Expectations are high for optimizing outcomes in health care

in general. The manner in which health care providers

working in long-term care are subject to such expectations

are even higher. Some believe that the only industry more

closely regulated than long-term care is the nuclear power

industry.

Whether or not this is true, since the oft-referenced Institute of Medicine report leading to the enactment of the Nursing Home Reform Act in 1987 was published, Medicare and Medicaid skilled nursing facilities and nursing facilities, consumers, government and payers expect a continuing focus on quality, however defined, outcomes and resident autonomy and function. This has had a spillover effect on other elements of the long-term care continuum, particularly as assisted living facilities accept higher acuity residents and seek Medicaid payment, which carries with it increased scrutiny. In the current environment, some believe it is no longer sufficient to "do right" in providing care; it is also necessary to show how the provider strives to do right.

Please read full article for more information.