Regulating U.S. nursing homes: Are we learning from experience?

Health Affairs

Volumn 20, Issue 6, 2001, Pages 128-144

  Walshe, Kieran ^a,b  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CERTIFICATION; HEALTH CARE QUALITY; HUMAN; LEGAL ASPECT; NURSING HOME; ORGANIZATION; SOCIAL CONTROL; STANDARD; UNITED STATES;

AGED; CERTIFICATION; FACILITY REGULATION AND CONTROL; HUMAN; NURSING HOMES; ORGANIZATIONAL OBJECTIVES; QUALITY ASSURANCE, HEALTH CARE; SUPPORT, NON-U.S. GOV'T; UNITED STATES;

EID: 0035512537     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.20.6.128     Document Type: Article

References (20)

1. See, for example, F. Moss and V. Halamandaris, Too Old, Too Sick, Too Bad: Nursing Homes in America (Germantown, Md.: Aspen, 1977); M.A. Mendelson, Tender Loving Greed (New York: Vintage Books, 1974); and B. Vladeck, Unloving Care: The Nursing Home Tragedy (New York: Basic Books, 1980).
2. See, for example, F. Moss and V. Halamandaris, Too Old, Too Sick, Too Bad: Nursing Homes in America (Germantown, Md.: Aspen, 1977); M.A. Mendelson, Tender Loving Greed (New York: Vintage Books, 1974); and B. Vladeck, Unloving Care: The Nursing Home Tragedy (New York: Basic Books, 1980).
3. See, for example, F. Moss and V. Halamandaris, Too Old, Too Sick, Too Bad: Nursing Homes in America (Germantown, Md.: Aspen, 1977); M.A. Mendelson, Tender Loving Greed (New York: Vintage Books, 1974); and B. Vladeck, Unloving Care: The Nursing Home Tragedy (New York: Basic Books, 1980).
4. Institute of Medicine, Improving the Quality of Care in Nursing Homes (Washington: National Academy Press, 1986).
5. T.S. Jost, "Regulation of the Quality of Nursing Home Care in the United States," Quality Assurance in Health Care 1, no. 4 (1990): 223-228.
6. U.S. General Accounting Office, California Nursing Homes: Care Problems Persist Despite Federal and State Oversight, Pub. no. GAO/HEHS-98-202 (Washington: GAO, 1998); and U.S. House of Representatives Special Investigations Division, Committee on Government Reform, Abuse of Residents Is a Major Problem in U.S. Nursing Homes (Washington: U.S. House of Representatives, 2001).
7. U.S. General Accounting Office, California Nursing Homes: Care Problems Persist Despite Federal and State Oversight, Pub. no. GAO/HEHS-98-202 (Washington: GAO, 1998); and U.S. House of Representatives Special Investigations Division, Committee on Government Reform, Abuse of Residents Is a Major Problem in U.S. Nursing Homes (Washington: U.S. House of Representatives, 2001).
8. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
9. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
10. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
11. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
12. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
13. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
14. U.S. Senate Special Committee on Aging, The Nursing Home Initiative: Results at Year One (Washington: U.S. Senate, 1999); Centers for Medicare and Medicaid Services, Interim Report on Nursing Home Quality of Care and Implementation of the Nursing Home Initiative (Washington: CMS, 2000); GAO, Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards, Pub. no. GAO/HEHS-99-46 (Washington: GAO, 1999); GAO, Nursing Homes: Complaint Investigation Processes often Inadequate to Protect Residents, Pub. no. GAO/HEHS-99-80 (Washington: GAO, 1999); GAO, Nursing Homes: Proposal to Enhance Oversight of Poorly Performing Homes Has Merit, Pub. no. GAO/HEHS-99-157 (Washington: GAO, 1999); GAO, Nursing Home Care: Enhanced HCFA Oversight of State Programs Would Better Ensure Quality, Pub. no. GAO/HEHS-00-6 (Washington: GAO, 1999); and GAO, Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives, Pub. no. GAO/HEHS-00-197 (Washington: GAO, 2000).
15. IOM, Improving the Quality of Long-Term Care (Washington: National Academy Press, 2001).
16. S. Heffler et al., "Health Spending Growth Up in 1999; Faster Growth Expected in the Future," Health Affairs (Mar/Apr 2001): 193-203.
17. C. Harrington, "Regulating Nursing Homes: Residential Facilities in the United States," British Medical Journal 323, no. 7311 (2001): 507-510.
18. C. Hawes, The History and Impact of Federal Standards in OBRA-87 (New York: Commonwealth Fund, 1996).
19. IOM, Improving the Quality of Care in Nursing Homes.
20. C. Hawes, "Regulation and the Politics of Long Term Care," Generations 21, no. 4 (1997): 5-9.