Improving the Quality of Care in Nursing Homes

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Author :
Publisher : National Academies Press
ISBN 13 : 0309036461
Total Pages : 432 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Improving the Quality of Care in Nursing Homes by : Institute of Medicine

Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Improving the Quality of Long-Term Care

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Publisher : National Academies Press
ISBN 13 : 0309132746
Total Pages : 344 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine

Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Nursing Staff in Hospitals and Nursing Homes

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Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Staff in Hospitals and Nursing Homes by : Institute of Medicine

Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

For-Profit Enterprise in Health Care

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Publisher : National Academies Press
ISBN 13 : 0309036437
Total Pages : 580 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis For-Profit Enterprise in Health Care by : Institute of Medicine

Download or read book For-Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Patient Safety and Quality

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Insider's Guide to Better Nursing Home Care

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Publisher : Prometheus Books
ISBN 13 : 1615921818
Total Pages : 223 pages
Book Rating : 4.6/5 (159 download)

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Book Synopsis Insider's Guide to Better Nursing Home Care by : Donna M. Reed

Download or read book Insider's Guide to Better Nursing Home Care written by Donna M. Reed and published by Prometheus Books. This book was released on 2010-12 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on her ten years of experience working as a Licensed Practical Nurse in many care facilities, attorney Donna M. Reed shares her insider knowledge to help ensure that nursing home residents receive the best care possible.

Improving Care in the Nursing Home

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Publisher : SAGE Publications
ISBN 13 : 1452253277
Total Pages : 361 pages
Book Rating : 4.4/5 (522 download)

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Book Synopsis Improving Care in the Nursing Home by : Laurence Z. Rubenstein

Download or read book Improving Care in the Nursing Home written by Laurence Z. Rubenstein and published by SAGE Publications. This book was released on 1993-08-27 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, the nursing home has emerged as the dominant health-related institution in U.S. health care. Yet, the knowledge base regarding nursing home patients, care, and outcomes is underdeveloped compared to that of acute and ambulatory care. Improving Care in the Nursing Home provides systematic reviews of the state of clinical and health services research in patient-care problem areas pertinent to nursing homes. Each chapter defines progress on a specific clinical nursing home problem and provides a critical synthesis and review of research information. Topics covered include medication use, infection control, pressure ulcers, falls, urinary incontinence, and behavior problems. This volume also includes sections on managing nurse aides, clinical interventions for nutritional problems, and clinical research on falls in nursing homes. Improving Care in the Nursing Home is essential reading for those in the health professions interested in quality of care in the nursing home. "The language is clear and approachable without excess medical jargon. . . . The chapters are well organized, self-contained, and easily digested, reflective of a great deal of effort by both the authors and editors. . . . [This book] is a worthwhile addition to the libraries of academically oriented nursing homes and of researchers in the issues of clinical practice in the long-term care setting." --Journal of the American Geriatrics Society

The Privatization of Care

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Publisher : Routledge
ISBN 13 : 100065060X
Total Pages : 288 pages
Book Rating : 4.0/5 (6 download)

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Book Synopsis The Privatization of Care by : Pat Armstrong

Download or read book The Privatization of Care written by Pat Armstrong and published by Routledge. This book was released on 2019-09-25 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.

Nursing Home Care

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Publisher : McGraw Hill Professional
ISBN 13 : 0071807667
Total Pages : 330 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Nursing Home Care by : John Morley

Download or read book Nursing Home Care written by John Morley and published by McGraw Hill Professional. This book was released on 2013-09-22 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE DEFINITIVE TEXT ON THE PRINCIPLES AND CLINCAL PRACTICE OF NURSING HOME CARE Nursing Home Care is a practical textbook designed to serve as a rich evidence-based resource to provide physicians and other practitioners with the information and knowledge to advance nursing home care. It states and explains the principles underpinning safe, personalized, and dignified nursing home practice using an integrated, cooperative approach. In addition, it provides the medical knowledge necessary to give quality care to nursing home residents. Nursing Home Care reflects the International Association for Geriatrics and Gerontology's conviction that nursing home practice is an interdisciplinary endeavor that requires a sound theoretical, scientific, and values base in addition to clinical expertise. Mindful of the influences of different culture and context, the premise of this text is that there is a shared and common knowledge base to guide nursing home practice and approaches to caring that are universal. THIS UNIQUE TEXT IS LOGICALLY DIVIDED INTO FOUR PARTS: PART 1 covers the origins of the nursing home movement, plus alternative approaches, including aging in place and what older people are saying about nursing home life and culture change. PART 2 focuses on the fundamentals of working as part of a nursing home team providing day-to-day care and the leadership essentials to drive the quality improvement agenda. PART 3 addresses the most common conditions experienced by older nursing home residents. PART 4 is devoted to clinical and nursing aspects of specific disease management. KEY FEATURES: Online supplemental material, including 1,000 PowerPoint slides available to faculty, plus Q&A available from the IAGGI * Over 150 multiple choice questions * Key points for each chapter * An essential study guide for the IAGG certificate in nursing home care

Improving the Quality of Care in Nursing Homes

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Author :
Publisher : JHU Press
ISBN 13 : 0801897181
Total Pages : 155 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Improving the Quality of Care in Nursing Homes by : Thomas T. H. Wan

Download or read book Improving the Quality of Care in Nursing Homes written by Thomas T. H. Wan and published by JHU Press. This book was released on 2010-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book also examines specific factors related to measuring and improving care, including government encouragement and sanctions, staffing policies, and the integration of technology into practice. Throughout, the authors make recommendations grounded in sound methodology and real-world experience. --

Culture Change in Long-term Care

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Publisher : Routledge
ISBN 13 : 0789021102
Total Pages : 468 pages
Book Rating : 4.7/5 (89 download)

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Book Synopsis Culture Change in Long-term Care by : Judah L. Ronch

Download or read book Culture Change in Long-term Care written by Judah L. Ronch and published by Routledge. This book was released on 2003 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.

Systems Practices for the Care of Socially At-Risk Populations

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Publisher : National Academies Press
ISBN 13 : 0309391970
Total Pages : 95 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Systems Practices for the Care of Socially At-Risk Populations by : National Academies of Sciences, Engineering, and Medicine

Download or read book Systems Practices for the Care of Socially At-Risk Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-07 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.

Manual of Nursing Home Practice for Psychiatrists

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Publisher : American Psychiatric Pub
ISBN 13 : 1585628107
Total Pages : 128 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Manual of Nursing Home Practice for Psychiatrists by : American Psychiatric Association

Download or read book Manual of Nursing Home Practice for Psychiatrists written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2008-11-01 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The shifting demographic toward a "graying" population -- coupled with today's reality of managed care -- makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the "how" -- not the "why" -- of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Divided into six sections, this "how to" volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: Clinical -- History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting Regulatory -- Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP) Financial -- Documentation, reimbursement, and coding; what to look for when contracting with nursing homes Legal and ethical -- The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer's disease; and the role of caregivers Summary and Future Perspectives -- A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients Appendixes and bibliography -- Staffing recommendations and assessment instruments Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this comprehensive volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents.

Improving Care in Nursing Homes

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Author :
Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (956 download)

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Book Synopsis Improving Care in Nursing Homes by : Texas. Nursing Home Work Group

Download or read book Improving Care in Nursing Homes written by Texas. Nursing Home Work Group and published by . This book was released on 1992 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical and Dental Expenses

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Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.:/5 (3 download)

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Book Synopsis Medical and Dental Expenses by :

Download or read book Medical and Dental Expenses written by and published by . This book was released on 1990 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guidelines for Nursing Homes

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Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Guidelines for Nursing Homes by :

Download or read book Guidelines for Nursing Homes written by and published by . This book was released on 2003 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Nursing Home Care of the Dying

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826119263
Total Pages : 209 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Improving Nursing Home Care of the Dying by : Martha L. Henderson, MSN, Dr Min

Download or read book Improving Nursing Home Care of the Dying written by Martha L. Henderson, MSN, Dr Min and published by Springer Publishing Company. This book was released on 2003-04-29 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: In eight innovative sessions, Henderson, Hanson, and Reynolds provide sage advice, numerous case studies, a wide variety of assessment tools, intructional guidelines, and practical exercises to educate nursing home staff about care of the dying. A Multidisciplinary focus outlines important roles for all staff members in providing competent and compassionate end-of-life care.