Fewer than 20% of nursing homes in the U.S. are considered “best” under a revamped analysis from U.S. News and World Report, which is out with its 2019-20 ratings on Tuesday.
Ratings are provided for homes in every state and nearly 100 major metropolitan areas. California tops the list, with 169 nursing homes receiving a “high performing” rating in short-term rehabilitation and 157 “high performing” homes in long-term care, followed by Pennsylvania and Florida. Hawaii, Alaska and Washington, D.C., have the highest proportion of “best nursing homes,” with at least half of all Medicare or Medicaid-certified nursing facilities in these states receiving a high-performing designation in either short-term rehabilitation or long-term care or both. Continue reading
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Getting dental care to America’s elders is a big challenge.
Medicare has never covered routine dental benefits. Medicaid dental benefits for poor adults (including more than 7 million seniors) are scant in many states.
Out-of-pocket costs and problems with mobility can complicate the search for care. As a result, many seniors delay dental visits. Disease progresses. Tooth loss is a grim indicator of the problem. One-third of older Americans have lost six or more teeth, according to a new report by the nonprofit Oral Health America (OHA), based in Chicago. Continue reading
Nursing home star ratings are misleading and disingenuous, according to a recent analysis comparing ratings with quality measures alone. More than a thousand nursing homes nationally with high overall ratings had only one or two stars in quality measures, which could point to some serious health implications for residents. Continue reading
Reporting on hospital ratings — the “best of,” “top ten” and other rankings designed to help consumers with decision making are not necessarily all they’re cracked up to be. So much more goes in to these rankings than just the letter or number grade. Savvy reporters should pause and consider many angles before jumping in to proclaim that their local hospital is “best,” “worst” or somewhere in between.
Ratings certainly help with improving transparency and the patient’s right to know. However, it’s important that journalist know how to read between the lines and question the methodology and potential biases.
Liz Seegert has put together a new tip sheet on the topic based on ideas presented at an event last month sponsored by AHCJ’s New York chapter. A panel moderated by ProPublica senior reporter Charles Ornstein featured Robert Panzer, M.D., chief quality officer at the University of Rochester Medical Center and a steering committee member for the Healthcare Association of New York State; Leah Binder, chief executive of the Leapfrog Group; and Marshall Allen, a reporter for ProPublica.
With good public dental benefits, extensive community water fluoridation, and reductions in tooth loss among seniors, Minnesota has earned top marks in a new report card that ranks the oral health of elders in states across America.
Florida, which is preparing to launch an Older Adult Oral Health Surveillance Project, also won praise in the latest State of Decay report. Continue reading