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Study Finds Inaccurate Nursing Home Reporting of Major Injury Falls for Quality Measurement on Nursing Home Compare

A study published in the journal Health Services Research found the nursing home‐reported data used for the Nursing Home Compare falls measure may be highly inaccurate. Researchers from the University of Chicago sought to assess the accuracy of nursing home self‐report of major injury falls on the Minimum Data Set (MDS), linking inpatient Medicare claims for major injury falls with MDS assessments for the period 2011‐2015. They identified 150,828 major injury falls in claims that occurred during nursing home residency. For the MDS item used by NHC, only 57.5 percent were reported. Reporting was higher for long‐stay (62.9 percent) than short‐stay (47.2 percent), and for white (59.0 percent) than nonwhite residents (46.4 percent).

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