A Model of Regulatory Alignment to Enhance the Long-Term Care Survey Process in a Veterans Health Care Network

被引：4

作者：

Powers, James S. ^{[1
,2
]}

Preshong, Mark ^{[3
]}

Smith, Pamela ^{[4
]}

机构：

[1] VA Tennessee Valley Healthcare Syst, Geriatr Res Educ & Clin Ctr, Nashville, TN USA

[2] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA

[3] VA Med Ctr, Social Work Serv, Johnson City, TN USA

[4] VA Med Ctr, Huntington, WV USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2016年 / 31卷 / 05期

关键词：

long-term care; geriatrics; survey process; veterans; QUALITY-OF-CARE; IMPLEMENTATION; FRAMEWORK; SYSTEM;

D O I：

10.1177/1062860615591053

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Regulatory oversight aims to promote quality of care in US nursing homes. A survey of long-term care (LTC) inspection practices in a Veterans Administration network in 2006 revealed great variability in monitoring and reporting processes, with opportunities for improvement. Modern organization theory and the PARIHS Implementation Framework provide a model for process improvement to enhance oversight for LTC facilities. Over a 3-year time frame, 6 facility inspection teams utilized a modified Delphi approach to arrive at and adopt a standardized structured inspection process. In the 2 districts where 10 facility contracts were terminated for quality deficits identified as a result of process improvement, Star Ratings of approved facilities improved (3.2 to 3.3). The 10 facilities terminated had a mean rating of 1.2 (0.48) (t = 3.87, P < .01). Standardization of a structured LTC inspection process enhances organizational oversight and may contribute to improved quality of care.

引用

页码：470 / 475

页数：6

共 50 条

[21] The Epidemiology of the Long-Term Care Needs and Unmet Needs of Older Veterans in the United States [J].

Garcia-Davis, Sandra ;

Hlaing, WayWay M. ;

Vidot, Denise C. ;

Feaster, Daniel J. ;

Hansen, Jared ;

Brintz, Ben J. ;

Intrator, Orna ;

Leykum, Luci K. ;

Bouldin, Erin D. ;

Trivedi, Ranak B. ;

Noel, Polly H. ;

Dang, Stuti .

JOURNAL OF CLINICAL MEDICINE, 2025, 14 (12)

[22] Sense of community in long-term care: the views of family caregivers of elderly military veterans [J].

Petrovic-Poljak, Ana ;

Konnert, Candace .

INTERNATIONAL PSYCHOGERIATRICS, 2013, 25 (03) :390-402

[23] A Successful Diabetes Management Model of Care in Long-Term Care Facilities [J].

Munshi, Medha N. ;

Sy, Sarah ;

Lekarcyk, Joyce ;

Sullivan, Elaine .

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2021, 22 (06) :1322-+

[24] Care plans and care planning in long-term conditions: a conceptual model [J].

Burt, Jenni ;

Rick, Jo ;

Blakeman, Thomas ;

Protheroe, Joanne ;

Roland, Martin ;

Bower, Pete .

PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, 2014, 15 (04) :342-354

[25] "Geriatric Team Health Care Pathways": An Organizational Innovation to Enhance Care Pathways of Long-Term Care Facilities' Residents in the French Region of Occitania [J].

Villars, Helene ;

Balardy, Laurent ;

Ghisolfi, Anne ;

Blain, Hubert ;

Rolland, Yves .

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2024, 25 (06)

[26] Improving quality of long-term care [J].

Ray, WA .

MEDICAL CARE, 2000, 38 (12) :1151-1153

[27] Stepped care model for pain management and quality of pain care in long-term opioid therapy [J].

Moore, Brent A. ;

Anderson, Daren ;

Dorflinger, Lindsey ;

Zlateva, Ianita ;

Lee, Allison ;

Gilliam, Wesley ;

Tian, Terrence ;

Khatri, Khushbu ;

Ruser, Christopher B. ;

Kerns, Robert D. .

JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 2016, 53 (01) :137-145

[28] Long-term care institutions for elders and the health system [J].

Creutzberg, Marion ;

Takase Goncalvea, Lucia Hisako ;

Sobottka, Emil Albert ;

Ojeda, Beatriz Sebben .

REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2007, 15 (06) :1144-1149

[29] The Need for Electronic Health Records in Long-Term Care [J].

Tharmalingam, Sukirtha ;

Hagens, Simon ;

English, Sarah .

BUILDING CAPACITY FOR HEALTH INFORMATICS IN THE FUTURE, 2017, 234 :315-320

[30] Dysphagia and Oral Health Concerns in Long-Term Care [J].

Affoo, Rebecca ;

Polacco, Rebecca Cliffe ;

Lam, Bonnie ;

Ma, Jinhui ;

Steele, Catriona M. ;

Namasivayam-MacDonald, Ashwini .

CANADIAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY, 2023, 47 (02) :109-124

← 1 2 3 4 5 →