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Centre for Policy on Ageing | |
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The OBRA-87 Nursing Home Regulations and implementation of the Resident Assessment Instrument
— effects on process quality | | Author(s) | Catherine Hawes, Vincent Mor, Charles D Phillips |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 8, August 1997 |
| Pages | pp 977-985 |
| Keywords | Residents [care homes] ; Nursing homes ; Cognitive processes ; Evaluation ; Law ; Management [care] ; Quality ; United States of America. |
| Annotation | Data collected from two independent cohorts of residents were used in assessing changes in key aspects of quality of care received by US nursing home residents before (1990) and after (1993) implementation of the Resident Assessment Instrument (RAI) and other aspects of the Omnibus Budget Reconciliation Act 1987 (OBRA). OBRA-87 enhanced the regulation of nursing homes and included new requirements on quality of care, resident assessment, care planning, and the use neuroleptic drugs and physical restraints. One of the key provisions, used to help implement the OBRA requirements in daily nursing home practice, was the mandatory use of RAI, a standardised, comprehensive system, to assist in assessment and care planning, which was implemented in Spring 1991. Overall, the process of care improved in: accuracy of information in medical records; comprehensiveness of care plans; decrease in use of physical restraints; presence of advanced directives (living wills); participation in activities; and use of toileting programmes for residents with bowel incontinence. Whilst significant improvements in quality of care provided to residents have been noted, more needs to be done to improve process quality. (RH). |
| Accession Number | CPA-981026005 A |
| Classmark | KX: LHB: DA: 4C: VR: QA: 59: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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