 1.6% with inserted catheter left in their bladder followed by Lakeview with 4.2% and later golden living with the highest 4.9%. Lakeview and golden living were relatively equal in residents with catheters in their body. The figures below figure 1, 2, 3 explain the comparisons.
The long-stay residents with the need for help in their daily activities were relative for Lakeview and Aberdeen at 13.9% and 12.4% respectively, but Golden Living had the largest number with 27.3%. Golden Living centre required more nurses to help cater for the large number of patients requiring assistance daily. The total number of short stay residents given influenza vaccine was high with Aberdeen leading 95.4% followed by Lakeview 67.6% with the Golden living centre having the least at 55.8%. There is a greater variation of Aberdeen from other centres on influenza vaccine both on long-stay and short-stay patients. The result indicates a high coverage of influenza vaccine to the residents nearby Aberdeen centre.
Pressure ulcers data indicated Aberdeen to be leading 2.6%, followed by Lakeview with 0.4%, and there were no cases of pressure ulcers in the Golden living centre. This result relates to long-stay pressure ulcers patients, where Golden Living centre had the least. The ratings of the three nursing home centres revealed Lakeview and golden living to be 80% effective while Aberdeen was ranked as the least as illustrated on fig 7. The ranking placed Aberdeen as the worst nursing home compared to the other two. The results may be due to; their management, social acceptance level of residents, where situated and vicinity of other nursing homes that may lead to competition.
The rating is one way of individual centres identifying their strengths and weaknesses with Aberdeen nursing home rated the worst while Golden-Living and Lakeview centres were the best. Aberdeen centre discrepancy in rating should guide them in offering better services and identification of the cause of the poor rating. The other two centres should use this as a challenge also to better their services for future best results. Quality measures results can be used in an individual nursing home to help them identify gaps in the health system. The information may be utilised by research centres to evaluate and help in resolving problems. The overall information states the state of different aspect in the use and can be used as a sample in determining the overall U.S problems and gaps filled.