Nursing Homes Outcomes Initiative

Nicholas G. Castle

Published 2002

Nursing homes operate in an environment that has become increasingly more challenging. Residents are admitted in a sicker condition, competition from other longterm care providers has increased, and reimbursement for many services may not be adequate. The changing health care marketplace is necessitating new levels of accountability from long-term care providers. Increasingly: (1) hospitals; (2) managed care plans; and, (3) residents / family members, want evidence that they are purchasing effective care.

Outcomes research is providing this evidence. Outcomes research also has implications for quality improvement and accreditation. As such, outcomes are assuming a higher priority for administrators of long-term care facilities. In this report, the authors present an Outcomes Report. First the authors define outcomes; second, they show how outcomes can and are being used in long-term care; third, they present what outcomes are used.

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Castle, Nicholas G., Nursing Homes Outcomes Initiative. Santa Monica, CA: RAND Corporation, 2002. https://www.rand.org/pubs/drafts/DRU2863.html.
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