1 the ltcq-joint commission accreditation study public access data surveys complaint investigations...
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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)
Health Deficiencies
9.1
6.2 6.2 6.1
7.5
3.0
6.4
5.5
0
1
2
3
4
5
6
7
8
9
10
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge N
um
ber
of
Defi
cien
cies
Non-Accredited Accredited
Quality of Care Deficiencies
3.1
21.8
2
2.6
0.91.2
1.9
0
0.5
1
1.5
2
2.5
3
3.5
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge N
um
ber
of
Defi
cie
ncie
sNon-Accredited Accredited
Substantiated Allegations
3.3
2.8
3.2
2.1
3
1.11.3
1.9
0
0.5
1
1.5
2
2.5
3
3.5
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge N
um
ber
of
Alleg
ati
on
s
Non-Accredited Accredited
Complaint Survey Deficiencies
9.5
8.1 7.8
6.6
8.1
2.7 3
6.2
0
1
2
3
4
5
6
7
8
9
10
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge N
um
ber
of
Defi
cie
ncie
sNon-Accredited Accredited
Facility-Acquired Pressure Ulcers
3.73.4
3.9
3.5
3
2.2
2.6
3.3
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge P
erc
en
tag
e o
f R
esid
en
tsNon-Accredited Accredited
Occupancy
83.9 83.9
88.9
82.5
89.7
85.6
90.189.0
78
80
82
84
86
88
90
92
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge P
erc
en
tag
e O
ccu
pan
cy
Non-Accredited Accredited
Private Pay Proportion
21.1
26.2
18.1
24.225.0
27.9
20.4
23.1
0
5
10
15
20
25
30
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge P
erc
en
tag
e o
f R
esid
en
ts
Non-Accredited Accredited
Medicare Proportion
21.122.9
14.5
11.4
25.027.1
20.4
16.8
0
5
10
15
20
25
30
Chain A Chain B Chain C All Facilities
Group of Facilities
Avera
ge P
erc
en
tag
e o
f R
esid
en
tsNon-Accredited Accredited
10
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
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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.
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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
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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