The two Nursing Homes that I will be comparing are: Studio City Rehabilitation Center and Valley Palms Care Center within the San Fernando Valley. The Studio City Rehabilitation Center is rated as a low functioning site at 2 out of 5 stars, while the Valley Palms Care Center is rated as a high functioning site at 4 out of 5 stars. Both sites have differences and similarities regarding their overall environment, staff members, quality of measuring/ensuring care, and overall rating on the Nursing Home Compare Medicare website. These varying factors have resulted in the quality of health care for both sites to be different from one another, as evidenced by their rating differences and my observations.
The Studio City Rehabilitation Center is in
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This allows individuals to have an easier time entering and exiting their large parking lot. Staff members at this Nursing Home were not smoking outside by the entrance. As I entered the building, the entrance door made a ‘buzzer’ sound, signally that an individual has entered or exited the facility. This is a great feature to have. The Studio City Rehabilitation Center did not have a way to keep track if an individual left or entered the building. The Valley Palms Care Center is very clean, well lit, and has air flowing through the facility. This facility is smaller than the Studio City Rehabilitation Center, but all the various rooms are spread out evenly throughout the floor. In addition, they have a large rehab gym (with many amenities) that is in the middle of their facility. The structure of the Nursing Home is based around their rehab gym, with all the residents’ rooms surrounding. In addition, the facility has a barbershop, dining rooms, courtyards, and a spacious socializing/activity area with comfortable looking sofas. All the residents seemed very happy and I did not notice any urine stains on the beds or floors. I noticed a cleaning crew who kept circulating around this Nursing Home, which is a great plus. Overall, the cleanliness and ambiance of this facility was of high quality compared to Studio City Rehabilitation
A website like Hospital Compare presents patients and their providers with important information on hospitals. They can view patient satisfaction surveys and see how hospitals are handling important diseases like stroke and heart condition. Patients are able to choose a hospital that will provide them with the care they need and they can avoid hospitals that lag behind in key areas. Another benefit is that hospitals are held more accountable. It is bad business for any hospital to have low rankings. Externally reported measures allows the public to see how well a hospital is performing, which can equate to more business or a loss in revenue. These reports put a spotlight on hospitals and forces them to fix areas that need improvement. A major challenge to externally reported measures is the data. If the data is not collected correctly or lacks accuracy it can cause more harm than good. Information that is not accurate can cause a hospital its reputation. The hospital would have to spend time fixing the error and the public perception that the false report has caused. Benchmarking can be benefit in these reports as it allows health care facilities to see where they stand when compare to either national standards
Long term care facilities are for patients looking for 24 hour care, these are sometimes referred to as nursing homes. Providing safety and quality of life with nursing as well as endless supervision. Long term care facilities are held through profit or non profit organizations. Long-term care facilitates are generally classified by ownership: Proprietary (for profit) meaning owned by individual or corporation and run for profit. Religious, meaning owned and operated by a religious organization, lay/charitable meaning owned and operated by a voluntary, non governmental and non religious body. (non profit). And others would be municipal, regional, provincial and federal. “Ontario carries 17% For profit facilitates, 46% government owned, 18% not for profit, and 19% Religious facilities for long term care. That is a 48.4% rate of not for profit homes with a 51.6% rates of profit organizations” (Banerjee, An Overview of Long-Term Care in Canada and Selected Provinces and Territories). Through the whole of this research paper, the terms will be grouped looking through for profit facilities and not for profit facilities of Ontario. This paper also has the intention to promote the need for maximizing priorities in long term care facilities as they lack the funds needed to fully produce the mission of quality. “Take away the public relations spin and it is clear that even the for-profit association admits that cutting on food and staff costs, and charging higher fees is the practice to maximize profit taking from the homes. Conversely, municipalities are pouring funding into the operational budgets of the facilities to improve care. Non-profits fundraise to provide activities and amenities. They act ...
All nursing home facilities have their own regulations that governs and controls the facility residents, providers, policies and procedures. In addition to their own regulations, nursing homes are regulated jointly by state (department of health for each state) and the federal government (U.S Department of Health and Human Services, Centers for Medicare and Medicaid Services CMS) (Rosenfeld, 2009). In order to ensure that nursing home facilities comply with regulations and policies, state and federal government send agencies to conduct surveys which are inspections that are done once or twice annually depending on the facility performance and the inspections are done
As a nursing home model, Green Houses are obviously providers of long-term care services, including basic nursing and medical services. According to Kane et al., “A group of GHs on a campus or scattered in a residential neighborhood operates under a nursing home license and within a state’s usual Medicaid reimbursement amounts, although a redistribution of expenditures could occur (2007). Researchers of healthcare management (and healthcare managers themselves) have an interest in studying the differences healthcare management variables that arise between different nursing home models. Healthcare management factors of interest include a model’s financial feasibility (especially for nursing home services covered by some public funds, like Medicaid),
The reason for the controversy of the Hospital Consumer Assessment of Healthcare Providers & Systems, referred to as HCAHPS (pronounced “H-caps”), is the tie that the Center for Medicare and Medicaid Services (CMS) placed between the scores of the assessment and healthcare reimbursement (Westbrook, Babakus, & Grant, 2014). There are two sides to consider when addressing HCAHPS/Press Ganey surveys as they directly affect hospital reimbursement. Patient satisfaction, quality of care, and how they portray their hospital stay contributes to the reimbursement that hospital receives. The nurse-patient relationship plays a large role in influencing the quality of care than patients feel that they are receiving.
Papanicolas, I. & Smith, P. (2013). Health system performance comparison an agenda for policy, information and research. Maidenhead: Open University Press.
Gregory, L., A. An Analysis of Nursing Home Quality Measures and Staffing. (2010, Dec. 21). Web. Retrieved from http://www.ncbi.nlm.gov/pmc/articles/PMC3006165/.
Based on the case study provided: Hospital A, Porter Regional Medical Centre (Hosp. A) & Hospital B Banner Regional Medical Centre and Turner Geriatric Centre (Hosp. B) merged to form a consolidated entity named “Portsmith Regional Medical Centre” (PRMC). Both Hospital A and B were fully accredited hospital, with “state-of- art diagnostic technology” which included MRI and CAT scanners, 24-hour physician staffed emergency centers. Both Hospital A and Hospital B are located in a small community of 60,000 people in southeastern part of Idaho.
Medicare.gov/Hospital Compare The Official U.S. Government Site for Medicare (n.d). Linking Quality to Payment. Retrieved from http://www.medicare.gov/hospitalcompare/linking-quality-to-payment.html.
Many people confuse nursing homes with assisted living facilities, but there are several important differences between them. There is a very thin border, which separates the nursing homes from the assisted living facilities. The primary purpose of both of them is to provide medical care and assistance to the residents. However, there is a difference in the level of care provided in each of them, their eligibility criteria, privacy provided, their cost of living, amenities, social activities, and the coverage by the insurance.
LaMantia, M., Scheunemann, L., Viera, A., Busby-Whitehead, J., & Hanson, J. (2010). Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review. Journal of the American Geriatrics Society, 58(4), 777—82.
Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987 Congress responded to reports of widespread neglect and abuse in nursing homes during 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care. The legislation, included in the Omnibus Budget Reconciliation Act of 1987, which specifies that a nursing home “must provide services and activities to attain or maintain the highest practicable phys...
...n-Greener, H., Spector, W. D., Veazie, P., & Mukamel, D. B. (2013). Making Difficult Decisions: The Role of Quality of Care in Choosing a Nursing Home. American Journal Of Public Health, 103(5), e1-e7.
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
...ll, L., Cang, Y., Teno, J.. Dosa D, Intrator O, McNicoll L, Cang Y, Teno J. Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set. J. Am Geriatr Soc. 2007, Vol. 55, (7), 1099-105.