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


Abt staff members Terry Moore and Donna Hurd accompanied by Task Order Officer Jennie Harvell and consultant Barbara Manard met with individuals involved in the development, management and implementation of the programs, and with nursing facility staff that had been surveyed under the technical assistance program. Over a three-day visit in April 2002, the research team met with individuals and groups associated with the following organizations:

  • Maryland Department of Health and Mental Hygiene/Office of Health Care Quality (OHCQ)
    • Carol Benner, Director
    • Gene Heisler, Deputy Director
    • William Vaughan RN, Chief Nurse
    • Mark Kirwan RN, Surveyor
    • Carmen Ulgen RD, LD, Surveyor
    • LeeAnn Wheatley RN, Surveyor
    • Linda Masterson RN, Special Assistant for Technical Assistance
    • Tina Malara, RN, Surveyor
    • Hollie Kratzer, RN, Surveyor
  • Life Span--the American Association of Home and Services for the Aging affiliate in Maryland
    • Isabella Firth, President
  • Health Facilities Association of Maryland (HFAM) (the American Health Care Association affiliate)
    • Adele Wilzack, President
    • Mark Woodward, Government Relations
    • Fran Miller, Clinical Director
    • Margaret Chapin, QI Committee Co-Chair
    • RNs from member facilities
  • Maryland Department of Aging
    • Fran Stoner, Ombudsman
    • Pat Bayliss, State Long Term Care Ombudsman
    • Michael Lemouth, Field Coordinator
    • Lenora Yancy, Baltimore County
    • Carol Perkins, Carroll County
  • Continuing Care Retirement Community with 79 skilled beds
    • Not-for-profit corporation
    • Administrator, Director of Nursing, Medical Director, Social Worker
  • 130 bed not-for-profit nursing facility
    • Administrator, Director of Nursing, Quality Assurance Nurse
  • FutureCare Health and Management Corporation
    • Melanie Cox, MS, RN

Carol Benner, OHCQ director, was the primary contact for the Maryland site visit. With 14 years experience in her position and author of the state's nursing home reform package, she was an excellent resource on the political environment in her agency and the state at large. During the preparation phase and on-site discussions, she was a willing and enthusiastic informant on the various reform programs in place. Likewise, the Technical Assistance Surveyors and other members of the OHCQ staff were willing to share their experiences and impressions of the impact of the program. Some of the provider representatives were initially more guarded in their presentation and focused their discussions on the issues that they felt were most important to their members. Other provider representatives were less concerned about staffing and funding issues and were more open to giving us their comments about the variety of quality improvement programs initiated by the state.

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