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Convergent Validity of Minimum Data Set-Based Performance Quality Indicators in Postacute Care Settings

Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA, jnm{at}mail.hrca.harvard.edu

Richard N. Jones, ScD

Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA

Brant E. Fries, PhD

University of Michigan Institute of Gerontology and Ann Arbor VA Medical Center, Ann Arbor, MI

John P. Hirdes, PhD

Department of Health Studies and Gerontology, University of Water-loo, Toronto, Canada, and Homewood Research Institute, Guelph, Canada

This study assessed the validity of standardized assessment data collected with the Minimum Data Set (MDS) in postacute care settings and used to create performance indicators. Our results show that performance indicators derived from information collected with the MDS demonstrate convergent validity with data collected with other research or standardized assessment instruments. Results were most favorable for areas of physical functioning, cognitive and communicative functioning, and clinical complexity. Results were encouraging for affective functioning, but further research and development in this area is clearly needed. There is a pressing need for better quality data on performance measurement in the post-acute environment, given the rapid growth in the volume of services and expenditures for such care and the associated need to ensure that patients receive the most appropriate care possible.

Key Words: Minimum data set • postacute care • quality indicators

American Journal of Medical Quality, Vol. 19, No. 6, 242-247 (2004)
DOI: 10.1177/106286060401900603


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