This article describes the current status of home-based medical care in the United States and offers a brief narrative of a fictional homebound patient and the health events and fragmented care she faces.
Nursing home culture change remains an evolving field. Although culture change has clear face validity, the current evidence does not give providers sufficient information for selecting interventions based on the expectation of improving outcomes.
The objective of this analysis was to identify key system capacity issues for sustainability from evaluation of the Action Plan to prevent healthcare–associated infections, a major national initiative launched by the US Department of Health and Human Services in 2009.
This paper describes progress and challenges in Healthcare–associated infections (HAI) research and prevention practices, as explained through an examination of Health and Human Services (HHS) Action Plan's goals, inputs, and implementation in each area.
In response to the growing concern about healthcare–associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections.
The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care.
Consistent assignment refers to the same caregivers consistently caring for the same residents almost every time caregivers are on duty. This article examines the association of consistent assignment of nurse aides with turnover and absenteeism.
Vulnerable older adults enrolled in plans that use nurse care managers receive, on average, 69% of recommended care for geriatric conditions, compared with 53% for elders in plans without nurse care managers.
This descriptive study of nursing home characteristics found that facilities targeted by a CMS improvement initiative typically have fewer nurses and nurse aides and higher rates of quality of care citations.
Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments