The Ombudsman stated that regulations alone are not enough to improve quality. She believes that multiple and varied approaches must be utilized to assist facilities in their quality efforts. Adequate numbers of, and respect for, staff is one such area. Another approach involves improving access for facilities to clinical informational resources and the provision of technical assistance. Lastly she pointed out that efforts to decrease staff turnover must occur.
According to the Ombudsman, the role of the Federal Government should be to provide education. The survey agency respondent agreed stating that the Federal Government should continue to provide enforcement but also add training and initiatives focused on helping facilities deal with problems. Providers had expressed interest in accessing information on Best Practices, particularly in the areas of pain management and elopement.