Quality Indicators for the Management
of Medical Conditions in Nursing
Home Residents
Debra Saliba, MD, MPH, David Solomon, MD, Laurence Rubenstein, MD, MPH, Roy Young, MD,
John Schnelle, PhD, Carol Roth, RN, MPH, and Neil Wenger, MD, MPH
Purpose: The purpose of this study was to develop a
set of specific care processes associated with better
outcomes for general medical conditions identified as
quality improvement targets for institutionalized vul-
nerable elders.
Methods: A national panel of nursing home experts
used a modified-Delphi process to rate the validity
(process linked to improved outcomes) and feasibility
(of implementation and measurement) of candidate
measures for depression, diabetes, hearing impair-
ment, heart failure, hypertension, ischemic heart dis-
ease, osteoarthritis, osteoporosis, pneumonia, stroke,
and vision impairment. Each quality indicator was
written as an “if” statement, describing persons to
whom the quality indicator applied followed by a
“then” statement identifying the care process to be
provided. A separate clinical committee reviewed the
resulting set of indicators.
Results: One hundred fourteen quality indicators were
identified across the 11 medical conditions. The quality
indicators capture a broad range of medical care ad-
dressing assessment, management, and follow up. Fifty-
five indicators (48%) were identical to quality measures
for community-dwelling vulnerable elders. A limited
number were rated as questionably feasible to imple-
ment or measure (6 and 2, respectively). Thirty-eight
(33%) would not be applied to measures of care quality
for persons with advanced dementia or poor prognosis.
Conclusions: Explicit care processes linked to improved
nursing home outcomes for general medical condi-
tions can be identified. Most of these care processes
can be measured by medical records or interview.
Nursing home quality measures for medical conditions
must account for exclusions related to poor prognosis
and advanced dementia. (J Am Med Dir Assoc 2004; 5:
297–309)
Keywords: Nursing home; quality; depression; diabe-
tes; hearing; heart failure; hypertension; heart dis-
ease; osteoarthritis; osteoporosis; pneumonia; stroke;
vision; dementia; terminal disease
Each year, almost two million adults are admitted to one of
16,800 nursing homes in the United States.
1
These nursing
home (NH) residents have a significant illness burden, mak-
ing disease management important but challenging.
2
A set of
explicit evidence-based medical care processes, or steps of
care, that have been tailored to NH residents could aid
providers in the evaluation and management of these com-
plex patients.
3,4
Because process-based quality indicators
(QIs) explicitly identify steps of care that are associated with
better outcomes, they can be used to evaluate the care actu-
ally provided to elderly populations and can guide efforts to
improve care and outcomes.
5
Despite the potential value of
care-focused QIs, providers do not have access to an aggregate
set of evidence-based medical care processes that have been
specifically targeted to NH populations.
Many sets of process-based QIs have been developed for
younger populations in hospital and outpatient care settings.
Yet, because several factors coalesce to make care processes in
NHs different from community-based care, these existing QI
sets cannot be imported automatically into measures of NH
care. The most obvious factor is the burden of disease in the NH
setting. As a group, NH residents are more complex and frail
than populations in other settings. Another important differ-
ence is the length and content of patient–provider encounters.
Community medical care often consists of a series of discrete
provider–patient encounters, whereas NH care involves a con-
VA HSR&D Center for the Study of Healthcare Provider Behavior, VA Greater
Los Angeles (D.S.); Geriatric Research Education and Clinical Center, VA
Greater Los Angeles Health Care System (D.S., L.R., J.S.); RAND Corporation
(D.S., D.S., L.R., R.Y., C.R., N.W.), Santa Monica, California; UCLA Department
of Medicine, Los Angeles, California (D.S., R.Y., J.S., N.W.); UCLA Multicampus
Program in Geriatrics (L.R.), Los Angeles, California; and Borun Center for
Gerontological Research/Jewish Home for the Aging Health Services (J.S.).
Supported by a contract from Pfizer, Inc. to RAND.
Dr. Saliba is a recipient of a VA Health Services Research and Development
Career Development Award (#RCD 01– 006).
Copies of the monographs or original voting sheets are available from the
corresponding author.
Address correspondence to: Debra Saliba, MD, MPH, RAND, 1700 Main Street,
Santa Monica, CA 90401. E-mail: saliba@rand.org
Copyright ©2004 American Medical Directors Association
DOI: 10.1097/01.JAM.0000136960.25327.61
ORIGINAL STUDY Saliba et al 297