2010Health AffairsRequires access

Advancing Nursing Home Quality Through Quality Improvement Itself

Rachel M. Werner, R. Tamara Konetzka

Open publisher page 50 citations

Abstract

The traditional approaches to improving the quality of care at U.S. nursing homes--regulation, inspection, and accountability through public reporting--have produced modest results. Greater progress could be made by focusing incentives on broader processes related to improving quality. This could foster a culture of upstream identification and solving of problems that would supplement existing downstream requirements to meet specific safety and care standards.

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What this paper is about

The traditional approaches to improving the quality of care at U.S. nursing homes--regulation, inspection, and accountability through public reporting--have produced modest results. Greater progress could be made by focusing incentives on broader processes related to improving quality. This could foster a culture of upstream identification and solving of problems that would supplement existing downstream requirements to meet specific safety and care standards.

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Available abstract

The traditional approaches to improving the quality of care at U.S. nursing homes--regulation, inspection, and accountability through public reporting--have produced modest results. Greater progress could be made by focusing incentives on broader processes related to improving quality. This could foster a culture of upstream identification and solving of problems that would supplement existing downstream requirements to meet specific safety and care standards.

Key concepts: Accountability, Quality (philosophy), Incentive, Upstream (networking), Downstream (manufacturing), Business, Nursing, Identification (biology)

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