Work

State “Technical Assistance Programs” for Nursing Home Quality Improvement: Variations and Potential Implications

Year: 2012

Type: article

Abstract: To improve nursing home quality, many states have developed "technical assistance programs" that provide on-site consultation and training for nursing facility staff. We conducted a national survey on these state programs to collect data on program design, operations, financing, and perceived effectiveness. As of 2010, 17 states had developed such programs. Compared to existing state nursing home quality regulations, these programs represent a collaborative, rather than enforcement-oriented, approach to quality. However, existing programs vary substantially in key structural features such as staffing patterns, funding levels, and relationship with state survey and certification agencies. Perceived effectiveness by program officials on quality was high, although few states have performed formal evaluations. Perceived barriers to program effectiveness included lack of appropriate staff and funding, among others. In conclusion, state technical assistance programs for nursing homes vary in program design and perceived effectiveness. Future comparative evaluations are needed to inform evidence-based quality initiatives.

Source: Journal of Aging & Social Policy

DOI: 10.1080/08959420.2012.735157

Authors: Yue Li, William D. Spector, Laurent G. Glance, Dana B. Mukamel

Institutions: University of Rochester Medicine, University of Rochester, Agency for Healthcare Research and Quality, University of California, Irvine

Language: English

Topic: Geriatric Care and Nursing Homes

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute on Aging