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Centre for Policy on Ageing | |
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| Assuring quality in nursing home care | | Author(s) | Robert L Kane |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 2, February 1998 |
| Pages | pp 232-237 |
| Keywords | Nursing homes ; Management [care] ; Quality ; Standards of provision ; United States of America. |
| Annotation | The pressures for regulation of nursing homes in the US have not been consistent, and the enthusiasm with which remedies to substandard care are pursued is variable. However, the passage of reforms incorporated in the Omnibus Reconciliation Act 1987 (OBRA) represents an important milestone in nursing home regulation. Of particular significance has been the introduction of the Minimum Data Set (MDS), the collecting of a uniform set of information about every nursing home resident at regular intervals, from admission throughout the duration of his/her stay. The strengths and limitations of the MDS are discussed; and the author suggests the need for more emphasis to be placed on outcomes rather than just process. He question whether CQI (continuous quality improvement), a form of quality assurance, would be of any use, given its tendency to focus on family concerns, rather than on improving care for residents. What is required is some form of external monitoring which will hold care providers accountable. (RH). |
| Accession Number | CPA-981117015 A |
| Classmark | LHB: QA: 59: 583: 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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