Government Regulation

State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Impetus for Florida's Quality Improvement Programs

Florida's quality improvement programs are the result of legislation passed in 1999, 2000 and 2001. Prior to the passage of the legislation, respondents explained that the atmosphere in the state was unsettled with a number of issues facing nursing home providers, regulators and consumers. There was increasing concern with the quality of care in n

State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Participants

Abt staff members Deborah Deitz and Donna Hurd accompanied by Jennie Harvell, project Task Order Officer (TOO), conducted discussions in Florida over a three-day period in September 2002, meeting with state survey agency staff, Medicaid staff and researchers, consumer advocates and provider association staff. Researchers were also able to accompan

Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Hospital Discharge and Admission to Long-Term Care Facility

Overview

The Regulation of the Individual Health Insurance Market. Introduction

Although the majority of Americans with health insurance obtain their coverage through group health plans offered through their employers, many individuals obtain their coverage through the nongroup (or individual) insurance market. Currently almost 18 million persons, or almost seven percent of the United States nonelderly (under age 65) popula

A Description of Board and Care Facilities, Operators, and Residents. 4.2 Training and Experience

An overwhelming majority of operators (72 percent) reported having prior experience in the health care sector. Almost 70 percent of the operators received training on operating a board and care home and caring for residents before becoming an operator ( Exhibit 4-2 ).

A Description of Board and Care Facilities, Operators, and Residents. 3.6 Service Availability

To meet the needs of the complex mix of residents, some board and care homes offered a wide range of services. However, available services varied considerably from homes offering little more than room, meals, oversight, and a few services to places that provided or arranged for extensive and skilled nursing services and therapies.

A Description of Board and Care Facilities, Operators, and Residents. 3.5 Facility Resident Mix

For all of these homes, the resident mix was quite complex ( Exhibit 3-10 ). Approximately three-quarters of the homes reported having one or more residents with cognitive impairment. Over half of the homes reported having residents with a diagnosis of mental illness or prior stay in a psychiatric hospital. One-third reported having residents with

A Description of Board and Care Facilities, Operators, and Residents. 3.3 Facility Staffing Patterns

As the board and care population becomes increasingly impaired, the experience, training, and knowledge of staff who care for them become more critical. An examination of facility staffing factors raises concerns about quality.

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix A. Illinois State Profile

This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-illinois-state-profile A. Program Description Overview

A Description of Board and Care Facilities, Operators, and Residents. 3.1 Size, Ownership, Affiliation, and Occupancy Rate

3.1.1 Size

A Description of Board and Care Facilities, Operators, and Residents. Section 3: Facility Characteristics

Operators in 490 board and care facilities completed two questionnaires about their facilities’ characteristics and policies. These data suggest that there was enormous diversity among places known as board and care homes in size, price, setting, service mix, resident mix, and available services. This chapter presents our findings on these facil

A Description of Board and Care Facilities, Operators, and Residents. 2.3 Definition of Licensed and Unlicensed Board and Care Homes

Each study State had different definitions or criteria for licensure of board and care homes, and, even within States, there were multiple categories of homes and multiple agencies that licensed homes. Because of this variation, we adopted decision rules about inclusion and exclusion for both licensed and unlicensed homes.

A Description of Board and Care Facilities, Operators, and Residents. 2.2 Selection of States

We produced a comparative ranking of the regulatory environments among the 50 States. We are confident that the States in the extensively regulated range have more stringent regulations, monitoring, and enforcement policies than do those on the limited end of the continuum. However, we did not assess the States’ regulatory environment with res

A Description of Board and Care Facilities, Operators, and Residents. Section 1. Background

A variety of demographic factors and policy initiatives have increased demand for residential facilities that offer supportive services for the aged and disabled. These factors include

Personal Privacy in an Information Society. The Limits of Legal Protection: An Overview

If records about individuals held by third-party record keepers are to be protected against government access, the law must change. In light of the inability of the courts to refashion the application of Constitutional theory, the change must come through legislative action. VOLUNTARY DISCLOSURE AND COMPULSORY PROCESS

Personal Privacy in an Information Society. Government Access toPersonal Records and "Private Papers"

Discussion of the need to protect individuals from threats to personal privacy often conjures up ominous images of government agents conducting surreptitious investigations and compiling dossiers. Such images come forcefully to mind when one is concerned, as the Commission is, with preventing improper inquiry into and disclosure of records about i

Personal Privacy in an Information Society. References

1 1975 data conveyed to staff of the Privacy Protection Study Commission by staff at the National Center for Health Statistics. 2 National Center for Health Statistics, Health: United States 1975, (Rockville, Maryland: Department of Health, Education, and Welfare, 1975), p. 3. 3 Section 5(c)(2)A) of the Privacy Act of 1974 authorized the

Personal Privacy in an Information Society. General Recommendations

The Commission considered several ways in which its medical-record recommendations might be implemented and enforced. The alternatives considered ranged from a wholly voluntary approach to Federal legislation which, like the 1974 Drug Abuse and Alcoholism statutes, 49 would make compliance with the recommendations a requirement attached to the di

Personal Privacy in an Information Society. The Fragility of The Medical-Care Relationship

The physician-patient relationship is an inherently intrusive one in that the patient who wants and needs medical care must grant the doctor virtually unconstrained discretion to delve into the details of his life and his person. As a practical matter, because so much information may be necessary for proper diagnosis and treatment, no area of inqu

Personal Privacy in an Information Society. Specific Recommendations

With a few important exceptions, the Commission's specific recommendations on record keeping in the employee-employer relationship also embody a voluntary scheme for resolving questions of fairness in the collection, use, and dissemination of employee records. The reasons for not recommending statutory implementation of many of these recommendatio

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