Nursing Homes and the Affordable Care Act: A Cease Fire in the Ongoing Struggle Over Quality Reform

Journal of Aging and Social Policy

Volumn 24, Issue 2, 2012, Pages 206-220

  Hawes, Catherine ^a   Moudouni, Darcy M ^a   Edwards, Rachel B ^a   Phillips, Charles D ^a  

^a TEXAS A AND M HEALTH SCIENCE CENTER   (United States)

Author keywords

elder abuse; health care reform; long term care; nursing homes; public reporting; quality; regulation; survey and certification

Indexed keywords

CERTIFICATION; ELDERLY CARE; HEALTH POLICY; LAW ENFORCEMENT; POLICY IMPLEMENTATION; POLICY REFORM; PRIMARY HEALTH CARE; REGULATORY FRAMEWORK; SERVICE PROVISION; SURVEY;

AGED; ARTICLE; CONSUMER; ECONOMICS; EDUCATION; ELDER ABUSE; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; LONG TERM CARE; MANPOWER; METHODOLOGY; NURSING HOME; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; STANDARD; TOTAL QUALITY MANAGEMENT; UNITED STATES;

AGED; CONSUMER PARTICIPATION; ELDER ABUSE; HEALTH CARE REFORM; HEALTH PERSONNEL; HUMANS; LONG-TERM CARE; NURSING HOMES; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PROGRAM EVALUATION; QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; STAFF DEVELOPMENT; UNITED STATES;

EID: 84859780027     PISSN: 08959420     EISSN: 15450821     Source Type: Journal    
DOI: 10.1080/08959420.2012.660046     Document Type: Article

References (34)

1. Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W. and Kilpatrick, D. G. 2010. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100(2): 292-297.
2. Bonnie, R. J. and Wallace, R. B. 2002. Elder mistreatment: Abuse, neglect, and exploitation in an aging America. Panel to Review Risk and Prevalence of Elder Abuse and Neglect, National Research Council, Washington, DC: National Academies Press.
3. Center for Medicare Advocacy. (2010). Health reform: The nursing home provisions. CMA Alert. June 17. http://www.medicareadvocacy.org/2010/06/17/health-reform-provisions/.
4. Duhigg, C. (2007). At many homes, more profit and less nursing. New York Times. September 23. http://www.nytimes.com/2007/09/23/business/23nursing.html?_r=2&oref=slogin.
5. Edelman, T. 1997-1998. The politics of long-term care at the federal level and implications for quality. Generations, 21(4): 37-41.
6. Gagel, B. 1995. Health care quality improvement project. Health Care Financing Review, 16(4): 15-23.
7. Harrington, C., Olney, B., Carrillo, H. and Kang, T. 2011. Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies. Health Services Research., doi:10.1111/j.1475-6773.2011.01311.x
8. Hawes, C., Phillips, C. D., Morris, J. N., Mor, V., Fries, B., Steele-Freidlob, E., and Nennsteil, M. 1997. The impact of OBRA-87 and the RAI on indicators of process quality in nursing homes. Journal of the American Geriatrics Society, 45(8): 977-985.
9. Kumar, V., Norton, E. C. and Encinosa, W. E. 2006. OBRA 1987 and the quality of nursing home care. International Journal of Health Care Finance and Economics, 6(1): 49-81.
10. Lindberg, B. W., Sabatino, C. P. and Blancato, R. B. 2011. Bringing national action to a national disgrace: The history of the Elder Justice Act. National Academy of Elder Law Attorneys Journal, 7(1): 105-124.
11. Miller, T. P. 2010. Health reform: Only a cease-fire. Health Affairs, 29(6): 1101-1105.
12. Mixson, P. M. 2010. Public policy, elder abuse, and adult protective services: The struggle for coherence. Journal of Elder Abuse and Neglect, 22(1-2): 16-36.
13. Mor, V., Intrator, O., Hiris, J., Fries, B., Phillips, C. D., Hawes, C., and Morris, J. N. 1997. Impact of the MDS on changes in nursing home discharge rates and destinations. Journal of the American Geriatrics Society, 45(8): 1002-1010.
14. Oberlander, J. 2010. Long time coming: Why health reform finally passed. Health Affairs, 29(6): 1112-1116. doi:10.1377/hlthaff.2010.0447
15. Pear, R. 2008. Serious deficiencies in nursing homes are often missed, report says. New York Times, 23 May 15
16. Phillips, C. D., Morris, J. N., Hawes, C., Mor, V., Fries, B., Murphy, K., and Nennsteil, M. 1997. The impact of the RAI on ADLs, continence, communication, cognition, and psychosocial well-being. Journal of the American Geriatrics Society, 45(8): 986-993.
17. Reichard, J. B. (2008, May 15). Worries over nursing home care agitate lawmakers. CQ HealthBeat. http://www.commonwealthfund.org/Newsletters/Washington-Health-Policy-in-Review/2008/May/Washington-Health-Policy-Week-in-ReviewMay-2008/Worries-Over-Nursing-Home-Care-Agitate-Lawmakers.aspx.
18. Schulte, B. (2008). A bill aims for nursing home reform: Proposed legislation considers the biggest reform of the industry in decades. U.S. News & World Report. February 22. www.usnews.com/news/national/articles/2008/02/22/a-bill-aims-for-nursing-home-reform.
19. Singer, P. (2008). Members offered many bills but passed few. Roll Call. December 1. http://www.rollcall.com/issues/54_61/30466-1.html.
20. Teaster, P. B., Wangmo, T. and Anetzberger, G. J. 2010. A glass half full: The dubious history of elder abuse policy. Journal of Elder Abuse and Neglect, 22(1-2): 6-15. doi:10.1080/08946560903436130
21. United States House Select Committee on Aging, Subcommittee on Health and Long-Term Care. 1985. Elder abuse: A national disgrace. 99th Congress, 1st session, 99-502. Washington, DC: Government Printing Office.
22. United States House Select Committee on Aging, Subcommittee on Health and Long-Term Care. 1990. Elder abuse: A decade of shame and inaction.101st Congress, 2nd session, Washington, DC: Government Printing Office.
23. United States House Select Committee on Aging, Subcommittee on Health and Long-Term Care. 1991. Protecting America's abused elderly: The need for Congressional action.102nd Congress, 1st session, Washington, DC: Government Printing Office.
24. United States House Committee on Government Reform, Special Investigations Division. 2001. Abuse of residents is a major problem in U.S. nursing homes. H. A. Waxman. 107th Congress, 1st session, Washington, DC: Government Printing Office.
25. United States Senate Special Committee on Aging. (2009). Senators reintroduce bill to raise standard of care in nursing homes nationwide [press release]. March 19. http://aging.senate.gov/hearing_detail.cfm?id=310113.
26. United States Senate Special Committee on Aging. (2011, March 2). Justice for all: Ending elder abuse, neglect and financial exploitation. http://aging.senate.gov/hearing_detail.cmf?id=33155.
27. United States Department of Health and Human Services, Office of Inspector General. 2006. Nursing home complaint investigations doi:OEI-01-04-00340, July 2006
28. United States Government Accountability Office. 1999. Nursing homes: Additional steps needed to strengthen enforcement of federal quality standards (GAO/HEHS-99-46), Washington, DC: U.S. Government Printing Office.
29. United States Government Accountability Office. 2003. Nursing home quality: Prevalence of serious problems, while declining, reinforces importance of enhanced oversight. GAO-03-561, Washington, DC: U.S. Government Printing Office. July 15.
30. United States Government Accountability Office. 2005. Nursing homes: Despite increased oversight, challenges remain in ensuring high-quality care and resident safety. GAO-06-117, Washington, DC: U.S. Government Printing Office. December 28.
31. United States Government Accountability Office. 2007. Nursing home reform: Continued attention is needed to improve quality of care in small but significant share of homes.GAO-07-794T, Washington, DC: U.S. Government Printing Office. May 2.
32. United States Government Accountability Office. 2008. Nursing homes: Federal monitoring surveys demonstrate continued understatement of serious care problems and CMS oversight weaknesses. GAO-08-517, Washington, DC: U.S. Government Printing Office. May 9.
33. United States Government Accountability Office. 2009. Medicare and Medicaid participating facilities: CMS needs to reexamine its approach for funding state oversight of health care facilities. GAO-09-64, Washington, DC: U.S. Government Printing Office. February 13.
34. United States Government Accountability Office. 2011. Stronger federal leadership could help improve response to elder abuse, Washington, DC: U.S. Government Printing Office. GAO-11-384T, Mar 2.