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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 homes : sustained efforts are essential to realize potential of the quality initiatives : report to congressional requesters by :
Download or read book Nursing homes : sustained efforts are essential to realize potential of the quality initiatives : report to congressional requesters written by and published by DIANE Publishing. This book was released on with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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 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.
Author :United States. Public Health Service. Office of Nursing Home Affairs. Ad Hoc Nurse-Physician Advisory Group Publisher : ISBN 13 : Total Pages :76 pages Book Rating :4.:/5 (43 download)
Book Synopsis Assessing Health Care Needs in Skilled Nursing Facilities by : United States. Public Health Service. Office of Nursing Home Affairs. Ad Hoc Nurse-Physician Advisory Group
Download or read book Assessing Health Care Needs in Skilled Nursing Facilities written by United States. Public Health Service. Office of Nursing Home Affairs. Ad Hoc Nurse-Physician Advisory Group and published by . This book was released on 1977 with total page 76 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 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 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.
Author :United States. General Accounting Office Publisher :DIANE Publishing ISBN 13 :1428945814 Total Pages :36 pages Book Rating :4.4/5 (289 download)
Book Synopsis Skilled Nursing Facilities by : United States. General Accounting Office
Download or read book Skilled Nursing Facilities written by United States. General Accounting Office and published by DIANE Publishing. This book was released on 2002 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Increased Compliance Needed with Nursing Home Health and Sanitary Standards by : United States. Department of Health, Education, and Welfare
Download or read book Increased Compliance Needed with Nursing Home Health and Sanitary Standards written by United States. Department of Health, Education, and Welfare and published by . This book was released on 1975 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Problems in Providing Proper Care to Medicaid and Medicare Patients in Skilled Nursing Homes by : United States. General Accounting Office
Download or read book Problems in Providing Proper Care to Medicaid and Medicare Patients in Skilled Nursing Homes written by United States. General Accounting Office and published by . This book was released on 1971 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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:
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 Nursing Home Quality in the 21st Century by : California. Legislature. Senate. Committee on Health
Download or read book Nursing Home Quality in the 21st Century written by California. Legislature. Senate. Committee on Health and published by . This book was released on 2005 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Trends in Nursing Home Deficiencies and Complaints by : Daniel R. Levinson
Download or read book Trends in Nursing Home Deficiencies and Complaints written by Daniel R. Levinson and published by DIANE Publishing. This book was released on 2009-11 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes the nature and extent of nursing home deficiencies and complaints in 2007 and identifies trends from 2005 to 2007. In each of the past 3 years, over 91% of nursing homes surveyed were cited for deficiencies and a greater percentage of for-profit nursing homes were cited for deficiencies than not-for-profit and government nursing homes. During those same years, the most common deficiency categories cited were quality of care, resident assessment, and quality of life. Additionally, 17% of nursing homes surveyed in 2007 were cited for actual harm or immediate jeopardy deficiencies, and 3.6% were cited for sub-standard quality-of-care deficiencies -- a slight increase since 2005. Charts and tables.
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 518 pages. Available in PDF, EPUB and Kindle. Book excerpt:
