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Commonwealth Fund Survey of Nursing Homes
[Staff Reporters]
The “medical culture change” movement is working to radically transform nursing home care, and help facilities transition from institutions to home.
Survey Highlights
The following highlights just a few of the findings from the Commonwealth Fund 2007 National Survey of Nursing Homes report, released in May 2008:.
- Fifty-eight percent of culture change adopters allow residents to determine their own schedules, compared with only 22 percent of traditional nursing homes.
- Nearly two-thirds (64%) of culture change adopters implement bathing practices that are more resident-centered, while only 37 percent of traditional nursing homes do so.
- Seven of 10 culture change adopters reported that residents are involved in decisions about their facility, but only one-quarter of traditional nursing homes (27%) involve residents in such decisions.
Source: M. M. Doty, M. J. Koren, and E. L. Sturla: Culture Change in Nursing Homes: How Far Have We Come? Findings From The Commonwealth Fund 2007 National Survey of Nursing Homes, The Commonwealth Fund, May 2008 http://www.commonwealthfund.org
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Filed under: Career Development, Practice Management, Quality Initiatives, Surveys and Voting | Tagged: collaborative medical care, healthcare 2.0, patient centered care |
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Adverse Events Identified Among Medicare Skilled Nursing Facilities Residents by Category
Types of Adverse Events Percentage
Events Related to Medication 37%
Medication-induced delirium or other change in mental status 12%
Excessive bleeding due to medication 5%
Fall or other trauma with injury secondary to effects of medication 4%
Constipation, obstipation, and ileus related to medication 4%
Other medication events 14%
Events Related to Resident Care 37%
Fall or other trauma with injury related to resident care 6%
Exacerbations of preexisting conditions resulting from an omission of care 6%
Acute kidney injury or insufficiency secondary to fluid maintenance 5%
Fluid and other electrolyte disorders (e.g., inadequate management of fluid) 4%
Venous thromboembolism, deep vein thrombosis (DVT), or pulmonary embolism (PE) related to resident monitoring 4%
Other resident care events 14%
Events Related to Infections 26%
Aspiration pneumonia and other respiratory infections 10%
Surgical site infection (SSI) associated with wound care 5%
Urinary tract infection associated with catheter (CAUTI) 3%
Clostridium difficile infection 3%
Other infection events 5%
Source: Office of Inspector General (OIG), Department of Health and Human Services
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Aging in Place
What to consider.
http://www.improvementcenter.com/walk-in-tubs/aging-in-place-what-to-consider-sooner-than-later.html?WT.qs_osrc=MSN
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http://www.msn.com/en-us/news/national/to-collect-debts-nursing-home-seizing-control-over-patients/ar-AA8A7Q6?ocid=iehp
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https://www.msn.com/en-us/news/us/under-pressure-desantis-releases-names-of-elder-care-homes-with-covid-19-cases/ar-BB12QPUW?li=BBnbfcL&ocid=SK2LDHP
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Nursing Home Health Standards are Poor?
https://www.propublica.org/article/nursing-homes-violated-basic-health-standards-allowing-the-coronavirus-to-explode?utm_source=pardot&utm_medium=email&utm_campaign=dailynewsletter
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CRITERIA
Check out their overall star ratings. The overall rating is based on a nursing home’s performance on 3 sources: health inspections, staffing, and quality of resident care.
View detailed staffing data, including the staffing hours of different types of staff and staff turnover rates.
See COVID-19 vaccination rates for residents and staff at nursing homes in your area.
Chip
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Corona Pandemic?
https://www.msn.com/en-us/news/us/dying-for-care/ar-AAUSrEY?li=BBnb7Kz
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COVID
https://www.msn.com/en-us/news/us/aided-by-many-states-nursing-homes-fend-off-lawsuits-filed-by-families-over-covid-deaths/ar-AAVxCXm?li=BBnb7Kz
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