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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 - 12:30 PM

Abstract #104819

State and national trends in nursing home enforcement, 2000-2004

Camile Williams, MPH and Jill Kelly, BS, Nursing Home Division, Centers for Medicare & Medicaid Services (CMS), 7500 Security Blvd., Mailstop S2-12-25, Baltimore, MD 21244, (410)786-9359, camile.williams@cms.hhs.gov

There are no empirical studies to date which describe nursing home enforcement actions undertaken in response to noncompliance of regulatory standards of care. Absent a centralized enforcement tracking system database, researchers have had to rely on deficiencies as a proxy for enforcement. But deficiencies are just the beginning of an enforcement process, a process that may, but often does not, result in any enforcement sanction. Utilizing a newly available enforcement database, Enforcement Tracking System (ETS), this analysis will describe; 1) state and national high-level deficiency trends; 2) state and national trends of actual enforcement actions; 3) trends in imposing sanctions, given a high-level deficiency was received. Results from this study may provide a basis in determining the effectiveness of the nursing home enforcement process on the quality of care.

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