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A priority assignment model for standards and conditions in a long term care survey
Socio-Economic Planning Sciences
|December 12, 1980
Summary
This study introduces a new survey process for New York long-term care facilities, enhancing regulatory compliance and patient safety. The new model prioritizes facility standards based on expert input for more efficient inspections.
Area of Science:
- Healthcare Management
- Regulatory Compliance
- Public Health Policy
Background:
- Current survey processes in New York State enforce federal and state regulatory standards for long-term care facilities.
- These surveys are crucial for Medicare and Medicaid certification of skilled nursing facilities.
Purpose of the Study:
- To develop a novel, two-stage survey process for long-term care facilities.
- To create a priority assignment model for regulatory standards to optimize survey scope.
Main Methods:
- Utilized expert judgments from the New York State Office of Health Systems Management (OHSM).
- Employed Saaty's Analytical Hierarchy Process for ranking and weighting standards.
- Measured expert agreement using Kendall's coefficient of agreement.
- Applied an optimal split algorithm to classify standards by impact on patient care, health, and safety.
Main Results:
- Developed a priority assignment model for regulatory standards.
- Established a system for ranking and classifying standards based on expert input and impact.
- Created a framework for a two-stage survey process (screening and intensive).
Conclusions:
- The new survey process and priority model can serve as a management tool.
- Decision rules can be developed to tailor intensive surveys based on screening results.
- This approach aims to improve the efficiency and effectiveness of long-term care facility oversight.