Improving the quality of long-term care Gooloo S. Wunderlich and Peter Kohler, editors ; Committee on Improving Quality in Long-Term Care, Division of Health Care Services, Institute of Medicine.
Detalles de publicación: Washington, D.C. National Academy Press c2001.Descripción: xvii, 326 p. 24 cmISBN:- 0309064988
- 362.160685 I5939i 21
- RA997 .I57 2001
- W 84.7
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Descripciones mejoradas de Syndetics:
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves.
Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers.
Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions.
This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Includes bibliographical references and index.
Tabla de contenidos provista por Syndetics
- Executive Summary(p. 1)
- 1 Introduction(p. 21)
- Long-Term Care Needs(p. 22)
- The IOM Study(p. 25)
- Basic Concepts and Definitions(p. 27)
- Scope and Limitations(p. 34)
- 2 Profile of Long-Term Care(p. 36)
- Characteristics of Long-Term Care Users(p. 38)
- Providers of Long-Term Care(p. 41)
- Financing Long-Term Care(p. 62)
- Coordination of Long-Term Care Services(p. 69)
- Conclusion(p. 72)
- 3 State of Quality of Long-Term Care(p. 73)
- Measurement of Quality of Care(p. 74)
- Current State of Quality of Care(p. 76)
- Conclusion(p. 108)
- 4 Information Systems for Monitoring Quality(p. 110)
- On-Line Survey and Certification Assessment Reporting System(p. 112)
- The Resident Assessment Instrument and the Minimum Data Set for Nursing Homes(p. 115)
- Outcome and Assessment Information Set for Home Health Care(p. 120)
- Challenges in Using Assessment Data(p. 122)
- Assessment and Quality Monitoring Instruments for Other Settings(p. 124)
- Incorporating Consumer Perspectives in Measurement of Quality(p. 127)
- Measurement Considerations for Children and Young Adults(p. 132)
- Conclusion(p. 134)
- 5 Improving Quality Through External Oversight(p. 135)
- Central Role of Government(p. 136)
- Basic Standards of Quality(p. 140)
- Residential Care Facilities(p. 163)
- Home Health Agencies(p. 169)
- Home Care and Related Services(p. 173)
- The Role of Advocacy(p. 174)
- Accreditation(p. 178)
- Conclusion(p. 179)
- 6 Strengthening the Caregiving Work Force(p. 180)
- Nursing Homes(p. 182)
- Education and Training of Staff in Nursing Homes(p. 196)
- Residential Care Settings(p. 202)
- Home Health Agency Staff(p. 205)
- Home Care(p. 209)
- Education and Training Recommendations(p. 210)
- Labor Force Issues(p. 211)
- Conclusion(p. 218)
- 7 Building Organizational Capacity(p. 220)
- Recent Initiatives to Improve Caregiving Capacity in Long-Term Care(p. 220)
- From Rules, Data, and Guidelines to Effective Practice(p. 221)
- Quality Management Systems(p. 222)
- Organizational Capacity to Translate Knowledge into Practice(p. 223)
- Identifying Effective Interventions(p. 227)
- Care Process Implementation and Improvement(p. 228)
- Measurement Issues(p. 231)
- Improving Organizational Capacity(p. 233)
- Conclusion(p. 234)
- 8 Reimbursing to Improve Quality of Care(p. 235)
- Reimbursement and Quality(p. 236)
- Limited Nursing Home Bed Supply and Quality of Care(p. 244)
- Conclusion(p. 246)
- 9 Closing Remarks(p. 248)
- References(p. 253)
- Appendixes
- A Committee Meetings and Presenters of Testimony(p. 283)
- B Separate Dissenting Opinions(p. 287)
- Acronyms(p. 295)
- Biographical Sketches of Committee Members(p. 299)
- Index(p. 307)