State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Role of the Federal Government in Quality Improvement


Time constraints limited exploration of this issue to a brief discussion with DHS staff involved in the new quality improvement projects. They offered the following comments and suggestions:

  • The new "Quality Improvement Organizations" (QIOs) funded by the Federal Government appear to offer the potential to help states such as Texas leverage their own quality improvement projects; the QIOs should be funded appropriately and encouraged to work closely with states.

  • Additional federal support for developing, implementing, and evaluating innovative quality improvement projects would be helpful.

  • Federal regulations are so complex that many homes have great difficulty even understanding the requirements; in addition, trying to get over 1000 nursing facilities in 254 counties in compliance is very challenging. Greater attention to simplification and regulatory moderation would be appreciated.

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