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Nursing Homes Compliance With State Nurse Staffing Standards And Its Relation To Quality Of Care Deficiencies
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Book Synopsis Nursing Homes' Compliance with State Nurse Staffing Standards and Its Relation to Quality-of-care Deficiencies by : Seung Chun Paek
Download or read book Nursing Homes' Compliance with State Nurse Staffing Standards and Its Relation to Quality-of-care Deficiencies written by Seung Chun Paek and published by . This book was released on 2011 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this dissertation is to examine nursing homes' compliance with state minimum nurse staffing standards and its relation to quality-of-care deficiencies. Specifically, this study, reviewing staffing standards from 50 states and the District of Columbia for the year 2007, proposes a unique algorithm to calculate the states' expected nurse staffing levels for individual nursing homes in order to investigate their compliance with the state nurse staffing standards. By using hierarchical linear modeling method, this study attempts to capture the impact of the staffing standards on actual nurse staffing levels under resource dependence perspectives. Path analysis using structural equation modeling was conducted to investigate both direct and indirect effects of the staffing standards on nurse staffing levels and quality-of-care deficiencies. The major findings were as follows: (1) nursing homes in states with higher state staffing standards for the categories of RN, LN, and total nurse were found to have higher RN, LN, and total staffing levels, respectively; (2) higher nurse staffing levels resulting from higher state staffing standards were significantly associated with better quality of care (less quality-of-care deficiencies cited) in nursing homes; and (3) state staffing standards were found to have much stronger contribution to nurse staffing levels than any other organizational or contextual factors while nurse staffing levels, particularly licensed staff, were found to have stronger contribution to quality-of-care deficiencies than any other organizational factors. The study findings suggest that if the goal is to increase nurse staffing levels for better quality, increasing the stringency of both federal and state nurse staffing standards would be the most effective way. However, the staffing standards first need technical changes to reduce their ambiguity and ensure their fairness. If the goal is to achieve better quality, merely increasing nurse staffing levels may not be effective since the variation of the quality-of-care deficiencies explained by exogenous variables was smaller than random variation 5%. If state Medicaid reimbursements can be utilized for financial incentives for better performing nursing homes, nursing homes may improve their productivity by efficiently managing organizational personnel or increasing job satisfaction among nursing practitioners. Lastly, longitudinal analysis, considering variation in length of state staffing policy implementations, is encouraged to investigate the long-term effects of state staffing standards on nurse staffing levels and quality of care.
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.
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.
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.
Download or read book Nursing Homes written by Walter Ochinko and published by DIANE Publishing. This book was released on 2000 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concurrent with the July 1998 hearing held by the Senate Special Committee on Aging, Pres. Clinton announced a series of initiatives intended to address many of the weaknesses that were identified in the quality of care for the nation's 1.6 million nursing home residents. This report assesses (1) progress in improving the detection of quality problems & changes in measured nursing home quality, (2) the status of efforts to strengthen states' complaint investigation processes & federal enforcement policies, & (3) additional steps taken at the federal level to improve oversight of states' quality assurance activities.
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :120 pages Book Rating :4.0/5 ( download)
Book Synopsis Trends in Nursing Home Ownership and Quality by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Trends in Nursing Home Ownership and Quality written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 2009 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nursing Homes written by John E. Dicken and published by DIANE Publishing. This book was released on 2010-05 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Under contract with the Centers for Medicare and Medicaid Services (CMS), states conduct surveys at nursing homes to help ensure compliance with federal quality standards. Over the past decade, there have been reports on inconsistencies in states' assessment of nursing homes' quality of care, including understatement -- that is, when state surveys fail to cite serious deficiencies or cite them at too low a level. In 2008, there was a report that 9 states had high and 10 had low understatement based on CMS data for FY 2002 through 2007. This report examines the effect on nursing home deficiency understatement of CMS's survey process, workforce shortages and training, supervisory reviews of surveys, and state agency practices. Illus.
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/
Book Synopsis Inside California's Nursing Homes by : Michelle Baass
Download or read book Inside California's Nursing Homes written by Michelle Baass and published by . This book was released on 2009 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis State regulatory provisions for residential care settings by : Paula Carder
Download or read book State regulatory provisions for residential care settings written by Paula Carder and published by RTI Press. This book was released on 2016-07-27 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: Residential care settings (RCSs), such as assisted living facilities, provide community-based services for older adults and younger people with disabilities who require long-term services and supports. Within RCSs, staffing adequacy is a key factor for ensuring residents’ quality of care. However, because residential care settings are licensed and regulated by the states, staffing requirements vary considerably among states. This paper provides an overview of state regulations related to staffing in residential care, highlighting the variance among state regulations. The primary data source for this analysis was the Compendium of Residential Care and Assisted Living Regulations and Policy, 2015 Edition, funded by the Office of the Assistant Secretary for Planning and Evaluation/US Department of Health and Human Services. Consumers and regulators need to be aware of the state variance in RCS staffing requirements and assess whether a state’s staffing requirements are adequate to meet residents’ needs.
Book Synopsis Nursing Homes by : William J. Scanlon
Download or read book Nursing Homes written by William J. Scanlon and published by DIANE Publishing. This book was released on 2000-07 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report provides information on the enforcement of federal nursing home standards. It (1) provides national data on the existence of serious deficiencies in nursing home compliance with Medicare & Medicaid standards, & (2) discusses the use of sanction authority for homes that failed to maintain compliance with the standards. It also evaluates the extent to which these actions would address any problems identified. Includes testimony by William J. Scanlon, Dir., Health Financing & Public Health Issues, Health, Education, & Human Services Division, GAO. Charts & tables.
Book Synopsis Nursing Homes by : United States. General Accounting Office
Download or read book Nursing Homes written by United States. General Accounting Office and published by . This book was released on 1999 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Betrayal by : United States. Congress. Senate. Special Committee on Aging
Download or read book Betrayal written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1998 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Nursing Staff Requirments and the Quality of Nusing Home Care by : Brenda G. Klutz
Download or read book Nursing Staff Requirments and the Quality of Nusing Home Care written by Brenda G. Klutz and published by . This book was released on 2001-07-01 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chapters: overview of nursing homes in California; mandate for the report; sources of data; national context: California staffing standard, congressional mandates, Health Care Financing Admin. (HCFA), Institute of Medicine, Hartford Conf. Panel of Experts, & summary of current minimum nursing staff proposals; compliance with the current requirements: implementation of the new state requirement, assessing compliance, & summary of findings; policy considerations regarding nursing staff standards; financial considerations regarding nursing staff standards; conclusions: minimum staffing requirement, enforcement, & recruitment & retention of staff. Charts & tables.
Download or read book Nursing Homes written by John E. Dicken and published by DIANE Publishing. This book was released on 2008-11 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reports since 1998 have demonstrated that state surveyors, who evaluate the quality of nursing home care on behalf of CMS, sometimes understate the extent of serious care problems in homes because they miss deficiencies. CMS oversees the effectiveness of state surveys through the fed. monitoring survey program. In this program, fed. surveyors in CMS¿s regional offices either independently evaluate state surveys by resurveying a home (comparative surveys) or directly observe state surveyors during a routine nursing home survey (observational surveys). This report evaluates the information fed. monitoring surveys provide on understatement and the effectiveness of CMS mgmt. and oversight of the survey program. Includes recommend. Illus.
Book Synopsis Guide for Inspection of State Veterans Homes Nursing Home Care Standards by :
Download or read book Guide for Inspection of State Veterans Homes Nursing Home Care Standards written by and published by . This book was released on 1984 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
