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The LTCQ-Joint Commission Accreditation Study

The LTCQ-Joint Commission Accreditation Study. Public access data Surveys Complaint investigations Accreditation status Compared accredited with non-accredited facilities All non-hospital affiliated nursing homes (675 accredited, 14,153 not accredited)

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The LTCQ-Joint Commission Accreditation Study

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  1. The LTCQ-Joint Commission Accreditation Study • Public access data • Surveys • Complaint investigations • Accreditation status • Compared accredited with non-accredited facilities • All non-hospital affiliated nursing homes (675 accredited, 14,153 not accredited) • Three for-profit chains with >15 accredited facilities (total of 156 accredited, 406 not accredited)

  2. Correlates of Accreditation • Fewer survey deficiencies • Fewer QOC deficiencies • Fewer substantiated allegations • Fewer complaint survey deficiencies • Lower rate of facility-acquired pressure ulcers • Higher occupancy • Higher Medicare proportion • Higher private pay proportion

  3. Geography Isn’t The Reason - But Results May Vary • Differences remain if survey results, investigation results, occupancy and payer mix are all adjusted for the States in which the facilities are located. • All differences are statistically significant. • Membership in chains implies common policies, procedures, staffing rules, etc., making the findings for chains particularly relevant. • The size - and practical significance -- of differences varied by outcome and by chain.

  4. Accreditation: Part of a Larger Risk Management Plan • Accreditation is associated with better outcomes, lower risk, and more revenue • Accreditation, as a third party review, helps prove good faith to insurers - and potentially to jurors • Accreditation doesn’t imply a causal relationship, though it supports it • Facilities need a complete program of quality improvement and risk management to realize the benefits of accreditation

  5. About LTCQ • Operations began in 1995 • Founders were from Harvard University, Brown University, and Boston's Hebrew Rehabilitation Center for Aged • Part of the original Minimum Data Set (MDS) development team. The MDS is the national standard for resident assessment and federal reimbursement for long term care • Provide Web-based information services utilizing a data driven approach for: • Accurate Medicare and Medicaid Reimbursement • Risk Management • Improved Clinical Outcomes • Regulatory Compliance

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