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Nursing Home: Studies, Reports, and Other Resources

White nursing home worker wheeling patient

The following studies and reports from a variety of organizations and researchers provide useful background information on the nation’s nursing home crisis. 


State Data on Nursing Facilities, Staffing, Residents and Facility Deficiencies, 1994-2000
A state by state breakdown of staffing levels, resident characteristics and violations of federal patient care regulations for each year from 1994-2000. Information compiled by Charlene Harrington based on the federal government’s Online Survey Certification and Reporting (OSCAR) data. (2001)
Part 2
Part 3

A Profile of Medicaid
An overview of the Medicaid program and its beneficiaries put out by the Healthcare Financing Administration (HCFA) – now known as CMS (Center for Medicare and Medicaid Services) (2000)


Direct-Care Health Workers: The Unnecessary Crisis in Long Term Care
A policy paper written by the Paraprofessional Healthcare Institute explaining why there is a shortage in long term care health care workers and what can be done about it. (2001)


Repeal of the “Boren Amendment”: Implications for Quality of Care in Nursing
Homes

The Boren Amendment was used by nursing homes to sue states and get higher reimbursement rates. It’s repeal and the potential implications for the quality of care in nursing homes is the subject of this policy paper written by the Urban Institute. (1998)


Caring ‘Til It Hurts
Nursing home workers have one of the highest injury rates of any workers in this country. Higher than professions often thought of as dangerous such as mining, construction and manufacturing. This booklet by SEIU reviews the reasons for these high injury rates and what can be done about them. (1998)

Health Care Industry Market Update
A paper put out by CMS analyzing the financial health of publicly traded nursing home companies and the potential impact of reductions in Medicare funding. The analysis is based on Wall Street Analysts reports and publicly available financial data from the publicly traded companies. (2002)


Controlling the Supply of Long Term Care Providers at the State Level
A report by the Urban Institute focusing on the use of state Certificate of Need Programs and Moratoria on new construction as a way for states to control the number of providers and their Medicaid costs. (1998)


The Costs of Long Term Care: Perceptions Versus Reality
A report published by the American Association of Retired Person (AARP) examining the perception (based on a survey they did) and the reality of the costs and funding sources of various long term care options including nursing homes, assisted living and home care. (2001)


Financing Long Term Care in the Twenty-First Century: The Public and Private Roles
A policy paper written by the Institute for health Policy Solutions discussing the various possibilities of funding long term care in the future including the current Medicaid system, private insurance and social insurance. (1999)


Creating a Culture of Retention: A Coaching Approach to Paraprofessional Supervision
A paper written by the Paraprofessional Healthcare Institute (PHI) outlining strategies for employers to retain healthcare paraprofessionals. Its focus is on developing a "coaching model" that encourages more of an interactive approach between worker and supervisor. (2001)


Recruiting Quality Health Care Paraprofessionals
A paper written by the Paraprofessional Healthcare Institute (PHI) provides an overview of recruitment strategies that can be used by employers to recruit and assess potential healthcare workers. (2000)


Profiles of Long Term Care Systems
A state by state profile of long term care systems including demographics, the numbers of recipients of long term care, providers of long term care and the amount of long term health care expenditures. Compiled by AARP. (1998)


Preliminary Results of the 2001 AHCA Nursing Position Vacancy and Turnover Survey
The preliminary report from the nursing home industry trade association (American Health Care Association-a.k.a. AHCA) on the level of turnover and vacancy rates among its members in the nursing home industry. (2001)


Who Will Care for Us? Addressing the Long Term Care Workforce Crisis

* Note:
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