Centre for Policy on Ageing
 

 

Policy without technology: a barrier to improving nursing home care
Author(s)John F Schnelle, Joseph G Ouslander, Patrice A Cruise
Journal titleThe Gerontologist, vol 37, no 4, August 1997
Pagespp 527-532
KeywordsNursing homes ; Quality ; Standards of provision ; United States of America.
AnnotationStandards of care for nursing homes in the United States (US) may be written without realistic assessment of whether there is an intervention protocol or resources to meet these standards. This situation produces unfair pressure on nursing home providers, who react with paper compliance strategies, and creates a barrier to implementing new interventions that do meet care standards once they are developed. This article explores this barrier and illustrates examples of interventions that have been attempted in nursing homes using a continuous quality improvement model. Internal nursing home quality assurance programmes based on principles of continuous quality improvement, with reinforcement from the external survey process, are suggested as a strategy to maintain clinically effective interventions. (AKM).
Accession NumberCPA-980608406 A
ClassmarkLHB: 59: 583: 7T

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