Special Issue Of Policy, Politics & Nursing Practice: The Challenge Of Paying For Quality Nursing Care
Main Category: Nursing / MidwiferyAlso Included In: Primary Care / General Practice; Public Health
Article Date: 25 Aug 2008 - 0:00 PDT
It costs money to improve the quality of nursing care through work environment changes or increases in staffing but those costs may be offset through improved nursing satisfaction and patient outcomes, according to research in a Special Issue of Policy, Politics & Nursing Practice published by SAGE.
The guest editorial, "The Importance and Challenge of Paying for Quality Nursing Care," introduces the articles that explore the economic issues and policies for quality nursing care. The articles are grouped around three general topics: (a) making the business case for quality nursing care, (b) reimbursing for nursing care, and (c) paying for performance related to nursing care. Articles include:
- Economics of Nursing
- Is What's Good for the Patient Good for the Hospital?
- The Business Case for Nursing in Long-Term Care
- Adjusting for Nursing Care Case Mix in Hospital Reimbursement
- Testing an Inpatient Nursing Intensity Billing Model
- Measuring and Accounting for the Intensity of Nursing Care
- Paying Hospitals on the Basis of Nursing Intensity
- Lessons Learned From Advanced Practice Nursing Payment
- Challenges and Directions for Nursing in the Pay-for-Performance Movement
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The issue of Policy, Politics & Nursing Practice, exploring the cost of quality nursing care, is being made available by SAGE at no charge for a limited time at http://ppn.sagepub.com/content/vol9/issue2/.
Policy, Politics & Nursing Practice is a quarterly, peer-reviewed journal that explores the multiple relationships between nursing and health policy. It serves as a major source of data-based study, policy analysis and discussion on timely, relevant policy issues for nurses in a broad variety of roles and settings, and for others who are interested in nursing-related policy issues. http://ppn.sagepub.com/
SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets. Since 1965, SAGE has helped inform and educate a global community of scholars, practitioners, researchers, and students spanning a wide range of subject areas including business, humanities, social sciences, and science, technology and medicine. A privately owned corporation, SAGE has principal offices in Los Angeles, London, New Delhi, Singapore, and Washington, D.C. http://www.sagepublications.com/
Source: Jim Gilden
SAGE Publications
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The Challenge Of Giving Quality Nursing Care
posted by Gregory D. Pawelski on 25 Aug 2008 at 8:21 amCenters for Medicare and Medicaid Services (CMS) contracts out the oversight of each nursing home to each state's health department.
Nursing home inspections depend on the paperwork to verify that residents are getting good care.
When there are nursing directors that know what to say to the state surveyors to stay out of hot water, no one at CMS will ever know the problems within the nursing home.
When surveyors use stealth moves like not citing anything they don't absolutely have to and look at self-reported and unaudited data (data reported by the facilities themselves and no oversight agency verifies audits to ensure that it is even true), no one at CMS will ever know the problems within the nursing home.
In the past few years, a wave of new owners and investors have been purchasing nursing home chains. These private-equity firms are unregulated and new to the nursing home market, as well as the oversight agencies.
Many worry that the top priority for these new owners will be profits, rather than providing the staffing and resources necessary to ensure top quality care for our loved-ones in nursing homes.
Frequently, they use complex corporate structures, separating the nursing home real estate from the operating companies and putting multiple layers of limited liability partnerships between themselves and the day-to-day operations of the nursing home.
Ownership structures with multiple stakeholders have been used by private-equity firms to minimize liabilities and shield them from regulator inquiries like when cutting staff is made to improve profit margins. They use these kinds of structures to avoid taking responsibility when taking control of nursing homes.
Private equity is buying up this industry and then hiding the assets, and when residents are dying from lack of proper care, there is little the courts or regulators can do, while they skim off the profits to line the pockets of investors or plow the money into separate ventures that have nothing to do with nursing home care.
CMS and the states lack the tools to keep up with the rapid changes in the industry, to know who actually owns the country's nursing homes and who should be held accountable for the residents in their care. There is a crisis in our nation's nursing homes. Residents living in them need help!
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