The Long-Term Care Ombudsman Program in the Nursing Facility

2021 ◽  
Keyword(s):  
Long Term Care ◽  
Nursing Facility ◽  
Term Care

A Prospective 12-Month Study of Prescriptions in Long-Term Care Nursing Facility Residents

2019 ◽  
Vol 34 (3) ◽  
pp. 206-214
Author(s):  
Edward L. Schneider ◽  
Jung Ki Kim ◽  
Diana Hyun ◽  
Anjali Lobana ◽  
Rick Smith ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Los Angeles ◽  
Long Term Care ◽  
Medical Center ◽  
Full Time ◽  
Nursing Facilities ◽  
Geriatric Population ◽  
Nursing Facility ◽  
Term Care

AIM: The most frequent use of medications in the geriatric population occurs in skilled nursing facilities. This quality assurance study prospectively examines the high number of prescriptions ordered for long-term nursing facility residents throughout their first year after admission. METHODS: The investigators prospectively followed 101 consecutive long-term-stay older adult residents at the Joyce Eisenberg Keefer Medical Center, a nursing facility of Los Angeles Jewish Home for the Aging (LAJH) over a 12-month period. Preadmission prescriptions were obtained for 91 residents, as well as prescriptions at 1 week, 1 month, 3 months, 6 months, and 1 year after admission. The number of prescriptions by staff physicians and outside physicians was examined. RESULTS: Over the 12 months following admission, the mean number of scheduled prescriptions increased significantly from 11.1 prior to admission to 13.0 by 6 months and to 13.3 by 12 months (P-value < 0.05). The residents who were hospitalized during the 12 months of observation received significantly more scheduled, as needed, and total prescriptions than those not hospitalized. Physicians employed full time by LAJH ordered significantly fewer additional prescriptions than physicians with outside practices. The patients of the staff physicians also had fewer hospitalizations than those of the outside physicians. CONCLUSION: This quality assurance study reveals a statistically significant increase in the number of prescriptions made in a long-term care setting over a 12-month prospective study. Patients of staff physicians received fewer prescriptions and were hospitalized less frequently than patients of physicians who practiced outside LAJH.

scholarly journals Conflict Behaviours of Administrators in Long Term Care Facilities Influence Facility Ratings: SOS-Semantics of Self in Conflict™

2018 ◽  
Vol 5 (1) ◽  
pp. 711-724
Keyword(s):  
Best Practice ◽  
Long Term Care ◽  
Care Facility ◽  
Harris County ◽  
Nursing Facility ◽  
Term Care ◽  
Care Facilities ◽  
Us Government ◽  
Nursing Care Facility

Long term care (LTC) facilities, also called nursing homes, are often ripe for conflicts which cause stress for residents, their families and staff. This article presents the results of a survey showing how nursing facility administrators in Harris County, Texas, managed conflict within their facilities and how a more positive approach was consistently reflected in how their facilities were rated in US government quality consumer ratings. The concept at the centre of this study, SOS-Semantics of Self in Conflict™, recognises that the degradation of standards due to conflict is not just an event in a nursing care facility. It is a process that is heavily influenced, and in some cases exacerbated, by the way in which facility administrators react to conflict. These reactions have important broader implications for the facility’s best practice retrospectively.

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2018 ◽  
pp. 46-70
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

Medicaid Expansion

2018 ◽  
Vol 2 (2) ◽  
pp. 42-53
Author(s):  
Mary Schmeida ◽  
Ramona McNeal
Keyword(s):  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
Patient Protection ◽  
Level Data

U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.

scholarly journals HIV as a chronic disease: Implications for long-term care at an AIDS-dedicated skilled nursing facility

2000 ◽  
Vol 77 (2) ◽  
pp. 187-203 ◽  
Author(s):  
Peter A. Selwyn ◽  
Joseph L. Goulet ◽  
Susan Molde ◽  
Janet Constantino ◽  
Kristopher P. Fennie ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Long Term Care ◽  
Skilled Nursing Facility ◽  
Nursing Facility ◽  
Term Care ◽  
Skilled Nursing

scholarly journals Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility — King County, Washington, March 2020

2020 ◽  
Vol 69 (13) ◽  
pp. 377-381 ◽  
Author(s):  
Anne Kimball ◽  
Kelly M. Hatfield ◽  
Melissa Arons ◽  
Allison James ◽  
Joanne Taylor ◽  
...  
Keyword(s):  
Long Term Care ◽  
Skilled Nursing Facility ◽  
King County ◽  
Nursing Facility ◽  
Term Care ◽  
Skilled Nursing

The recreation therapist versus the certified activity director: Which professional receives fewer deficiencies in long-term care facilities?

2010 ◽  
Vol 9 (1) ◽  
pp. 9-14
Author(s):  
Timothy J. Legg, PhD, CNHA, GNP-BC, FACHCA ◽  
Sharon A. Nazarchuk, PhD, MHA, RN ◽  
Deborah Adelman, PhD, RN, CNS
Keyword(s):  
Long Term Care ◽  
Skilled Nursing Facility ◽  
Therapeutic Recreation ◽  
Professional Group ◽  
Recreation Therapy ◽  
Nursing Facility ◽  
Term Care ◽  
Skilled Nursing ◽  
Care Facilities

The literature reports no studies that sought to determine which professional group (certified therapeutic recreation therapist versus certified activity director) achieves fewer survey deficiencies in the skilled nursing facility. This article will examine the scant and dated literature that is available to demonstrate which of these activity professionals has superior outcomes specific to the OBRA ’87 requirements. The article concludes with an articulation of the need for the discipline of recreation therapy to involve itself in outcomes research specific to which of the two disciplines better achieves the objectives of OBRA ’87.

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