Abstract
The traditional approaches to improving the quality of care at U.S. nursing homes--regulation, inspection, and accountability through public reporting--have produced modest results. Greater progress could be made by focusing incentives on broader processes related to improving quality. This could foster a culture of upstream identification and solving of problems that would supplement existing downstream requirements to meet specific safety and care standards.
Publication types
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Comparative Study
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Research Support, U.S. Gov't, Non-P.H.S.
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Centers for Medicare and Medicaid Services, U.S.
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Clinical Competence
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Economic Competition
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Government Regulation
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Health Care Reform / legislation & jurisprudence
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Health Care Reform / standards*
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Health Care Sector / economics*
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Humans
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Nursing Homes / standards*
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Outcome Assessment, Health Care / methods*
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Practice Guidelines as Topic
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Quality Assurance, Health Care / methods*
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Quality of Life
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Reimbursement Mechanisms
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Systems Analysis
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United States