Strategic planning for the health care financing administration overseeing state nursing home inspection agencies

The Nursing Home Reform Act (NHRA) was adopted and implemented to improve the quality of care that residents receive in nursing homes by having state inspection agencies issue deficiencies for substandard care. Yet, there is a great deal of variation in the average number of deficiencies cited by st...

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Bibliographic Details
Published in:International journal of organization theory and behavior 2003-03, Vol.6 (4), p.553-576
Main Authors: Deason-Howell, Lucinda M, Blevins, Dean
Format: Article
Language:English
Subjects:
Campaign contributions
Compliance
Enforcement
Federal regulation
Federalism
Government agencies
Health care policy
Inspections
Legislation
Lobbying
Long term health care
Medicaid
Medicare
Nursing homes
Organization theory
PAC
Political action committees
Political parties
Power
Regression analysis
Regulatory agencies
Sanctions
State government
Strategic planning
Studies
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Summary:The Nursing Home Reform Act (NHRA) was adopted and implemented to improve the quality of care that residents receive in nursing homes by having state inspection agencies issue deficiencies for substandard care. Yet, there is a great deal of variation in the average number of deficiencies cited by state inspectors. The goals of this study are twofold: 1) to identify the impact of political factors on the variation in deficiencies and nursing home compliance, and 2) to provide the Health Care Financing Administration (HCFA) with a strategic planning model that will help to improve its ability to oversee state implementation of the NHRA. Political party control of the governorship and legislative houses accounted for significant amounts of variance in deficiencies.
ISSN:1093-4537
1532-4273
DOI:10.1108/IJOTB-06-04-2003-B003