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Related Experiment Videos

Applying market-based reforms to long-term care.

R Tamara Konetzka¹, Rachel M Werner

¹Department of Health Studies, University of Chicago, Illinois, USA. konetzka@uchicago.edu

Health Affairs (Project Hope)

|January 6, 2010

Summary

U.S. long-term care policy aims to improve quality of life and reduce fragmentation. Reporting systems should include quality of life measures alongside clinical quality for better home and community-based care.

Area of Science:

Health Policy
Gerontology
Healthcare Management

Background:

Current U.S. long-term care policy trends focus on enhancing quality of life, streamlining care delivery and financing, and promoting home and community-based services.
Market-based reforms like public reporting and pay-for-performance are driving improvements in clinical quality for nursing homes and home health agencies.

Purpose of the Study:

To evaluate the alignment of current long-term care policy goals with market-based reform initiatives.
To propose an expansion of quality reporting systems in long-term care.

Main Methods:

Analysis of current U.S. long-term care policy objectives.
Review of existing market-based reform mechanisms (public reporting, pay-for-performance).
Assessment of the scope of current quality measures in long-term care.

Related Experiment Videos

Main Results:

Policy goals emphasize quality of life, care coordination, and community-based settings.
Market reforms primarily target clinical quality in facility-based and home care settings.
Existing quality measures often neglect quality of life and are setting-dependent.

Conclusions:

Quality reporting systems in long-term care should integrate quality of life indicators.
Measures should be standardized across different care settings to reduce dependency on location.
Policy and market reforms need to be better aligned to encompass a holistic view of long-term care quality.