Improving the Quality of Long-Term Care (2001) / Chapter Skim
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Appendix B: Separate Dissenting Opinions
Appendix B: Separate Dissenting Opinions
Pages 287-294
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From page 287... ...
Feldman, and Keren Brown Wilson disagreed with the wording of Recommendation 3.1, and offered the following explanation of their differences with the recommendation and the supporting text: The recommendations and the content of the Report reflect a serious effort to grapple with the complex issues in defining and assuring quality of long-term care across a variety of service sites and target populations. We endorse all of the report's recommendations, but think that Recommendation 3.1 does not go far enough.
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From page 288... ...
Quality of life includes outcomes such as consumer choice and autonomy, dignity, individuality, comfort, meaningful activity, meaningful relationships, sense of security, and spiritual well-being (Noelker and Harel, 2000~. As the report indicates, Health Care Financing Administration is currently funding a major effort to develop and test measures and indicators of such quality of life outcomes.
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From page 289... ...
In our view, the evidence gathered for this Report already supports the value of and need for consumer centered care. Recommendation 3.1 Recommendation 3.1 states: The Committee recommends that the Department of Health and Human Services, with inputfrom state and private organizations, develop and fund a research agenda to investigate the potential quality impact associated with access to, and limitations of, different models of consumer-centered long-term-care services, including consumer directed services.
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From page 290... ...
A research focused recommendation conveys a view that consumercentered care might be unsafe or imprudent care that would not meet quality standards. In our view, the care cannot by definition meet quality standards if it is inconsistent with or interferes with what makes life worthwhile to the consumer.
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From page 291... ...
In addition, research, evaluation and demonstration efforts are needed to provide practical information to consumers and decision-makers and to broaden the understanding of what consumer-centered care entails. Consumer-centered and consumer-directed care encourages consumers to make choices among types of care settings and on details of care within a particular setting.
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From page 292... ...
Some residential care settings offer neither homelike settings with a likelihood of a better quality of life nor a service capacity to meet the needs of
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From page 293... ...
Beyond identifying indisputably poor care, however, little agreement has been reached on desired standards for various types of residential care. Assisted Living providers have combined with advocacy organizations including the American Association of retired Persons and the Alzheimer's Association to discuss draft standards for assisted living (ALQC, 1998~.
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From page 294... ...
The Evaluation of the Implementation of Nurse Delegation in Washington State: Final Report. Prepared by University of Washington School of Nursing for the Aging and Adult Services Administration, Washington State Department of Social and Health Services, November 1998.
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