A Comparison of Special Focus Facilities Enrolled in the Program for 30 Months or Longer with Program Alternates

2.50
Hdl Handle:
http://hdl.handle.net/10755/160803
Type:
Presentation
Title:
A Comparison of Special Focus Facilities Enrolled in the Program for 30 Months or Longer with Program Alternates
Abstract:
A Comparison of Special Focus Facilities Enrolled in the Program for 30 Months or Longer with Program Alternates
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Krause, Melanie, MS, RN
P.I. Institution Name:University of Wisconsin-Madison
Title:School of Nursing
Contact Address:Box 2455, Clinical Sciences Center, K6, 600 Highland Avenue, Madison, WI, 53792, USA
Contact Telephone:262-325-0174
Co-Authors:M.R. Krause, School of Nursing, University of Wisconsin-Madison, Madison, WI;
Nurses have a pivotal role for ensuring quality of care in NHs. However, quality problems persistent in some poorly performing NHs. The Special Focus Facility (SFF) Program is a federal initiative aiming to improve nursing care in a subset of poor performing NHs by increasing the number of annual surveys and sanctions for poor care. Nursing homes are expected to complete the SFF program requirements within 18 months or risk termination of provider agreements. Little is known about the particular types of nursing care problems that exist in persistently poor performing facilities. The purpose of this study was to compare SFFs that were unable to complete SFF program requirements for an extended period (30 months or longer; referred to as SFFs 30+) with non-enrolled NHs (referred to as program alternates). The analysis was guided by the policy priorities of the Centers for Medicare and Medicaid Services. Descriptive statistics about facility characteristics and survey results were calculated for all 55 SFFs 30+ and 587 program alternates. Overall survey results, changes in survey results over time and sanctions for noncompliance with federal care standards were compared for both groups. This research illustrates that there is considerable consistency over time in the types of nursing care problems in poor performing NHs, but that proportionally fewer SFFs 30+ experienced these problems over time. Future research should examine nurses' barriers to maintaining and strategies for promoting compliance with federal care standards in poor performing nursing homes. Because nurses serve as important leaders within NHs, more attention should be directed empowering nurses to lead practice change and quality improvement, especially in poor performing NHs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Comparison of Special Focus Facilities Enrolled in the Program for 30 Months or Longer with Program Alternatesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160803-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Comparison of Special Focus Facilities Enrolled in the Program for 30 Months or Longer with Program Alternates</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Krause, Melanie, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin-Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Box 2455, Clinical Sciences Center, K6, 600 Highland Avenue, Madison, WI, 53792, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">262-325-0174</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mrkrause@wisc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M.R. Krause, School of Nursing, University of Wisconsin-Madison, Madison, WI;</td></tr><tr><td colspan="2" class="item-abstract">Nurses have a pivotal role for ensuring quality of care in NHs. However, quality problems persistent in some poorly performing NHs. The Special Focus Facility (SFF) Program is a federal initiative aiming to improve nursing care in a subset of poor performing NHs by increasing the number of annual surveys and sanctions for poor care. Nursing homes are expected to complete the SFF program requirements within 18 months or risk termination of provider agreements. Little is known about the particular types of nursing care problems that exist in persistently poor performing facilities. The purpose of this study was to compare SFFs that were unable to complete SFF program requirements for an extended period (30 months or longer; referred to as SFFs 30+) with non-enrolled NHs (referred to as program alternates). The analysis was guided by the policy priorities of the Centers for Medicare and Medicaid Services. Descriptive statistics about facility characteristics and survey results were calculated for all 55 SFFs 30+ and 587 program alternates. Overall survey results, changes in survey results over time and sanctions for noncompliance with federal care standards were compared for both groups. This research illustrates that there is considerable consistency over time in the types of nursing care problems in poor performing NHs, but that proportionally fewer SFFs 30+ experienced these problems over time. Future research should examine nurses' barriers to maintaining and strategies for promoting compliance with federal care standards in poor performing nursing homes. Because nurses serve as important leaders within NHs, more attention should be directed empowering nurses to lead practice change and quality improvement, especially in poor performing NHs.</td></tr></table>en_GB
dc.date.available2011-10-26T23:10:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:10:55Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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