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 accompany a Quality Monitor on a facility visit and speak with facility staff about the Quality Monitor program. The following individuals agreed to participate in discussions with the researchers:

  • Florida Agency for Health Care Administration (AHCA)
    • Susan Acker, RN, Ph.D. Head of the Office of Standards and Quality
    • Barbara Alford, Head of the Long Term Care Quality Monitor Program
    • Donnah Heiburg, Head of the Tallahassee Field Office
    • Molly McKinstry, Manager Long Term Care Unit, Bureau of Health Facility Compliance
    • Sue Redd, Program Manager
    • Diane LoCastro RN, Quality Monitor
  • Florida Health Care Association
    • William Phelen, Executive Director
    • Koko Okano, Health Services Research Analyst
    • LuMarie Polivka-West, Director of Quality and Policy Assurance
    • Debbie Afassano, RN, Assistant Director of Quality Assurance
    • Ann DeSilva
    • Providers from eight nursing facilities
  • Florida Association of Homes for the Aging
    • Erwin P. Bodo, Ph.D., FAHA, COO, Senior Vice President of Reimbursement and Statistical Analysis
    • Andrea Lewis RN, Director of Regulations and Compliance
    • Providers from five nursing facilities
  • Florida Medicaid
    • Kenneth L. Thurston, CPA, Assistant Deputy Secretary for Medicaid Finance
    • Brian Clark, Medicaid Cost Reimbursement
    • Nancy Ross, Ph.D., Chief, Medicaid Research Bureau
    • Lori Parham, Ph.D., Medicaid Research Bureau
  • Consumer Advocates
    • Norma H. Atteberry, RN, BS, Geriatric Consultant/Educator
    • Victoria K. Fierro, CPA, Financial Consultant
    • Anna Spinella, Advocates committed to Improving Our Nursing (ACTION)
    • Barbara Hengstebeck, Coalition to Protect America's Elders
    • Lyn Bodiford, AARP
  • Department of Elder Affairs
    • Martie Daemy, Interim State Ombudsman
    • Linda MacDonald M.S, Alzheimer Training Program, Senior Management Analyst II
  • University of South Florida
    • Kathryn Hyer, DrPA, MPP, Director of the Training Academy on Aging at Florida Policy Exchange Center on Aging
    • Larry Polivka, Director of the Florida Policy Exchange Center on Aging
    • Debbie Hedgecock, Doctoral Student in Aging Studies
    • Christopher Johnson, Ph.D.

Because the provider associations were unable to schedule meetings with their members while the research team was in Florida, conference calls were scheduled in late September/early October to discuss Florida quality improvement programs with Florida Health Care Association and Florida Association of Homes for the Aging members. Conference calls were also used for discussions with the Ombudsman and with staff from the Florida Policy Exchange Center on Aging at the University of South Florida.

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