An AHRQ-funded study found that quality report cards for nursing homes are more effective for improving care when participation is required. Voluntary quality reporting systems—found in some states and professional associations—lead to missed opportunities for quality improvements, researchers concluded. In a study of 424 Massachusetts nursing homes, researchers found that about a third, when given the choice, preferred not to participate in quality reporting. Nonparticipating nursing homes had, on average, lower quality than those that voluntarily participated. Once participation became mandatory, the facilities that initially did not participate tended to improve faster than the facilities that had always done well.
Read more: “Does Mandating Nursing Home Participation In Quality Reporting Make A Difference? Evidence from Massachusetts” Journal Medical Care.