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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5109.0: Wednesday, December 14, 2005 - 1:10 PM

Abstract #108214

Impact of enforcement on resident outcomes

Andrew Kramer, MD, Elizabeth Frederickson, BA, Helena Louwe, RN, MA, and Carla Parry, PhD, MSW. Division of Health Care Policy and Research, University of Colorado Health Sciences Center, 13611 East Colfax Ave, Suite 100, Aurora, CO 80011, 303-724-2426, Carla.Parry@uchsc.edu

Nursing home enforcement activities are intended to improve the quality of care in nursing homes; however, we know little about the impact of various levels of enforcement actions on subsequent deficiencies or resident outcomes. The intent of this secondary data study is to assess, to the extent possible, whether citations followed by enforcement actions result in a reduction of subsequent citations and improvements in selected resident outcomes. Three secondary databases will be used for this analysis including: 1) the Enforcement Tracking System (ETS) providing information on deficiencies and resulting enforcement actions; 2) Online Survey, Certification and Reporting (OSCAR) reporting information on nursing home characteristics and the inspection survey results and deficiencies; and 3) Minimum Data Set (MDS) providing information on resident characteristics and outcomes. These data sets will be merged to study the association between different types of enforcement remedies and changes in both deficiencies in subsequent surveys and resident-level outcomes. Results from this study are intended to shed light on the extent to which different types of enforcement sanctions influence future deficiencies and outcomes.

Learning Objectives:

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

The Impact of Nursing Home Regulation on Quality

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA