LEADER 04912nam 2200613Ia 450 001 9910778675203321 005 20230821234016.0 010 $a1-280-22169-0 010 $a9786610221691 010 $a0-309-55484-5 010 $a0-585-14434-6 035 $a(CKB)110986584750746 035 $a(EBL)3376942 035 $a(SSID)ssj0000177497 035 $a(PQKBManifestationID)11183317 035 $a(PQKBTitleCode)TC0000177497 035 $a(PQKBWorkID)10217944 035 $a(PQKB)10190473 035 $a(MiAaPQ)EBC3376942 035 $a(Au-PeEL)EBL3376942 035 $a(CaPaEBR)ebr10062804 035 $a(CaONFJC)MIL22169 035 $a(OCoLC)940510469 035 $a(EXLCZ)99110986584750746 100 $a19870219d1986 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aImproving the quality of care in nursing homes /$fCommittee on Nursing Home Regulation, Institute of Medicine 210 1$aWashington, D.C. :$cNational Academy Press,$d1986. 215 $a1 online resource (431 pages) 300 $a"Report of a study conducted under contract no. 500-83-0054 with the Health Care Financing Administration"--T.p. verso. 300 $a"Publication IOM-85-10"--T.p. verso. 311 0 $a0-309-03646-1 320 $aIncludes bibliography: p. 213-237 and index. 327 $aImproving the Quality of Care in Nursing Homes; Copyright; Preface; Acknowledgments; Contents; 1 Introduction and Summary ; PURPOSE OF THE STUDY; THE PUBLIC POLICY CONTEXT OF THE STUDY; PERSPECTIVE ON THE ISSUES; The Role of Nursing Homes; Quality of Care and Quality of Life; The Regulatory System; Other Factors Affecting Quality of Care in Nursing Homes; Other Regulatory Policies; Consumers, the Community, and Nursing Home Management and Staff; CONCLUSIONS; SUMMARY OF RECOMMENDATIONS; Regulatory Criteria; Monitoring Nursing Home Performance; Enforcing Compliance with Federal Standards 327 $aOther Factors Affecting Quality of Care and Quality of Life in Nursing Homes; Issues Requiring Further Study; Information Systems; Medicaid Payment Policies; Nursing Home Bed Supply; Staffing of Nursing Homes; Single- Versus Multiple-Occupancy Rooms; 2 Concepts of Quality, Quality Assessment, and Quality Assurance ; QUALITY OF CARE IN NURSING HOMES; Characteristics of the Residents; Care Needs; The Care Setting; Requirements for High-Quality Care; Planning And Providing Care; QUALITY OF LIFE; QUALITY ASSESSMENT CRITERIA; Structure; Process; Outcomes; ASSESSING QUALITY OF CARE 327 $aFunctional Competency/Impairment; Intellectual Impairment/Behavioral Problems; PERSPECTIVE ON QUALITY ASSURANCE; INTERPRETING AND USING INFORMATION FOR QUALITY ASSURANCE; Measurement of Care Quality; Standards; Case Mix; Standard Instruments; National, Regional, and Local Uses; QUALITY ASSURANCE AND THE REGULATORY SYSTEM; 3 Regulatory Criteria ; THE ISSUES; CONSOLIDATING THE TWO SETS OF CRITERIA; RESIDENT ASSESSMENT; REVISING AND STRENGTHENING THE CONDITIONS AND STANDARDS; Quality of Life; Quality of Care; Residents' Rights; Administration; Training of Nurse's Aides; Discrimination 327 $aNotification; Participation; Access; Physical Environment; NOTE ON STAFFING STANDARDS; General; Social Services; Licensed and Registered Nurses; 4 Monitoring Nursing Home Performance ; THE ISSUES; PROBLEMS WITH THE SURVEY PROCESS; Predictability; Inefficiency; Paper Compliance; Insensitivity to Resident Needs; Inconsistency; Isolation from Related Monitoring Processes; Variable State Regulatory Capacity; REDESIGNING THE SURVEY PROCESS; Consolidation of Medicare and Medicaid Survey Procedures; Timing and Frequency of Surveys; Two-Stage Survey Approach; The Resident Assessment Audit 327 $aThe Standard Survey; The Extended Survey; Case-Mix Referencing; Key Indicators; Triggering an Extended Survey: Scoring and Decision-Making; Survey Data Sources; Coordination with Complaint Programs; Consumer Involvement; Positive Incentives; Continuing Improvement of the Survey Process; Reliability and Validity of Instruments and Procedures; Consistency of Survey Results; PACS: AN NEW HCFA SURVEY PROTOCOL; INCREASING STATE REGULATORY CAPACITY; Federal Funding of Certification Activities; State Surveyor Qualifications; Federal Training Support; Dissemination of Research and Evaluation Results; Federal Oversight and Sanctioning Responsibilities 606 $aOld age homes$xStandards$zUnited States 606 $aNursing homes$xStandards$zUnited States 615 0$aOld age homes$xStandards 615 0$aNursing homes$xStandards 676 $a362.1/6 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910778675203321 996 $aImproving the quality of care in nursing homes$93788071 997 $aUNINA