Highlights
- •The NASEM Committee on the Quality of Care in Nursing Homes provided seven goals and associated recommendations to transform nursing home care.
- •The seven goals address areas in which nurses have tremendous expertise and leadership including delivery of whole person care, workforce development, transparency and accountability, health care financing, and quality assurance.
- •Nurses must take action to ensure these recommendations are implemented.
Abstract
Keywords
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Nursing OutlookReferences
- Advancing health information technology roadmaps in long term care.International Journal of Medical Informatics. 2020; 136https://doi.org/10.1016/j.ijmedinf.2020.104088
- Preparing nursing homes for the future of health information exchange.Applied Clinical Informatics. 2015; 6: 248-266https://doi.org/10.4338/ACI-2014-12-RA-0113
- The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the great recession.American Journal of Health Economics. 2018; 4: 131-163
- Systematic review of studies of staffing and quality in nursing homes.Journal of the American Medical Directors Association. 2006; 7: 366-376
Bureau of Labor Statistics. (n.d.). May 2020 national industry-specific occupational employment andwageestimates: NAICS 623100—Nursing care facilities (skilled nursing facilities). Accessed April 25, 2022. https://www.bls.gov/oes/current/naics4_623100.htm
Bureau of Labor Statistics. (n.d.). 2018 SOC definitions. Accessed April 25,2022. https://www.bls.gov/soc/2018/soc_2018_definitions.pdf
CAHPS, (n.d.). Retrieved June 18, 2022 from https://www.ahrq.gov/cahps/index.html
Center for Medicare Advocacy. 2014. Staffing deficiencies in nursing facilities: Rarely cited, seldom sanctioned. Retrieved June 19, 2022 from https://medicareadvocacy.org/staffing-deficiencies- in-nursing-facilities-rarely-cited-seldom-sanctioned/
Centers for Medicare and Medicaid Services. 2019. National health expenditures 2019: Highlights. Retrieved from https://www.cms.gov/files/document/highlights.pdf
CMS (Centers for Medicare and Medicaid Services). 2003. Nursing home quality initiative overview. https://www.medicare.gov/care-compare/?providerType=NursingHome&redirect=true (accessed July 29, 2021).
- Centers for Medicare and Medicaid releases telehealth toolkit for general practitioners and end-stage renal disease (ESRD) providers.CMS, Baltimore, MD2020 (Retrieved April 16, 2020 from)
- Not just how many but who is on shift: The impact of workplace incivility and bullying on care delivery in nursing homes.The Gerontologist. 2021; 61: 563-572
- The use of telemedicine in nursing homes: A mixed-method study to identify critical factors when connecting with a general hospital.International Journal of Environmental Research in Public Health. 2021; 18: 11148https://doi.org/10.3390/ijerph182111148
- Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions.Health Services Research. 2019; 54: 1335-1345https://doi.org/10.1111/1475-6773.13210
DHHS. (April 20, 2022. HHS releases new data and report on hospital and nursing home ownership. DHSS press release. https://www.cms.gov/newsroom/press-releases/hhs-releases-new-data-and-report-hospital-and-nursing-home-ownership
- Nursing management partners with ANCC's pathway to excellence® program.Nursing Management. 2018; 49: 13-15
Drake, A. 2020. Direct care work is real work: Elevating the role of the direct care worker. PHI. Retrieved June 18, 2022 from http://www.phinational.org/resource/direct-care-work-is-real-work-elevating-the-role-of-the-direct-care-worker/
- High nursing staff turnover in nursing homes offers important quality information.Health Affairs. 2021; 40: 384-391https://doi.org/10.1377/hlthaff.2020.00957
- Poorly performing nursing homes: Special focus facilities are often improving, but CMS's program could be strengthened.U.S. Government Accountability Office, Washington, DC2010 (Retrieved June 28, 2022 from)
- Medicare and medicaid participating facilities: CMS needs to reexamine its approach for funding state oversight of health care facilities.Government Accountability Office, Washington, DC: U.S2009
- Is there a trade-off between quality and profitability in United States nursing homes?.The Health Care Manager. 2017; 36: 140-146https://doi.org/10.1097/HCM.0000000000000151
- Factors associated with racial differences in deaths among nursing home residents with COVID-19 infection in the U.S.JAMA Network Open. 2021; 4e2037431https://doi.org/10.1001/jamanetworkopen.2020.37431
Gupta, A., Howell, S. T., Yannelis, C., & Gupta, A. 2021. Does private equity investment in healthcare benefit patients? Evidence from nursing homes. (Working Paper 28474). Retrieved from https://www.nber.org/system/files/working_papers/w28474/w28474.pdf
- Facility characteristics and costs associated with meeting proposed minimum staffing levels in skilled nursing facilities.Journal of the American Geriatrics Society. 2022; 70: 1198-1207https://doi.org/10.1111/jgs.17678
- Improving the quality of care in nursing homes.National Academy Press, Washington, D.C.1986
- Nurse staffing in hospitals and nursing homes: Is it adequate?.National Academy Press, Washington, D.C.1996
- Improving the quality of long-term care.National Academy Press, Washington, D.C.2001
- Retooling for an aging America: Building the health care workforce.The National Academies Press, Washington, DC2008https://doi.org/10.17226/12089
LTCCC. 2021. Nursing home Medicaid funding: Separating fact from fiction. Retrieved from https://nursinghome411.org/wp-content/uploads/2021/01/LTCCC-Policy-Brief-Medicaid-Funding-Facts-vs-Fiction.pdf
- National health care spending in 2019: Steady growth for the fourth consecutive year.Health Affairs (Project Hope). 2021; 40: 14-24https://doi.org/10.1377/hlthaff.2020.02022
- Uncovering the devaluation of nursing home staff during COVID-19: Are we fuelling the next health care crisis?.Journal of the American Medical Directors Association. 2020; 21: 962-965https://doi.org/10.1016/j.jamda.2020.06.010
- Driven to tiers: Socioeconomic and racial disparities in the quality of nursing home care.The Milbank Quarterly. 2004; 82: 227-256https://doi.org/10.1111/j.0887-378X.2004.00309.x
- The national imperative to improve nursing home quality: honoring our commitment to residents, families, and staff.The National Academies Press, Washington, DC2022https://doi.org/10.17226/26526
Office of Inspector General (OIG). 2019. Trends in nursing home complaints: Text-based data. Retrieved February 1, 2022 from https://oig.hhs.gov/oei/maps/2019-nursing-home/text-map.asp
Office of Inspector General (OIG). 2020. States continued to fall short in meeting required timeframes for investigating nursing home complaints: 2016–2018. Washington, DC: Office of the Inspector General, U.S. Department of Health and Human Services.
- Using telemedicine in nursing homes during the COVID-19 pandemic: A multi-perspective view on the implementation process.Nursing open. 2022; 9: 1155-1163https://doi.org/10.1002/nop2.1155
- A coordinated response to the COVID-19 pandemic in Missouri nursing homes.Journal of Nursing Care Quality. 2020; 35: 287-292https://doi.org/10.1097/NCQ.0000000000000504
- Helping nursing homes “at risk” for quality problems: A statewide evaluation.Geriatric Nursing. 2009; 30: 238-249https://doi.org/10.1016/j.gerinurse.2008.09.003
- Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research.Journal of Gerontological Nursing. 2010; 36: 13-17https://doi.org/10.3928/00989134-20091204-02
- Statewide strategy to improve quality of care in nursing facilities.The Gerontologist. 2003; 43: 248-258https://doi.org/10.1093/geront/43.2.248
- Assessment of coronavirus disease 2019 infection and mortality rates among nursing homes with different proportions of Black residents.Journal of the American Medical Directors Association. 2021; 22: 893-898
- Federalrequirements for nursing homes to include certified nursing assistants in resident care planning and interdisciplinary teams: A policy analysis.Nursing Outlook. 2021; 69: 617-625https://doi.org/10.1016/j.outlook.2021.01.004
- Exploring social-based discrimination among nursing home certified nursing assistants.Nursing Inquiry. 2020; 27: e12315https://doi.org/10.1111/nin.12315
- Do nursing home chain size and proprietary status affect experiences with care?.Medical Care. 2016; 54: 229-234https://doi.org/10.1097/MLR.0000000000000479