Read e-book online Improving the quality of care in nursing homes PDF

By Institute of Medicine (U.S.). Committee on Nursing Home Regulation

As extra humans dwell longer, the necessity for caliber long term deal with the aged increases dramatically. This quantity examines the present procedure of nursing domestic laws, and proposes an overhaul to raised offer for these restricted to such amenities. It determines the necessity for rules, and concludes that the current regulatory method is insufficient, declaring that what's wanted isn't really extra law, yet higher legislation. This long-anticipated learn presents a wealth of worthwhile historical past info, in-depth research, and dialogue for nursing domestic directors, scholars, and lecturers within the future health care box; execs inquisitive about taking care of the aged; and geriatric experts.

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Medicare and Medicaid survey and certification requirements should be consolidated. Recommendation 4-1: Medicare and Medicaid survey and certification process requirements should be consolidated in one place in the Code of Federal Regulations to promote consistency. 2. The timing of surveys should be adjusted to make them less predictable. Recommendation 4-2: The timing of surveys should maximize the element of surprise; the standard annual survey should About this PDF file: This new digital representation of the original work has been recomposed from XML files created from the original paper book, not from the original typesetting files.

INTRODUCTION AND SUMMARY 16 residents are receiving care they need, not merely whether facilities have the theoretical capacity to provide it. In 1978 the Colorado health and Medicaid agencies took the unprecedented step of agreeing with the nursing home plaintiffs and joining them in the case against HEW. 42 The case was nearly settled in 1980 when the HHS published proposed regulatory revisions that would have integrated a "patient care management system" into the survey system to evaluate actual resident care.

44 Each state establishes its own Medicaid eligibility rules, payment policies, and the amounts to be paid to nursing homes for allowable services to eligible residents. The federal law simply requires that the states' Medicaid payment rates be on a "reasonable cost-related basis," but an operational definition of this phrase has never been issued by the federal government. State payment methods and amounts vary widely. Although Medicaid payment policies contain powerful behavioral incentives for nursing home operators, not enough is now known about this complex question to make specific recommendations for federal policy.

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