Notes to the satisfaction and quality of patient care often do not match. Terry Vine / Blend Images / Getty Images Hide Legend
Find the patient health care services at home, will be thrilled when they check the feedback of Brookdale Senior Living federal government. medical social organizations four at home - in Florida, North Carolina, Ohio and Rhode Iceland - won five stars, the highest score in quality, primarily on the basis of the review, how many Medicare patients they have improved.
However, further research could lead to confusion. also to show Medicare Star stations, as patients agencies evaluate their care once completed. It uses the same four agencies Brookdale to win no more than two stars.
"We understand that we have work to do on the results of our perception of the patient," Kristin Puckett, a spokesman Brookdale said in an e-mail. "It is important that the exercise of care for our patients is also positive that the results of the quality of care they provide."
These discrepancies between how patients perceive health authorities in Germany and how the government evaluates they are nothing extraordinary. One in five agencies had clinical scores and patients differed by two or more stars, an analysis of the Kaiser sign health news official documents.
Health services to eligible Medicare housing sends nurses, assistants and physiotherapists and occupational therapists in the homes of these will keep more important amid the pressure of homebound to go hospital patients. To choose doctors and patients from more than 12,000 agencies, Medicare star ratings in 2015 published by the clinical quality of their health at home comparison website, and in January, said the number of stars, which all reflect the views of patients.
Medicare was liberal to give the opinion of the patient scores maximum points, taking the award four or five stars for 74 percent of the agencies noted. Of 2152 agencies won five stars.
However, for clinical quality, Medicare uses a different formula that would three stars guarantees frequently. Only 27 percent of the agencies received four or five stars. Only 286 organizations received the maximum five stars.
Only 30 organizations received five stars from two rating systems, found the analysis of the Emperor.
In a statement, the Centers for Medicare and Medicaid Services said that the different number of stars are not confused. "CMS stresses that users of the site must look available at all the different types of measures for specific types of providers, including health care organizations in the homeland," the statement said. "Provided by the two measures and is based on a survey of clinically based CMS expects the public a series of views and information that consumers can judge to inform its decision on an agency."
Since the number of quality measures have increased, followed by the number of stars other efforts by Medicare to distill complex assessments in a consumer format. Medicare also has stars to the dialysis center quality, home care patient experience and various aspects of nursing.
Some of the differences between the health experiences of patients at home and clinic-star quality can be attributed to the fact that focus in the home on the various aspects of health care. see clinical quality measures how quickly the agency began attention; it improves patient mobility and out of bed and bathroom; the amount of pain and shortness of breath and reduces the number of patients who end up in hospital.
examining surveys of patients, as explain the health workers to patients how to care for themselves, and if patients treated with kindness, courtesy and respect. The questionnaires also investigated whether workers observed patient medication side effects and explain how and why they made correctly.
"We really are talking about very different types of measures," said Teresa Lee, Director of the Alliance for the quality of home health and Innovation, a research nonprofit. "It's unfortunate, but it is perhaps true that the patient experience and the quality of medical care do not go together."
Adding to the confusion, summarized 41 percent of the number of stars that are the views of patients unreliable - by including the government - because fewer than 100 questionnaires were, records show. Home Health Compare consumer warn annexed to use the marks "with caution, since the number of surveys may be too weak to say exactly how an agency works." Medicare has not Agencies star no less than 40 questionnaires were distributed.
Brookdale Puckett said it was difficult to get the patient to the polls, which he described as "complex", especially for very sick. "It is important that our patient population had an average age of 86 and is based on family members, parents and / or guardians to complete often" the research said.
Some specialists in the care of older people have to ask broader reasons, the assessments in question.
Dr. Joanne Lynn, a geriatrician at Altarum Institute, a committee of inquiry and profit, said that much of the health of a patient beyond the control of the health of workers in the home was, you can often visit less than once every two weeks.
"The health services in Medicare-covered home are so limited, and this measure includes a number of things that can not be repaired are for many people," he said, referring to the evaluation of the frequency of patients improved in their daily work.
Instead, he said, bad marks an agency may reflect a lack of other important services in an area. "If you are in an area without a lot of advance planning, has a waiting list of one year for the meals at home, and there are no doctors who are able to visit people at home'll stuck with sending patients to the hospital," said Lynn ,
Margaret Murphy, a staff member of the Center for Medicare Advocacy Director, a nonprofit organization that Medicare beneficiaries services health help he said fears that organizations avoid, in particular, patients can better assessments.
"We found that organizations do not want these people to have," he said. "One can someone just to find a hospital, perhaps after a heart attack and have a little look back on your feet, you may need a little therapy. But they will come back to normal life, to as in Parkinson's disease person over losing power and losing his balance. they are a heavy burden on the agencies. "
It is not known how many patients using the rating of insurance, and if they understand. Lee said: "If you patients who are very ill, is the extent to which it is to be able, because of his health, really a lot of this type of information."
On feedback on this article and experience to share with a health agency a qualified home, you can contact Kaiser Health News. Send an email to patients@kff.org.
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