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Journal of Aging and Health
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The Influence of the New York Quality Assurance System on Casemix in Nursing Homes

Ronald J. Ozminkowski, PhD

Abt Associates, Inc.

Margot A. Cella, MS

Abt Associates, Inc.

Laurence G. Branch, PhD

Abt Associates, Inc.

Carolyn E. Schwartz, ScD

Frontier Science, Inc.

The New York Quality Assurance System (NYQAS) was designed to assure high-quality nursing home care in New York. Among its many incentives, NYQAS may change the likelihood that elderly with heavy-care needs will be admitted to nursing homes. This article addresses that hypothesis. Data for descriptive and multivariate analyses come from the RUGs-Il Patient Review Instrument and the Medicare and Medicaid Automated Certification System files for 1986-1990. The descriptive analyses focus on functional ability in new nursing home residents before and after NYQAS. The multivariate analyses adjust for pre-NYQAS, RUGs-related trends in casemix, resident demographics, and nursing home characteristics that influence casemix. The results suggest a significant but small decrease in functional status at admission during the post-NYQAS era.

Journal of Aging and Health, Vol. 6, No. 3, 377-396 (1994)
DOI: 10.1177/089826439400600306
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