Nursing Home Surveillance in 10 States – A Comparison of Resources & Financing
This study was conducted to gather financial and programmatic information on the nursing home surveillance systems of a select sample of states across the U.S. The study also aimed to gain insights into the challenges facing the state offices responsible for ensuring quality and safety in our nation’s nursing homes and other settings.
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Federal Requirements Regarding Dementia Care & Antipsychotic Drugs
This report, released October 2012, presents an overview of the federal regulations that may be relevant when antipsychotic medications are used and the specific data tags, called “F-Tags,” that apply to each of the regulations and that are used by state and federal surveyors to code deficiencies. A summary and citation to the applicable federal […]
Comments on MRT Waiver
NYS has proposed a “super” waiver to the federal Center for Medicare and Medicaid Services (CMS) to permit it to implement the Medicaid Redesign Team’s Action Plan. The MRT waiver is an amendment to the state’s existing waiver, the New York Partnership Plan. Partnership has been the primary vehicle used by the state to expand […]
Consumer Involvement in Medicaid Nursing Facility Reimbursement
The results of a Commonwealth Fund project detailing the importance of consumer participation in states’ Medicaid nursing facility reimbursement policy making. The products of the project include: a primer for consumers participation, a brief for policy makers on the need to have consumers “at the table,” and a series of webinars for consumers explaining Medicaid […]
LTCCC Statement to U.S. Senate on Antipsychotic Drug Use in Nursing Homes
On November 30, 2011, the U.S. Senate Special Committee on Aging Held a Hearing: “Overprescribed: The Human and Taxpayers’ Costs of Antipsychotics in Nursing Homes.” This is LTCCC’s statement. The hearing recording and materials are available at http://www.aging.senate.gov/hearings/overprescribed-the-human-and-taxpayers-costs-of-antipsychotics-in-nursing-homes.
Care and Oversight of Assisted Living
A study of the status of care and quality of life in New York State assisted living facilities and residences and the state’s oversight and enforcement of state rules.
Medicaid Redesign in NY State
Statement by LTCCC’s Executive Director before Medicaid Redesign Team hearing on need to involve those who will be most affected; need to remember the purpose of the Medicaid program to ensure safety and appropriate care; need to ensure assess to least restrictive setting; and the need for adequate staffing for state’s care monitoring function.
Government Monitoring & Oversight of Nursing Home Care: The Relationship Between Federal and State Agencies
This report presents an in-depth assessment of how well the state and federal inspection agencies are working to jointly enforce minimum safety, health and quality of life standards in U.S. nursing homes.
What You Need to Know About Long Term Care in English and Chinese
These booklets, in English and Chinese, help consumers understand long term care and help them think about what their care needs are, where they want to get care, how they can pay for care and what their rights are. In addition to questions they can ask themselves as they plan, the booklets also list a […]
Long Term Care Restructuring in New York State: A Consumer Perspective
This report provides an overview and assessment of long term care programs in terms of consumers’ needs and desires and makes recommendations for how system restructuring can better meet the needs of consumers.
Modifying the Case-Mix Medicaid Nursing Home System to Encourage Quality, Access and Efficiency
This study gathered information from the 35 states using a case-mix reimbursement system to reimburse nursing homes for the care of their Medicaid residents (including NYS). The report gives detailed information on how these states are encouraging access, for hard to place residents, quality as well as efficiency. Using such information as well as telephone […]
The Future of Nursing Homes in New York State: Results of Two Roundtable Discussions
With funding from the New York Community Trust, LTCCC hosted two roundtable discussions on the future of nursing homes in NY State. The roundtables brought together leaders from government, provider, consumer, worker and philanthropy to identify the challenges and develop recommendation for future action. This report describes the roundtables and presents over 100 recommendations for […]
An Assessment of Pay for Performance for Nursing Homes With Recommendations for Policy Makers
This report provides an overview of pay for performance for stakeholder and policy makers, including special sections on issues and consumer concerns, selected experiences to date and recommendations for ensuring that a pay for performance program truly improves nursing home resident care and is not merely a bonus awarded to “good” providers.
New York’s Single Point of Entry for Long Term Care: A First Year Assessment of Consumer Experience With Recommendations for the Future
This reports examines first year experience with NY Connects, NY State’s single point of entry for long term care, and provides recommendations to ensure that NY Connects truly serves New York’s diverse consumer population as it is further implemented. The report includes a state-wide survey of New Yorkers’ knowledge of, and experience with, the system.
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Nursing Home Culture Change Power Point Presentation
This presentation was produced for a workshop developed to educate communities about culture change.
Free Toolkit: Speak Out to Support Safe Nursing Home Staffing Standards
Toolkit for Consumer Action to Improve Nursing Home Staffing Levels
Those of us concerned about nursing home residents know that there are widespread problems. Too many residents in communities across the country do not receive appropriate care. For instance, far too many people are confined to their beds or a chair because there is insufficient staff […]
Nursing Home Oversight in New York State: A Regional Assessment
Vulnerable nursing home residents depend on the state to hold nursing home providers accountable for the care they receive by identifying problems during regular inspections and through investigations of complaints. This report, supported with a grant from the New York Community Trust, examines the effectiveness of each regional office in ensuring resident safety and quality […]
Developing a New and Better Long Term Care System in NY State
A white paper for the new administration & state leadership to facilitate implementation of policies that better meet the future needs and preferences of all our citizens.
Using Law and Regulation to Protect Nursing Home Residents When Their Government Fails Them
Despite strong legal requirements for nursing homes to provide good care and dignified conditions for residents, the nursing home crisis continues. This report, supported with a grant from the Robert Sterling Clark Foundation, identifies the primary legal mandates that are too often disregarded by both nursing homes and government surveillance and provides pragmatic as well […]
National Study on Use of Civil Money Penalties to Protect Nursing Home Residents
Federal Civil Monetary Penalties (CMPs) and State CMPs/fines are imposed by the regulatory agencies that license nursing homes if a nursing home does not comply with regulatory standards. These fines can be used to fund innovative programs to improve the lives of nursing home residents. This study, supported with a grant from the Commonwealth Fund, […]
Single Point of Entry for Long Term Care and Olmstead: An Introduction and National Perspective for Policy Makers, Consumers and Advocacy Organizations
A study, supported by the Robert Sterling Clark Foundation, of POE and Olmstead implementation across the U.S. and a survey of groups that work to improve care for consumers.
Nursing Home Residents at Risk: Failure of the NYS Nursing Home Survey and Complaint Systems
Study, supported by the NY Community Trust, of the effectiveness of the inspection and complaint systems.
You’re Never Too Old To Feel Good : Guidebooks and video to help older adults identify mental health issues and get care to feel better
MENTAL HELP GUIDES AND VIDEO FOR OLDER ADULTS
A guide for older adults. This guide will help older adults identify how they have been feeling and decide if there are parts of their lives that they can feel better about. It gives information on what they can do to take control and take steps to […]
Assisted Living Guidebooks: Fostering Resident Independence & Choice
The following guides can be used to improve quality of life and help residents maintain choice and independence.
The Guide for Potential Residents helps potential residents and their families choose an assisted living community that is the right for the resident. The Guide for Current Residents helps people already in assisted living assess whether their residence […]
Improving Working Conditions for Nursing Home Direct Care Staff
Description of a project in two nursing homes in New York City with a Ten-Step Guide to Improving Working Conditions.
Are the Federal Nursing Home Staff Posting Requirements Serving Consumers?
Report on a study of consumer experience with postings in their nursing home(s), with recommendations for regulatory improvement.