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A call for federal action to improve nursing facilities
A call for federal action to improve nursing facilities
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Milbank Memorial Fund)
- Author(s):
- McEvoy, Kate, author
Milligan, Charles, author - Contributor(s):
- Milbank Memorial Fund, issuing body.
- Publication:
- New York, NY : Milbank Memorial Fund, February 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Nursing Homes
Quality Assurance, Health Care
Federal Government
United States
Centers for Medicare & Medicaid Services (U.S.) - Genre(s):
- Technical Report
- Abstract:
- Nursing facility (NF) residents’ high infection rates and poor overall care experiences during the COVID-19 public health emergency have reinforced and amplified long-standing concerns about the quality and cost-effectiveness of NF care. In light of documented disparities in access, experience of care, and outcomes, these concerns are especially urgent for residents of color. While the Centers for Medicare and Medicaid Services (CMS) has taken some actions to promote a focus on quality, much more should be done to articulate federal policy and to inspire and incentivize improvement. Specifically, CMS should: (1) Endorse linkage of any further public health emergency--related funding or other federal financial reimbursement to quality improvement. (2) Align Medicare and Medicaid efforts to promote payment policies that are based on risk adjustment for complex care and incorporate value-based payment principles, eliminate unintended consequences of federal policies such as routine approval of nursing home bed taxes, and adopt a common foundation of quality measures. (3) Expand existing guidance on rebalancing long-term services and supports. (4) Enhance conditions of participation for nursing homes and hospitals by including structural measures such as census and staff turnover. (5) Build out existing mechanisms like Care Compare to enhance public transparency, availability, and usability of cost report and ownership information and to provide timely and complete information on NF citations.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain (More information)
- Extent:
- 1 online resource (1 PDF file (10 pages, 1 unnumbered page))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918453688806676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918453688806676