Skip to main content
. 1991 Fall;13(1):93–109.

Table 4. Comparison of case-mix systems with facility-specific and class-rate systems, by quality-related measures: 1985.

Case-mix2
Facility-specific
Class-rate
Maryland Ohio West Virginia
Quality-related measures1 Colorado Florida Texas Utah
Incontinence
Indwelling urinary catheter, incontinent (including catheterized) patients:
 Rank 2 1 5-6 3 4 7 5-6
 Mean 0.08 H 0.05 H 0.20 0.09 0.18 0.30 0.20
 Number 119 154 82 159 136 136 135
Symptomatic urinary tract infection, incontinent (including catheterized) patients:
 Rank 4-6 1 3 2 4-6 7 4-6
 Mean 0.07 0.02 H 0.05 0.04 0.07 0.10 0.07
 Number 119 154 82 159 136 136 135
Ulcerations
Ulcerations, all patients:
 Rank 1 3 7 4-6 4-6 2 4-6
 Mean 0.06 H 0.10 0.14 0.13 0.13 0.08 0.13
 Number 190 282 140 295 193 246 256
Ulcerations, chairfast and bedfast patients:
 Rank 1 3 6 7 4 2 5
 Mean 0.09 H 0.17 0.24 0.27 0.21 0.13 0.23
 Number 93 98 67 102 107 130 107
Turning and positioning, non-ulcerated chairfast and bedfast patients:
 Rank 1 2 7 5 6 3-4 3-4
 Mean 0.66 H 0.56 0.29 L 0.48 0.46 0.50 0.50
 Number 85 81 51 73 84 113 82
Psychotropic drugs
Daily psychotropic drugs, all patients:
 Rank 1-2 7 1-2 3 4-6 4-6 4-6
 Mean 0.31 0.40 0.31 0.33 0.34 0.34 0.34
 Number 190 282 140 295 194 246 256
Restraints
Daily restraints, all patients:
 Rank 5 3 6 2 7 4 1
 Mean 0.41 0.36 0.47 L 0.35 0.51 0.40 0.29
 Number 190 282 140 295 194 246 256
1

For all variables except turning and positioning, lower means are presumed to reflect higher quality. Means are proportions of each State's Medicaid urban-profit sample or subsamples of “at-risk” patients.

2

For each case-mix State, significantly (p < 0.10) higher quality or lower quality mean values than at least two of the non-case-mix States are indicated by H or L, respectively.

NOTE: The total sample included 1,603 Medicaid patients in 91 urban-profit nursing homes.