Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Home Care Agencies: Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed)Accidents, HomeHome Care Services, Hospital-Based: Hospital-sponsored provision of health services, such as nursing, therapy, and health-related homemaker or social services, in the patient's home. (Hospital Administration Terminology, 2d ed)Hemodialysis, Home: Long-term maintenance hemodialysis in the home.Home Childbirth: Childbirth taking place in the home.Home Health Aides: Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202)Housing: Living facilities for humans.House Calls: Visits to the patient's home by professional personnel for the purpose of diagnosis and/or treatment.Group Homes: Housing for groups of patients, children, or others who need or desire emotional or physical support. They are usually established as planned, single housekeeping units in residential dwellings that provide care and supervision for small groups of residents, who, although unrelated, live together as a family.Home Infusion Therapy: Use of any infusion therapy on an ambulatory, outpatient, or other non-institutionalized basis.Parenteral Nutrition, Home: The at-home administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered via a route other than the alimentary canal (e.g., intravenously, subcutaneously).Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Air Pollution, Indoor: The contamination of indoor air.Home Health Nursing: A nursing specialty in which skilled nursing care is provided to patients in their homes by registered or licensed practical NURSES. Home health nursing differs from HOME NURSING in that home health nurses are licensed professionals, while home nursing involves non-professional caregivers.Foster Home Care: Families who care for neglected children or patients unable to care for themselves.United StatesCommunity Health Nursing: General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Residential Facilities: Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Housing for the Elderly: Housing arrangements for the elderly or aged, intended to foster independent living. The housing may take the form of group homes or small apartments. It is available to the economically self-supporting but the concept includes housing for the elderly with some physical limitations. The concept should be differentiated from HOMES FOR THE AGED which is restricted to long-term geriatric facilities providing supervised medical and nursing services.Nurses' Aides: Allied health personnel who assist the professional nurse in routine duties.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Homing Behavior: Instinctual patterns of activity related to a specific area including ability of certain animals to return to a given place when displaced from it, often over great distances using navigational clues such as those used in migration (ANIMAL MIGRATION).Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Institutionalization: The caring for individuals in institutions and their adaptation to routines characteristic of the institutional environment, and/or their loss of adaptation to life outside the institution.Tobacco Smoke Pollution: Contamination of the air by tobacco smoke.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Environmental Exposure: The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals.Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Protective Devices: Devices designed to provide personal protection against injury to individuals exposed to hazards in industry, sports, aviation, or daily activities.Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Dementia: An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.Housekeeping: The care and management of property.Hospices: Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Accidental Falls: Falls due to slipping or tripping which may result in injury.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Dust: Earth or other matter in fine, dry particles. (Random House Unabridged Dictionary, 2d ed)Family: A social group consisting of parents or parent substitutes and children.Safety: Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.Dependency (Psychology): The tendency of an individual or individuals to rely on others for advice, guidance, or support.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Household Articles: Various material objects and items in the home. It includes temporary or permanent machinery and appliances. It does not include furniture or interior furnishings (FURNITURE see INTERIOR DESIGN AND FURNISHINGS; INTERIOR FURNISHINGS see INTERIOR DESIGN AND FURNISHINGS).Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Social Environment: The aggregate of social and cultural institutions, forms, patterns, and processes that influence the life of an individual or community.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)EnglandInfant, Newborn: An infant during the first month after birth.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Homebound Persons: Those unable to leave home without exceptional effort and support; patients (in this condition) who are provided with or are eligible for home health services, including medical treatment and personal care. Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not indicate an ability to receive health care in a professional's office or health care facility. (From Facts on File Dictionary of Health Care Management, 1988, p309)Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Heating: The application of heat to raise the temperature of the environment, ambient or local, or the systems for accomplishing this effect. It is distinguished from HEAT, the physical property and principle of physics.Accident Prevention: Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations.Midwifery: The practice of assisting women in childbirth.Family Characteristics: Size and composition of the family.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Blood Pressure Monitoring, Ambulatory: Method in which repeated blood pressure readings are made while the patient undergoes normal daily activities. It allows quantitative analysis of the high blood pressure load over time, can help distinguish between types of HYPERTENSION, and can assess the effectiveness of antihypertensive therapy.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Patient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Parenteral Nutrition, Home Total: The at-home administering of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously or by some other non-alimentary route.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Time Factors: Elements of limited time intervals, contributing to particular results or situations.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Nursing Services: A general concept referring to the organization and administration of nursing activities.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Architectural Accessibility: Designs for approaching areas inside or outside facilities.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Nursing Assessment: Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Mothers: Female parents, human or animal.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Floors and Floorcoverings: The surface of a structure upon which one stands or walks.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Health Facilities, Proprietary: Health care institutions operated by private groups or corporations for a profit.Pressure Ulcer: An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure.Self-Help Devices: Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Child Welfare: Organized efforts by communities or organizations to improve the health and well-being of the child.Insurance, Long-Term Care: Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.Monitoring, Ambulatory: The use of electronic equipment to observe or record physiologic processes while the patient undergoes normal daily activities.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Great BritainLongitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.FiresHealth Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Centers for Medicare and Medicaid Services (U.S.): A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.Environment: The external elements and conditions which surround, influence, and affect the life and development of an organism or population.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Infant Care: Care of infants in the home or institution.Environmental Monitoring: The monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the environment (soil, air, and water), workplace, or in the bodies of people and animals present in that environment.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Firearms: Small-arms weapons, including handguns, pistols, revolvers, rifles, shotguns, etc.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Independent Living: A housing and community arrangement that maximizes independence and self-determination.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Interior Design and Furnishings: The planning of the furnishings and decorations of an architectural interior.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Intermediate Care Facilities: Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Psychomotor Agitation: A feeling of restlessness associated with increased motor activity. This may occur as a manifestation of nervous system drug toxicity or other conditions.Death: Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.New YorkChild Health Services: Organized services to provide health care for children.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Telemetry: Transmission of the readings of instruments to a remote location by means of wires, radio waves, or other means. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Delivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Household Products: Substances or materials used in the course of housekeeping or personal routine.Northern IrelandOccupational Therapy: Skilled treatment that helps individuals achieve independence in all facets of their lives. It assists in the development of skills needed for independent living.Community Health Workers: Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.Child Care: Care of CHILDREN in the home or in an institution.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Blood Pressure Determination: Techniques for measuring blood pressure.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Oxygen Inhalation Therapy: Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Nursing Evaluation Research: Research carried out by nurses that uses interviews, data collection, observation, surveys, etc., to evaluate nursing, health, clinical, and nursing education programs and curricula, and which also demonstrates the value of such evaluation.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Asthma: A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).Parent-Child Relations: The interactions between parent and child.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Nurse Midwives: Professional nurses who have received postgraduate training in midwifery.Durable Medical Equipment: Devices which are very resistant to wear and may be used over a long period of time. They include items such as wheelchairs, hospital beds, artificial limbs, etc.Organizations, Nonprofit: Organizations which are not operated for a profit and may be supported by endowments or private contributions.Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.
  • WASHINGTON, May 28- More than a third of the nation's nursing homes offering skilled care failed to meet standards for clean food in surprise inspections in 1988 and 1989, and nearly a quarter did not administer drugs properly, according to the Government's latest consumer guide. (nytimes.com)
  • Nurse-patient relationship studies have explored relational capacity as a foundation for nursing practice ( Hartrick, 1997 ), intersubjective relational understanding and mutuality, the intersubjective sharing of feelings and beliefs in a respectful way ( Vatne & Hoem, 2008 ), and mutuality and connectedness that can empower both nurse and patient ( Jerzak, 2001 ). (healio.com)
  • As Figure 1 illustrates, federal dollars pay for the majority of nursing home care. (aarp.org)
  • We tested the effectiveness of an Australian NHV program ([email protected]home), offered to pregnant women experiencing adversity, hypothesizing improvements in (1) parent care, (2) responsivity, and (3) the home learning environment at child age 2 years. (aappublications.org)
  • States vary dramatically in their reimbursement for nursing home care. (rand.org)
  • Board and care homes have never been approved by community planning as intermediate care facilities (ICFs), or even the emblematic group homes, often falling far short at health and community gates. (wikipedia.org)
  • Board and Care homes were the subject of exposés for lacking medical personnel at the time of the 1990s reviews. (wikipedia.org)
  • citation needed] Nursing homes have been the subject of decades of efforts by states and at the national levels to reform health and residential care for "frail" elders, especially those with lower incomes in the US. (wikipedia.org)
  • citation needed] A major nursing home reform initiative occurred in 1996 when the Health Care Financing Administration studied its own facilities and reported to the US Congress on the effectiveness of its current system and certification of nursing homes. (wikipedia.org)
  • By 2000, minimum staffing ratios and implementation of Nursing Home Quality of Care were introduced. (wikipedia.org)
  • Beverly Enterprises, the nation's largest publicly held operator of nursing homes, announced Thursday that it has agreed to acquire 59 nursing home facilities with 6,321 beds from Angell Care Inc. (latimes.com)
  • Headquartered in Winston-Salem, N.C., privately held Angell Care operates primarily in the Midwest, with more than half of the nursing homes located in Missouri. (latimes.com)
  • A 1986 study organized by the Institute of Medicine found that people in nursing homes were not getting fair or adequate health care or personal treatment. (wikipedia.org)
  • Nursing Home Care Quality Twenty Years After The Omnibus Budget Reconciliation Act of 1987" (PDF). (wikipedia.org)
  • Medicare does not cover routine nursing home care-and will not even if Congress passes the misnamed catastrophic health care legislation it is considering. (chicagotribune.com)
  • There is also the guilty knowledge that while a nursing home can provide better physical and rehabilitative care for elderly patients than most homes, the emotional costs can be painful. (chicagotribune.com)
  • Data for the 1977 National Nursing Home Survey were collected in a nationwide sample of nursing homes, personal care homes (with or without nursing), and domicilary care homes. (umich.edu)
  • Has the role of nursing homes in long-term care changed as postacute care has risen and alternative settings such as assisted living have present- fl ourished? (cdc.gov)
  • Nursing homes remain a place providing care to those with more chronic conditions requiring longer (if services for a not permanent) care, although the pattern of utilization by short-stay patients has changed. (cdc.gov)
  • The patient's cognitive abilities determine the provision of nursing care to a large extent as they influence communication, the support to be given in daily life activities, the recognition and treatment of other nursing problems (e.g., pain, behavioural problems), and discharge policy [ 1 - 3 ]. (hindawi.com)
  • Regardless of which strategy is chosen, our model suggests that influenza control programs in nursing homes are both beneficial and cost-effective and should be considered a part of standard care. (annals.org)
  • Nursing homes are used for different purposes ranging from short-term rehabilitative care for persons recovering from an acute illness to long-term care for persons with chronic disabilities that preclude their residency in the community. (hhs.gov)
  • Because of the different reasons why people enter nursing homes, estimates of the risks of nursing home entry and the costs of nursing home care over time need to be made for patient subgroups. (hhs.gov)
  • In this paper, we present information from the 1982 and 1984 National Long-Term Care Surveys (NLTCS) to describe the relationship between personal characteristics of older persons and their use of nursing homes. (hhs.gov)
  • Geriatric Nursing and Home Care , 22 (6), 313-317. (springer.com)
  • This is the accessible text file for GAO report number GAO-11-130R entitled 'Long-Term Care Hospitals: Differences in Their Oversight Compared to Other Types of Hospitals and Nursing Homes' which was released on December 22, 2010. (gao.gov)
  • The prevalence of restraint use in nursing homes and acute care hospitals is estimated between 25 and 85 percent. (aafp.org)
  • For the most part, officials said, area nursing homes do provide quality care. (mcall.com)
  • See ratings on health care quality in nursing homes, why quality matters to you, and how you can help get the care you deserve. (calqualitycare.org)
  • Some California nursing homes provide better care than others. (calqualitycare.org)
  • Free and easy-to-use, CalQualityCare.org offers unbiased information and ratings on the quality of California nursing homes and skilled nursing facilities (SNF), along with tips and checklists about how to choose a facility, questions to ask, how to pay for care, and what to do if something goes wrong. (calqualitycare.org)
  • CalQualityCare.org gives Performance Ratings to nursing homes in four areas: Overall, Staffing, Quality of Facility, and Quality of Care. (calqualitycare.org)
  • The Overall Performance Rating for nursing homes is based on combining the ratings for Quality of Facility, Staffing, and Quality of Care giving priority to the Facility Quality rating. (calqualitycare.org)
  • To this end, the committee commissioned papers summarizing the salient peer-reviewed literature in the areas of hospital care, nursing home care, ambulatory care, pediatric care, psychiatric care, and use of over-the-counter (OTC) and complementary and alternative medications. (nap.edu)
  • I worked in the group homes, in the Pecan Grove Unit and at Parkview, where I took care of severely retarted amd physically handicapped people from 8 months old to 98 years old. (visualcv.com)
  • Participants 12 nursing homes allocated to a multifaceted intervention and 12 allocated to usual care. (pubmedcentralcanada.ca)
  • Home Health Care in Oakville, CT can be categorized as either non-medical (home care) or Medicare certified (home health). (carepathways.com)
  • Non-medical home care includes personal care and help with everyday activities, while Medicare certified home health involves skilled nursing and rehabilitation. (carepathways.com)
  • Browse our home care directory to find an agency near Oakville, CT. (carepathways.com)
  • Call to compare rates and keep in mind that the average cost of a home health aide in Oakville, CT is $23 per hour (according to John Hancock's 2016 Cost of Care Survey). (carepathways.com)
  • Precious Touch Home Healthcare, a truly distinct and caring agency, provides comprehensive screening of all Caregivers to ensure that quality individuals take care of your loved ones. (carepathways.com)
  • Our mission at Morning Star Home Care is to provide paraprofessional services to client in the comfort of their own homes, assisting them to achieve the highest level of potential in their day to day self care activities. (carepathways.com)
  • We specialize in custom home care with multiple options for hourly or live in care. (carepathways.com)
  • Connecticut licensed quality senior care, residential and commercial cleaning company serving towns and communities in Connecticut Live-In Home Care With our excellent live-in home care your loved one ca. (carepathways.com)
  • From The Heart Home Care LLC is dedicated to offering a superior and affordable home based care experience for loved ones who want to remain at home. (carepathways.com)
  • Connecticut Nursing Services strives to deliver the best possible home care to help you or your loved one continue to live indepedently. (carepathways.com)
  • Full service home care agency located in North Haven, CT currently servicing all of CT. (carepathways.com)
  • We are a local home care agency serving Connecticut and delivering in-home assistance to elderly and disabled adults. (carepathways.com)
  • A & D Home Health Solutions - The Knowledge You Need, The Care You Depend On A & D is a company dedicated to the best possible care for your loved one. (carepathways.com)
  • A licensed homecare agency, Right at Home of Greater Fairfield County Senior Home Care has two offices - their main one in Monroe and a satellite in Danbury, CT. (carepathways.com)
  • Care Given At Home is a home care agency located in West Hartford, CT. (carepathways.com)
  • We provide affordable and compassionate non-medical home care and companion services to seniors, people with special needs and individuals recu. (carepathways.com)
  • Nursing homes, home care agencies, and other institutional providers would be paid a global budget to cover all operating costs and would not bill on a per-patient basis. (pnhp.org)
  • New hospitals that lie one-third empty house thousands of chronic-care patients because even the shabbiest nursing homes remain constantly full. (pnhp.org)
  • The experts in providing care-nurses, homemakers, social workers, and the like are locked in a hierarchy inappropriate for caring. (pnhp.org)
  • 2) Meeting routine living needs is a central feature of LTC, with biomedical issues often secondary .Hence, logic dictates that the system emphasize social services, not just medical ones, with social service and nursing personnel rather than physicians often coordinating care - a model that some physicians and policymakers may find threatening. (pnhp.org)
  • However, these studies did not necessarily deliver similar standards of care based on evidence in the treatment venues (home and clinic). (biomedcentral.com)
  • A rigorous evaluation of home versus clinic care is required to determine healing rates with equivalent care and establish the acceptability of clinic-delivered care. (biomedcentral.com)
  • In both arms, care was delivered by specially trained nurses, following an evidence protocol. (biomedcentral.com)
  • 126 participants, 65 randomized to receive care in their homes, 61 to nurse-run clinics. (biomedcentral.com)
  • No differences in 3-month healing rates: clinic 58.3% compared to home care at 56.7% (p = 0.5) or in secondary outcomes. (biomedcentral.com)
  • Key factors are a system that supports delivery of evidence-based recommendations with care being provided by a trained nursing team resulting in equivalent healing rates, HRQL whether care is delivered in the home or in a community nurse-led clinic. (biomedcentral.com)
  • It was postulated that not only would clinic-based care provide social support, encourage mobility, and improve patient outcomes through improved linkages and greater consistency of treatment between specialist and district home care, it would also reduce the number of providers and specialties involved. (biomedcentral.com)
  • Many countries are shifting to nurse delivered community care for the leg ulcer population despite a lack of comparison to equivalent home care. (biomedcentral.com)
  • Use of community clinics transfers the time and expense of travel to individuals from home care agencies, where the nurse travels to individuals' homes. (biomedcentral.com)
  • However, following an in-depth investigation, a recent report released by Consumer Reports, found inadequate care in nursing homes is still very common, particularly in the large for-profit corporations that run nursing home chains all across the nation. (lawyersandsettlements.com)
  • The report said, that nursing home staff failed to notify doctors of changes in the patient's condition, failed to properly assess the patient's condition, and failed to establish a plan to care for that person. (lawyersandsettlements.com)
  • Priscilla has 30 plus years in the healthcare field including experience as a registered nurse, certified diabetes educator and registered dietitian in the clinical, home care, and community settings. (visualcv.com)
  • Train nurses and patient care technicians to download blood glucose data. (visualcv.com)
  • Over the years, serious concerns have been raised about the quality of nursing home care and the adequacy of oversight and enforcement. (kff.org)
  • CMS recently modified the methodology of these ratings, began posting more information about nursing home deficiencies from state health inspections, and is planning future steps to increase the star ratings' reliability, as required by certain provisions in The Affordable Care Act (ACA) and the Improving Medicare Post-Acute Care Transformation Act (IMPACT). (kff.org)
  • Nurse aides (NAs), who provide more than 80% of personal care, are taught few of these skills and thus may be unprepared to offer care that fosters personally meaningful and respectful relationships ( Pennington, Scott, & Magilvy, 2003 ). (healio.com)
  • The report is based on visits by Human Rights Watch researchers to more than 100 nursing facilities in six states and more than 300 interviews with people living in facilities, their families, staff, long-term care and disability experts, government officials, and advocates. (insurancenewsnet.com)
  • Over all, the failure rate exceeded 15 percent in nine categories for the homes that provide skilled care. (nytimes.com)
  • The reports document each nursing home's compliance with 32 ''performance indicators'' that include cleanliness, medical supervision, nursing care, availability of emergency services, food quality and attention to personal needs. (nytimes.com)
  • The homes are grouped by those that provide intermediate care and those that provide skilled nursing care. (nytimes.com)
  • Among the 10,000 skilled-care homes, 36 percent were judged not to have met this standard, down from 43 percent in the previous report. (nytimes.com)
  • Of the 5,000 nursing homes providing intermediate care, 39 percent did not meet sanitary food standards, down from 45 percent in the previous report. (nytimes.com)
  • Many people choose to live in a skilled nursing facility when they have reached the age at which having additional care is necessary. (phillyinjurylawyer.com)
  • Nursing homes are intended to provide high levels of care, and most do just that. (phillyinjurylawyer.com)
  • The National Caregivers Library breaks down the major types of care facilities into five main groups ranging from homes intended for self-sufficient older adults to skilled care facilities operated by, or even within, a hospital. (phillyinjurylawyer.com)
  • Accordingly, the authors recommend that legislated minimum staffing levels be adopted, and that adequate ongoing funding be provided to meet these benchmarks, including a budget envelope specifically dedicated to direct nursing care. (irpp.org)
  • There will also be a need for more assisted-living facilities capable of providing additional support, such as medication administration or access to 24-hour assistance in case of an emergency, and for the most disabled elders - those who are no longer able to function independently - full facility-based long-term care with 24-hour nursing supervision. (irpp.org)
  • Making the decision to enter a nursing home, or realizing a loved one needs that level of care, can be difficult. (weitzlux.com)
  • Asian adult children are often ingrained with a lifelong filial obligation, prompting many to want to care for their parents at home. (seattlepi.com)
  • Sr. Deirdre successfully completed the Geriatric Spiritual Care course in 2013 and while at Mary Manning Walsh Home assisted in Pastoral Care in the Calvary Hospice Unit and throughout the House, ministering to others by her presence and her prayers. (carmelitesisters.com)
  • Few studies have examined cancer treatment and care among elderly patients residing in nursing homes. (rare-cancer.org)
  • Congress has introduced the "Nursing Home Transparency and Quality of Care Improvement Act of 2008. (rare-cancer.org)
  • To asses the effects of recent health policy initiatives on the administrative efficiency of health care, we examined four components of administrative costs in the United States and Canada for 1987: insurance overhead, hospital administration, nursing home administration, and physicians billing and overhead expenses. (pnhp.org)
  • In 1987 health care administration cost between $96.8 billion and $120.4 billion in the United States, amounting in 19.3 to 24.1 percent of total spending on health care, or $400 to $497 per capita. (pnhp.org)
  • If health care had been as efficient as in Canada, $69.0 billion to $83.2 billion would have been saved in 1987. (pnhp.org)
  • Home Aid program was established to provide family's therapy services and respite care both in and out of the home. (arcwa.org)
  • We studied all patients with community-acquired pneumonia who were admitted to our 800-bed adult acute care hospital from 1 November 1981 to 15 March 1987. (nih.gov)
  • The truth is that the United States pays enormous amounts for nursing home care, but that too much of the money is misspent. (medicareadvocacy.org)
  • GRACE, THE KAHA president, said the nursing homes feel funding levels set by the 1990 Legislature did not consider the needs of clients, but were "strictly budget-driven. (ljworld.com)
  • Unlike private industry, where the injury and illness rate among employees has been stable or has declined since 1980, the rates for hospitals and nursing homes have increased by 52% and 62%, respectively (National Research Council, 1996). (healio.com)
  • This school's history has Birmingham-based nursing education roots dating to 1903, embedded in diploma nursing education provided by hospitals that became the foundation for UAB's internationally known medical center. (uab.edu)
  • Medical malpractice claims include lawsuits against individual doctors, hospitals, nursing homes, and rehab centers. (justia.com)
  • 3 Although nationwide data on the costs of hospital and nursing home administration were not available, the California Health Facilities Commission regularly compiles detailed cost data, based on Medicare cost reports, on that state's hospitals and nursing homes. (pnhp.org)
  • Despite the study by the General Accounting Office identifying abuses in California nursing homes and media reports of statements of abuse provided to the Senate Special Committee on Aging (Thompson, 1998), most nursing homes are not guilty of such abuses. (healio.com)
  • Annual turnover among nursing home administrators may be 40% or higher (Singh & Schwab, 1998). (healio.com)
  • Why GAO Did This Study: In 1998, CMS established the Special Focus Facility (SFF) Program as one way to address poor performance by nursing homes. (gao.gov)
  • The Nu Chapter of The Honor Society for Nursing, Sigma Theta Tau International, is installed at the school as the nation's twelfth chapter. (uab.edu)
  • One of the worst examples of documented harm to the nation's elderly began in February 2006, during an annual review by state inspectors in Kentucky that found an extremely high number of serious health and safety violations at the Lakeside Heights Nursing Center in Highland Heights, Kentucky's largest nursing home with 286 beds. (lawyersandsettlements.com)
  • Nursing Home Surveys (NNHS) conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). (cdc.gov)
  • This is the fourth consecutive superior rating received by the nursing home, which is operated by the West Orange Memorial Hospital District. (orlandosentinel.com)
  • In September, the school opens with three programs: traditional baccalaureate, RN-to-BSN for registered nurses, and a centralized social/biological sciences teaching program for students in seven Alabama hospital-based diploma nursing schools. (uab.edu)
  • UA's diploma nursing school in Birmingham, University Hospital School of Nursing, begins a planned phase-out, to end with its 1969 closing. (uab.edu)
  • hospital and nursing home records. (cdc.gov)
  • hospital, nursing home, and ambulatory settings. (nap.edu)
  • For several years during her childhood she lived in New Jersey, but returned to Ireland and trained as a nurse at St. Laurence's Hospital Training School for Nurses. (carmelitesisters.com)
  • We examined four components of administrative costs in the United States and Canada: insurance overhead, hospital administration, nursing home administration, and physicians' overhead and billing expenses. (pnhp.org)
  • 2 Since then, trends in hospital and nursing home financing and organization in California have paralleled developments in the nation as a whole. (pnhp.org)
  • By multivariate analysis the following variables were significant predictors of mortality: number of lobes involved by the pneumonic process, number of antibiotics used to treat the pneumonia, age, admission from a nursing home, ventilatory support, and the number of complications that occurred while the patient was in the hospital. (nih.gov)
  • The University of Alabama at Birmingham (UAB) School of Nursing was chartered as the University of Alabama School of Nursing (UASON) in 1950. (uab.edu)
  • LAUDERDALE LAKES -- A 1980 Ford Mustang was stolen from the parking lot of a nursing home in the 3300 block of Northwest 30th Street, the Sheriff`s Office said. (sun-sentinel.com)
  • This study updates and expands estimates of the costs of health administration in North America through 1987. (pnhp.org)
  • All estimates are for fiscal year 1987, the most recent year for which complete data were available. (pnhp.org)
  • Part 2, 1987 Personal History Questionnaire (PHQ) Data, supplies information on condition prior to admission to facility, chronic disease history, whether respondent needed help with activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs), usage of assistive technology, and behavioral history. (umich.edu)
  • Assisted living came from community living (CL) groups (not from the nursing home industry) who advocated for the separation of facility funding to home and supports in the communities (for information on residential services and reform, see supportive housing and supported living). (wikipedia.org)
  • All facilities classified as nursing homes by the 1973 Master Facility Inventory with updated information on nursing homes that opened between 1973 and December 1976. (umich.edu)
  • During the same period, the number of beds per nursing home facility increased 32 percent. (cdc.gov)
  • The report said the local water district threatened to shut off service to the facility if the nursing home did not make immediate payments on an overdue bill of $40,000. (lawyersandsettlements.com)
  • This is the accessible text file for GAO report number GAO-09-689 entitled 'Nursing Homes: CMS's Special Focus Facility Methodology Should Better Target the Most Poorly Performing Homes, Which Tended to Be Chain Affiliated and For-Profit' which was released on September 28, 2009. (gao.gov)
  • Report to Congressional Requesters: United States Government Accountability Office: GAO: August 2009: Nursing Homes: CMS's Special Focus Facility Methodology Should Better Target the Most Poorly Performing Homes, Which Tended to Be Chain Affiliated and For- Profit: GAO-09-689: GAO Highlights: Highlights of GAO-09-689, a report to congressional requesters. (gao.gov)
  • As the director of nursing at one facility in Kansas told Human Rights Watch , "antipsychotics are a go-to thing. (insurancenewsnet.com)
  • A 62-year-old woman who said she was given Seroquel without her knowledge or consent at a nursing facility in Texas said: "[It] knocks you out. (insurancenewsnet.com)
  • The daughter of a 75-year-old woman recalled that when a nursing facility in Kansas put her mother on an antipsychotic drug she "would just sit there like this. (insurancenewsnet.com)
  • A former nursing home administrator in Kansas said: "The facility usually gets informed consent like this: they call you up [the healthcare proxy]. (insurancenewsnet.com)
  • You will find information about what to look for when seeing a facility for the first time, the types of questions that are important to ask facility members, and links to government websites responsible for regulating and licensing skilled nursing home facilities in Pennsylvania. (phillyinjurylawyer.com)
  • The combined use of previous vaccination and chemoprophylaxis during outbreaks in the nursing home was associated with significantly fewer cases than use of vaccination alone, with only modest increases in net program costs. (annals.org)
  • They reported that 13 large institutions were certified as SNFs (skilled nursing facilities), that all were "absolutely inappropriate" placements for the developmental disabilities' clients (the federal GAO[clarification needed] then reported a need to upgrade services in the homes, including day services), and the facilities resembled the institutions that resulted in the national exposés of institutions such as Willowbrook in other fields. (wikipedia.org)
  • Moreover, many nursing homes in the United States have achieved the status of deficiency-free, which is a cause for celebration in these facilities. (healio.com)
  • Monitoring for 60 facilities nationwide was increased due to a Clinton administration directive that called for states to examine more closely their "worst nursing homes. (californiahealthline.org)
  • Frequently, older Americans are transferred to skilled nursing facilities following illnesses or injuries that make it unsafe to be on their own. (phillyinjurylawyer.com)
  • Legislative Budget Committee report explored the future of facilities which served people with mental retardation-focus on "prevention and expanded" services including half-way houses (group homes) and sheltered workshops. (arcwa.org)
  • Skilled nursing homes - These facilities have medical service professionals 24/7, including therapists and nurses. (tsrinjurylaw.com)
  • There is a widespread belief that the United States cannot afford to pay for adequate staffing at nursing facilities. (medicareadvocacy.org)
  • Why the nursing home industry's cries of poverty don't add up," found considerable related-party and self-dealing transactions in the nursing home industry, involving facilities' sending profits to their corporate parent, paying rent to related companies, and paying management or consulting fees to related parties. (medicareadvocacy.org)
  • In Lehigh County, three of the 22 substantiated reports of elder abuse from March to December occurred at nursing homes, said Donna Zimmerman, protective services supervisor of the county's Area Agency on Aging. (mcall.com)
  • Peggy O'Neill, director of the Bucks County Area Agency on Aging, said the office takes a constructive approach with families who are caring for older persons at home. (mcall.com)
  • The acquisition--subject to state, and perhaps federal, approval--would increase Beverly's number of nursing homes to 1,000, with 112,500 beds in 44 states, the District of Columbia and the province of Ontario in Canada. (latimes.com)
  • Since it was founded in 1963 with three nursing homes and 245 beds, Beverly Enterprises has expanded through a torrid acquisition pace. (latimes.com)
  • Company officials have said that, by the end of 1987, they plan to be operating about 150,000 nursing home beds, representing about 10% of the total available beds in the United States. (latimes.com)
  • Smaller nursing homes (with fewer beds) tend to have higher star ratings than larger nursing homes. (kff.org)
  • Interventions Diagnostic and treatment algorithm for urinary tract infections implemented at the nursing home level using a multifaceted approach-small group interactive sessions for nurses, videotapes, written material, outreach visits, and one on one interviews with physicians. (pubmedcentralcanada.ca)
  • The purpose of this article is to persuade all relevant constituencies to address the problem of nursing home quality and to work collaboratively to develop a set of shared values and strategies to achieve excellence. (healio.com)
  • Nursing homes with five stars are considered to have above average quality, and nursing homes with one star are considered to have below average quality. (calqualitycare.org)
  • Affordable quality and experienced hhas cnas lpns rns bsns spend and also nurse techs. (carepathways.com)
  • In 2008, CMS introduced a Five-Star Quality Rating System that draws on the SFF methodology to rank homes from one to five stars. (gao.gov)
  • Nonetheless, reports of quality problems in nursing homes persist, such as low staffing levels, new pressure ulcers (bedsores), and documented fire hazards. (kff.org)
  • This issue brief presents national and state-level analysis of nursing homes quality scores based on these five-star ratings and discusses relevant policy considerations. (kff.org)
  • Pneumonia of unknown etiology and aspiration pneumonia were more common and Mycoplasma pneumoniae infection less common among those with nursing home-acquired pneumonia. (nih.gov)
  • CMS uses its methodology periodically to identify candidates for the program nursing homes with the 15 worst scores in each state but the program is limited to 136 homes at any point in time because of resource constraints. (gao.gov)
  • Using this approach, GAO determined (1) the number of most poorly performing homes nationwide, (2) how their performance compared to that of homes identified using the SFF methodology, and (3) the characteristics of such homes. (gao.gov)
  • To identify the worst homes in the nation, GAO applied CMS s SFF methodology on a nationwide basis using statistical scoring thresholds and made three refinements to that methodology, which strengthened GAO s estimate. (gao.gov)
  • GAO s three refinements to CMS s SFF methodology had a moderate effect on the composition of the list of homes that GAO identified as the most poorly performing. (gao.gov)
  • We developed a model to project morbidity, mortality, and costs attributable to type A influenza virus infections in nursing homes and to evaluate the relative benefits and costs of programs for prevention and control. (annals.org)