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Improving the quality of long-term care
1Minnesota Chair in Long-Term Care and Aging, University of Minnesota School of Public Health, Minneapolis 55455, USA.
JAMA
|May 3, 1995
Summary
Improving long-term care quality requires shifting monitoring strategies to focus on realistic outcomes. Emphasizing accountability and fostering collaboration among providers, physicians, and families is key to better patient results.
Area of Science:
- Healthcare Management
- Gerontology
- Public Health Policy
Background:
- Nursing home care faces intensive regulation but physician neglect.
- Emerging long-term care models risk stifled innovation due to strict oversight.
- Current monitoring strategies for long-term care require significant improvement.
Purpose of the Study:
- To advocate for a shift in long-term care monitoring strategies.
- To propose an outcomes-focused approach for enhancing care quality and accountability.
- To encourage greater physician and stakeholder involvement in long-term care.
Main Methods:
- Analysis of current long-term care regulations and oversight.
- Proposal for an outcomes-based accountability framework.
- Examination of the role of the Minimum Data Set (MDS) for generating outcome data.
Main Results:
- Current regulations may stifle innovation in newer long-term care forms.
- An outcomes focus can foster creativity and collective action among stakeholders.
- Realistic outcome accountability can provide necessary regulatory pressure.
Conclusions:
- Shifting to an outcomes-based approach is crucial for improving long-term care quality.
- Physicians must embrace their role in coordinating care and influencing outcomes.
- Modifying regulations and exploring managed care can incentivize positive changes while ensuring accountability.