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Tables of Contents for Improving the Quality of Long-Term Care
Chapter/Section Title
Page #
Page Count
Executive Summary
1
21
Introduction
21
15
Long-Term Care Needs
22
3
The IOM Study
25
2
Basic Concepts and Definitions
27
7
Scope and Limitations
34
2
Profile Of Long-Term Care
36
37
Characteristics of Long-Term Care Users
38
3
Providers of Long-Term Care
41
21
Financing Long-Term Care
62
7
Coordination of Long-Term Care Services
69
3
Conclusion
72
1
State Of Quality Of Long-Term Care
73
37
Measurement of Quality of Care
74
2
Current State of Quality of Care
76
32
Conclusion
108
2
Information Systems For Monitoring Quality
110
25
On-Line Survey and Certification Assessment Reporting System
112
3
The Resident Assessment Instrument and the Minimum Data Set for Nursing Homes
115
5
Outcome and Assessment Information Set for Home Health Care
120
2
Challenges in Using Assessment Data
122
2
Assessment and Quality Monitoring Instruments for Other Settings
124
3
Incorporating Consumer Perspectives in Measurement of Quality
127
5
Measurement Considerations for Children and Young Adults
132
2
Conclusion
134
1
Improving Quality Through External Oversight
135
45
Central Role of Government
136
4
Basic Standards of Quality
140
23
Residential Care Facilities
163
6
Home Health Agencies
169
4
Home Care and Related Services
173
1
The Role of Advocacy
174
4
Accreditation
178
1
Conclusion
179
1
Strengthening The Caregiving Work Force
180
40
Nursing Homes
182
14
Education and Training of Staff in Nursing Homes
196
6
Residential Care Settings
202
3
Home Health Agency Staff
205
4
Home Care
209
1
Education and Training Recommendations
210
1
Labor Force Issues
211
7
Conclusion
218
2
Building Organizational Capacity
220
15
Recent Initiatives to Improve Caregiving Capacity in Long-Term Care
220
1
From Rules, Data, and Guidelines to Effective Practice
221
1
Quality Management Systems
222
1
Organizational Capacity to Translate Knowledge into Practice
223
4
Identifying Effective Interventions
227
1
Care Process Implementation and Improvement
228
3
Measurement Issues
231
2
Improving Organizational Capacity
233
1
Conclusion
234
1
Reimbursing To Improve Quality Of Care
235
13
Reimbursement and Quality
236
8
Limited Nursing Home Bed Supply and Quality of Care
244
2
Conclusion
246
2
Closing Remarks
248
5
REFERENCES
253
42
APPENDIXES
A Committee Meetings and Presenters of Testimony
283
4
B Separate Dissenting Opinions
287
8
Acronyms
295
4
Biographical Sketches Of Committee Members
299
8
Index
307