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Rhonda Richards AARP

Rhonda Richards AARP. Nursing Home Quality. Quality of care and quality of life Improvements since OBRA ’87 Still progress to be made. AARP Government Relations & Advocacy June 5, 2008. Poor performing facilities and “yo-yo” facilities

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Rhonda Richards AARP

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  1. Rhonda RichardsAARP

  2. Nursing Home Quality • Quality of care and quality of life • Improvements since OBRA ’87 • Still progress to be made AARP Government Relations & Advocacy June 5, 2008 2

  3. Poor performing facilities and “yo-yo” facilities Lack of sufficient staff for quality and continuity of care Lack of accurate staffing data Need for greater accountability and transparency Need for improved quality measures Need for better transitions across settings Nursing Home Quality Issues Include 3 AARP Government Relations & Advocacy June 5, 2008

  4. How Does Ownership Impact Quality? • New York Times Sept. 2007 article found that private investor owned nursing homes: • Cut expenses and staff; • Scored worse than national rates in 12 of 14 quality indicators; and • Created complex corporate structures obscuring who controlled them & who is ultimately responsible for quality of care AARP Government Relations & Advocacy June 5, 2008 4

  5. Complex ownership structures can make it more difficult to hold facilities accountable More research is needed to determine the relationship between private equity ownership and quality Quality problems occur regardless of ownership – quality is broader than just ownership How Does Ownership Impact Quality? 5 AARP Government Relations & Advocacy June 5, 2008

  6. New ownership reporting and auditing requirements More and better information on Nursing Home Compare about facilities and their performance Reporting of staffing information based on payroll data; better Medicare data on spending for staff and services Complaint resolution process and standard complaint form Nursing Home Transparency and Improvement Act (S. 2641) 6 AARP Government Relations & Advocacy June 5, 2008

  7. Improvements regarding civil monetary penalties Smoother resident transition when facilities close National independent monitoring program – interstate and large intrastate chains Demonstration projects on culture change and use of IT in facilities Nursing Home Transparency and Improvement Act (S. 2641) 7 AARP Government Relations & Advocacy June 5, 2008

  8. Steps to address poor performing nursing homes – such as ways to identify them earlier and prevent future quality problems Workforce issues – sufficient staff, higher wages, improved benefits, greater respect, training and educational opportunities, safer working conditions, reducing turnover Other Ideas and Solutions Include 8 AARP Government Relations & Advocacy June 5, 2008

  9. Expansion of successful culture change efforts and encouraging greater resident choice and control Greater coordination across care transitions – IT could be part of this Better quality measures Other Ideas and Solutions Include 9 AARP Government Relations & Advocacy June 5, 2008

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