Publications: Long Term Care Quality

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Health Care Opinion Leaders' Views on the Future of Long-Term Care

July 21, 2008 - More than two-thirds of respondents to the latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey believe it is important that the health reform plans of the presidential candidates address the quality and financing of long-term care.

Data Brief

Long-Term Care in the USA: Lessons for New Zealand?

June 20, 2008 - This Commonwealth Fund-supported article examines U.S. efforts to improve outcomes for elderly residents in long-term care facilities, and finds valuable lessons for New Zealand.

In the Literature

Testimony -- Moving to a Higher Level: How Collaboration and Cooperation Can Improve Nursing Home Quality

May 15, 2008 - In invited Congressional testimony, the Fund's Mary Jane Koren explained how the Quality Improvement Organization program, in conjunction with two voluntary initiatives, are moving nursing homes to a higher level of performance.


Culture Change in Nursing Homes: How Far Have We Come? Findings From The Commonwealth Fund 2007 National Survey of Nursing Homes

May 9, 2008 - The first national survey to measure "culture change" within the U.S. nursing home industry finds positive signs that long-term care facilities are beginning to transform themselves from institutional settings into more homelike facilities where residents' needs and preferences come first.

Fund Report

It's a Family Affair: Consumer Advocacy for Nursing Home Residents in the United States

February 22, 2008 - Despite their effectiveness, many nursing home consumer advocacy groups are "constantly operating on the edge of organizational failure," according to the authors of a new Commonwealth Fund-supported study.

In the Literature

Exploring the Cost and Value of Private Versus Shared Bedrooms in Nursing Homes

February 15, 2008 - A Fund-supported study concludes that nursing home residents who have private rooms have better psychosocial and clinical outcomes than residents in shared rooms. And while construction costs are higher, the extra funds are likely to be recouped because of private rooms' greater market appeal.

In the Literature

Culture Change in a For-Profit-Nursing Home Chain: An Evaluation

February 13, 2008 - This Commonwealth Fund report discusses results of a 12-month evaluation of a resident-centered care initiative in one of the nation's largest nursing home chains.

Fund Report

The Costs and Potential Savings Associated with Nursing Home Hospitalizations

November 6, 2007 - Better prevention and treatment of pneumonia and other common ambulatory conditions in nursing homes could reduce avoidable hospitalizations for residents while saving Medicare and other public programs money, according to a Commonwealth Fund-supported study in the journal Health Affairs.

In the Literature

Consequences of Empowered CNA Teams in Nursing Home Settings: A Longitudinal Assessment

November 6, 2007 - Nursing homes that empower their frontline workers to make decisions regarding patient care achieve better performance from certified nurse aides (CNAs), improved resident care, and other positive effects, say the authors of a Commonwealth Fund-supported study.

In the Literature

Where Should Momma Go? Current Nursing Home Performance Measurement Strategies

November 5, 2007 - When deciding on a nursing home for a family member, consumers often rely on information from ranking systems that are based solely on quantitative measures of questionable importance, say the authors of this Commonwealth Fund-supported article

In the Literature

Separate and Unequal: Racial Segregation and Disparities in Quality Across U.S. Nursing Homes

September 11, 2007 - A new Commonwealth Fund-supported study shows that poorer quality of care in nursing homes is linked to racial segregation. Black residents are more likely than whites to live in poor-quality nursing homes marked by significant deficiencies on inspection reports, substantial staffing shortages, and financial vulnerability.

In the Literature

Medicare Prescription Drug Benefit Progress Report: Findings From a 2006 National Survey of Seniors

August 21, 2007 - In the first in-depth look at seniors' experiences with Medicare's prescription drug benefit, a new survey finds that the majority of seniors who lacked drug coverage in 2005--before the establishment of the benefit--obtained it in 2006. Even with Part D coverage, however, many seniors reported relatively high out-of-pocket spending in 2006.

In the Literature

Resident Outcomes in Small-House Nursing Homes: A Longitudinal Evaluation of the Initial Green House Program

August 16, 2007 - A new study finds that Green House nursing home residents experience better quality of life, with the same or better quality of care than those in traditional nursing homes.

In the Literature

Medicare's Quality Improvement Organization Program Value in Nursing Homes

August 2, 2007 - A new study looking at QIOs' work with nursing homes suggests that, based on measurable improvements in residents' quality of life, the QIO program is a sound investment of health care dollars.

In the Literature

Use of Health Services by Previously Uninsured Medicare Beneficiaries

July 12, 2007 - A new Commonwealth Fund-supported study by Harvard Medical School researchers finds that chronically ill Medicare beneficiaries who were previously uninsured used health services more intensively and required costlier care compared with their previously insured counterparts.

In the Literature