Improving the Quality of Care in Nursing Homes

Institute of Medicine

doi:10.17226/646

Consensus Study Report

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Improving the Quality of Care in Nursing Homes

(1986)

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As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Contributor(s): Institute of Medicine; Committee on Nursing Home Regulation

Topics

Health and Medicine — Healthcare and Quality

Suggested Citation

Institute of Medicine. 1986. Improving the Quality of Care in Nursing Homes. Washington, DC: The National Academies Press. https://doi.org/10.17226/646.

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Publication Info

432 pages | 6 x 9 | Paperback
ISBN: 978-0-309-03646-7
DOI: https://doi.org/10.17226/646

Chapters		skim
Front Matter	i-xvi
1. Introduction and Summary	1-44
2. Concepts of Quality, Quality Assessment, and Quality Assurance	45-68
3. Regulatory Criteria	69-103
4. Monitoring Nursing Home Performance	104-145
5. Enforcing Compliance with Federal Standards	146-170
6. Other Factors Affecting Quality of Care and Quality of Life in Nursing Homes	171-189
7. Issues Requiring Further Study	190-202
8. Actions Required and Cost Implications of the Recommendations	203-212
Notes	213-237
Appendix A: History of Federal Nursing Home Regulation	238-253
Appendix B: Existing SNF Conditions of Participation and ICF Standards	254-314
Appendix C: Report of Survey of State Health Facility Licensure and Certification Agencies	315-350
Appendix D: Selected Data on Nursing Homes and Residents	351-377
Appendix E: Key Indicators of Quality of Care	378-388
Glossary	389-404
Acronyms and Initialisms	405-406
Index	407-416

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