Improving the Quality of Long-Term Care (2001) / Chapter Skim
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Closing Remarks
Closing Remarks
Pages 248-252
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From page 248... ...
As is clear from the discussions in the preceding chapters, it is easier to propose a comprehensive examination of long-term care than to identify, collect, and analyze relevant data sufficient to support comparable descriptions and assessments across the diverse settings, services, and populations. Throughout the study the committee's work was impeded by the lack of common definitions across and within states to describe many of the providers of long-term care; and a lack of comprehensive, timely, and reliable information on the quality of care received from the various longterm care sources.
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From page 249... ...
Federal and state laws should include specific provisions regarding consumer protections for nursing homes, residential care, and home care, and should provide specific mechanisms in addition to existing regulatory bodies to oversee the rights of consumers. Supportive public policies are essential for the expansion of consumercentered care because those using long-term care often rely heavily on public programs to help pay for care over long periods of time.
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From page 250... ...
In the absence of clear and uniform definitions of these and other residential arrangements we have no way of measuring the growth of these settings nationally or how many and what type of clients they serve. Despite periodic reports about poor conditions in some residential care settings and fraud in sectors of the home health care industry, comprehensive information about quality of care is scarce for the home and community-based services which are preferred by many users of longterm care and their families and advocates.
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From page 251... ...
This situation has important implications because the long-term care work force is the essential pathway to many improvements in processes of care based on better understanding of care processes and outcomes, internal quality improvement strategies, and more effective regulation. Efforts to identify effective care processes often point to technically simple but time-consuming interventions that, especially when combined with increasing care measurement and analysis requirements, imply a need for additional resources.
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From page 252... ...
Although the nursing home reforms were enacted in 1987, the Health Care Financing Administration issued the implementing regulations in late 1990, and the enforcement regulations became effective in 1995. Change is a process that takes time to produce definitive results.
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