Abstract：
OBJECTIVES:To determine what factors contribute to successful appeals of nursing home deficiencies in the Informal Dispute Resolution (IDR) process. DESIGN:We merged Centers for Medicare and Medicaid Services' data about IDRs with Online Survey, Certification, and Reporting data about nursing home characteristics. We performed multivariate statistical analyses to predict successful appeals as a function of characteristics of the deficiency being appealed, the survey that triggered the deficiency, characteristics of the nursing home, and the state. SETTING:All nursing homes nationally in the period 2005-2008. MEASUREMENTS:Successful appeals were defined as those in which the deficiency was removed or its severity or scope reduced. Independent variables included the Centers for Medicare and Medicaid Services' measures of severity and scope of deficiency, abuse and neglect, substandard care, total number of deficiencies in the survey, whether the IDR was triggered by a survey or complaint, facility ownership and reputation, and state stringency of regulation. RESULTS:Twenty-six percent of submitted IDRs were successful in 2005-2008. Success was more likely for less severe deficiencies, when deficiencies were triggered by a survey rather than a complaint, and when fewer deficiencies were included in the appeal. Facility ownership and state stringency of regulation were not significantly associated with the IDR success. DISCUSSION:Overall, 2.6% of deficiencies issued were overturned through the IDR process. Further study is required to determine the appropriateness of these overturned cases and the opportunities they offer to improve the survey process.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Mukamel DB,Li Y,Weimer DL,Spector WD,Bailey L,Harrington Cdoi
10.1016/j.jamda.2012.09.015subject
Has Abstractpub_date
2013-02-01 00:00:00pages
101-4issue
2eissn
1525-8610issn
1538-9375pii
S1525-8610(12)00325-8journal_volume
14pub_type
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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journal_title：Journal of the American Medical Directors Association
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pub_type： 杂志文章,meta分析,评审
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pub_type： 杂志文章
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更新日期：2019-08-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1097/01.JAM.0000066022.74526.CF
更新日期：2003-05-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2014.03.008
更新日期：2014-09-01 00:00:00
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更新日期：2020-12-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2005.03.024
更新日期：2005-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-12-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2012.04.007
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,评审
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pub_type： 杂志文章,多中心研究
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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更新日期：2001-01-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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更新日期：2020-03-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-12-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
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更新日期：2020-11-19 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2014.02.003
更新日期：2014-07-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2016-08-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2020.04.004
更新日期：2020-06-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
pub_type： 杂志文章
doi：10.1016/j.jamda.2012.07.018
更新日期：2012-11-01 00:00:00
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journal_title：Journal of the American Medical Directors Association
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更新日期：2008-07-01 00:00:00
