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Best at Home Assuring Quality Long-Term Care in Home and Community-Based Settings (1996) / Chapter Skim
Currently Skimming:

SUMMARY
Pages 1-6

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 1...
... For many if not the majority this embodies their emphatic choice to stay in their own homes and communities for as long as possible. Equally compelling to lawmakers and the general public eager to cut skyrocketing health care costs is the potential for home and community-based care to be a cost-effective alternative to institutional LTC.
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From page 2...
... Several major government programs finance the majority of such care, however, including Medicare, Medicaid, OAA programs, Social Services Block Grants, the Supplemental Security Income and Social Security Disability Insurance programs, and a variety of state programs that are funded through individual states' general revenues. In recent years, several changes have been proposed for financing LTC.
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From page 3...
... Although structure and process measures are still considered valuable, greater importance has been placed on ensuring that a regulated entity achieves a desired goal, instead of merely complying with basic capacity standards and procedural steps that presumably lead to the achievement of that goal. In the public sector, external quality assurance and improvement strategies might be carried out at the federal, state, and local levels through regulation and by private, voluntary accreditation.
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From page 4...
... The committee found both encouraging and discouraging indications about whether existing quality assurance and improvement strategies are effective. For example, a recent study of board and care facilities found that in states rated as having extensive regulation, several quality indicators were higher than in states rated as being less regulated.
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From page 5...
... It proposes therefore that one study look at quality assurance in both home care and residential care settings. The committee also decided to keep the current broad focus on all users of home and community-based LTC, rather than focusing only on either the elderly or the disabled population.
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From page 6...
... Studies at the IOM typically include the collection of existing data; analysis of that information; and the development of conclusions and recommendations that culminate in a published report. In addition to its final report, the planning committee concluded that the full study committee should prepare an interim report that defines the taxonomy of home and community-based services under study.
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Key Terms

  • home care
  • care settings
  • care services
  • improvement strategies
  • care facilities

  • improvement programs
  • existing quality
  • key features
  • own homes
  • provider organizations

  • states rated
  • external quality
  • features define
  • nursing facilities
  • disseminated widely

  • press conferences
  • complaint resolution
  • local levels
  • public sector
  • committee laid

  • considered valuable
  • functional impairment
  • quality indicators
  • public eager
  • million persons

  • sweeping changes
  • recipients themselves
  • extensive regulation
  • financing care
  • oaa programs


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