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


Abt staff members Alan White and Donna Hurd met with individuals involved in the development, management and implementation of Iowa's programs, as well as representatives from two of the state's provider groups, the State's Long Term Care Ombudsmen, and others familiar with the state's programs. Over a three-day visit in June 2002, the research team met with individuals and groups associated with the following organizations:

  • Iowa Department of Inspections and Appeals (DIA), Health Facilities Division (HFD)
    • Marvin Tooman, Ed.D., HFD Administrator
    • J Bennett, Kathy Sutton, Paul Vanderburgh, Medicaid/Medicare Bureau Chiefs
    • Larry Lindblom, Bureau Chief and DIA web page authority
    • Karen Zaabel and Carol Benskin, Division Trainers
    • Dean Lerner, Deputy Director of DIA
  • The Iowa Association of Homes and Services for the Aging (IAHSA)
    • Dana Petrowsky
  • The Iowa Foundation for Medical Care (Partners group and Iowa QIO)
    • Andi Dykstra, Director of NH/HH Partnerships
    • Linda Sims, Manager, Medicaid Quality Improvement
  • The Iowa Health Care Association (IHCA)
    • Steve Ackerson, Executive Director
    • Liz Williams-Chafin, Director of Staffing and Regulatory Services
  • Long-Term Care Ombudsman
    • Jeanne Yordi
    • Corey Stull RN
  • Sunny Crest Nursing Home (a facility that practices resident centered care)
    • Darlene Millard, Administrator

Marvin Tooman, Ed.D., the HFD Administrator, was the primary contact for the Iowa site visit. He has been in this position for about two years and previously was a facility administrator (at On With Life, a non-profit post-acute rehabilitation facility that specializes in brain injury/neurological and pulmonary rehabilitation). Dr. Tooman leads the division responsible for many of the state's quality initiatives. The division has made an effort to recognize facilities doing exemplary work, to improve relations between providers and surveyors (i.e., through the joint surveyor-provider training), and to encourage facilities to engage in resident-centered care. Dr. Tooman was an excellent resource for us, and the work of him and his staff in helping to plan our visit is greatly appreciated. We found that everyone with whom we spoke were willing to speak freely on their impressions of the State's programs, and found a great deal of consistency in their responses.

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