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research any four specific regulations related to long-term care and summarize t

ID: 340420 • Letter: R

Question

research any four specific regulations related to long-term care and summarize them. Based on the regulations you identified, respond to the following questions:

1.) What are the benefits and shortcomings of your identified regulations? Which of these shortcomings have an effect on the quality and the cost of health care services? How?

2.) Do you believe there is a link between regulations and better care? Why or why not?

3.) Why do you think long-term care services are subjected to so much external control by government agencies? Provide a rationale for your responses.

4.) How is quality measured in long-term care? Is there only one, or are there several approaches to measure quality? What are they? Who should be given the responsibility to measure quality?

Explanation / Answer

1.) What are the benefits and shortcomings of your identified regulations? Which of these shortcomings have an effect on the quality and the cost of health care services? How?

The benefits of these regulations are that residents have the right to make a choice on their healthcare. That a resident is informed on what is going to happen to them before it happens and that they have the right to refuse the treatment. The shortcomings would be that they might refuse a treatment that might be right for them do to the reason of dementia setting in. The shortcoming on the regulation about being informed in a language that the resident can understand is that some foreign languages have different dialects and the different dialects can have different meanings which can cause some confusion

Do you believe there is a link between regulations and better care? Why or why not?

Yes, I do believe there is a link between regulations and better care. I feel if we did not have these rules and regulations that the people in long-term care could be taken advantage of. Why do you think long-term care services are subjected to so much external control by government agencies? Provide a rationale for your responses. I think long-term care services are subjected to so much external control by government agencies because the government such as Medicare, funds most of the services.

Why do you think long-term care services are subjected to so much external control by government agencies? Provide a rationale for your responses.

Organizations providing long-term care are staffed with professional, paraprofessional, and support staff, and often volunteers. In the final analysis, the quality and safety of long-term care is dependent upon these individuals' actions, but their actions can be and are influenced by external forces. These forces can provide guidance, often in the form of standards that establish parameters for structures and processes, and can set expectations for outcomes. External forces can also provide incentives, financial or otherwise, for specific actions that will affect access to and safety of care, and the quality of care and life in long-term care settings.

These external forces include formal quality oversight mechanisms, purchasers of long-term care, and families. This chapter focuses on three formal oversight mechanisms:

How is quality measured in long-term care? Is there only one, or are there several approaches to measure quality? What are they? Who should be given the responsibility to measure quality?

Quality measurement in health care is the process of using data to evaluate the performance of health plans and health care providers against recognized quality standards.

Quality measures can take many forms, and these measures evaluate care across the full range of health care settings, from doctors’ offices to imaging facilities to hospital systems.

Measuring the quality of health care is a necessary step in the process of improving health care quality. Too often, the quality of care received in the United States is substandard: Patients receive the proper diagnosis and care only about 55 percent of the time,1 and wide variations in health care quality, access, and outcomes persist.2 Research consistently shows that there is chronic underuse, overuse, and misuse of services. Furthermore, the way health care is delivered is often fragmented, overly complex, and uncoordinated. These problems can lead to serious harm or even death.

Quality measurement can be used to improve our nation’s health care by: 1) preventing the overuse, underuse, and misuse of health care services and ensuring patient safety; 2) identifying what works in health care—and what doesn’t—to drive improvement; 3) holding health insurance plans and health care providers accountable for providing high-quality care; 4) measuring and addressing disparities in how care is delivered and in health outcomes; and 5) helping consumers make informed choices about their care.