HMGT 420 Healthcare Facilities Management
Directions for Week 3 Discussion Posts: Long-term care facilities provide both medical and personal support services to patients who are unable to live independently. Thus, independent living and group homes or assisted living communities are longterm care organizations but not healthcare organizations. For example, assisted living communities may offer coordination of healthcare-relevant services such as medication administration, incontinence program or physical therapy. When preparing your initial post, address the following: THIS IS ALREADY COMPLETE • • Identify one federal, state or local regulation affecting a long-term care facility regulated by the Department of Health and the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). Discuss the importance of facility compliance with the regulations and the impact of non compliance on facility operations. ***Discussion Replies:*** Assess the quality of your classmate’s post on the topic. Offer relevant and substantive input on their post. APA Requirement: Follow APA 7 formatting. INITIAL POST One of the regulations impacting long-term care is the Nursing Home Reform Act of 1987, which affects long-term care institutions, particularly CMS-regulated ones. This law governed Medicare and Medicaid nursing homes (Team, 2024). According to a thorough assessment and care plan, facilities must offer treatments and activities to improve residents’ physical, mental, and emotional health. This gui deline guarantees customized treatment that improves health and quality of life. Facilities must follow the Nursing Home Reform Act for many reasons. Residents’ safety and well-being come first. Facilities avoid prescription errors, neglect, and abuse of standards. Compliance builds trust between residents, their families, and facility staff, as well as healing and rehabilitation (Team, 2024). Medicare and Medicaid funded long-term care institutions must follow requirements. Fines, exclusion from these prog rams, and facility financial and operational losses can occur from noncompliance. Regulation offenses can damage facilities and therefore compliance can help the facility’s reputation and government financing. Potential residents and their families may avoid the institution for long-term care due to regulatory infractions, lowering occupancy and income. Non-compliant facilities may need expensive repairs due to regulatory penalties or corrective action procedures. Diverting resources can burden the facility’s finances and staff, affecting resident care. Repeated noncompliance may lead to stricter inspection or institution closure, involving patients and staff and compromising long -term care system trust (De Witt et al., 2023). These implications require long-term care facilities to emphasize regulatory compliance. Standards compliance requires strict regulations, personnel training, and extensive documentation. Before compliance issues arise, the facility should aggressively seek regulatory agency cooperation and advice to identify and address improvements. In an increasingly regulated healthcare environment, compliance and quality improvement can increase resident safety, well-being, and satisfaction while maintaining operational viability in long-term care institutions. References De Witt, L., Jonsson, S., & Reka, R. (2023). An analysis of Long-Term Care Home Inspection Reports and Responsive Behaviors. Ageing International, 49(1), 22–48. https://doi.org/10.1007/s12126-023-09526-9 Team, N. H. a. C. (2024, March 15). Nursing Home Reform Act of 1987 – Understand its Impact. Nursing Home Abuse Center. https://www.nursinghomeabusecenter.com/resources/nursing-home-reformact/#:~:text=The%20act%20protects%20seniors%20from,rights%20of%20nursing%20home%20reside nts. #1 RESPOND TO DIANA: The nursing home reform act was introduced after congress requested a study of the Institute of Medicine in 1986 which then revealed the improper care elderly in ho mes were receiving (Know About…, 2020). Once the government had proof of this, they decided to step in and pass the act. While the act was created with the general goal to help residents in homes lives, there are smaller standards it addresses as well. These include the proper preparation for handing out prescription medications, ensuring any diet plans can be followed, and residents’ ability to file a formal complaint if desired. The reform act of 1987 helped nursing residents immensely with ensuring their care is adequate and thorough. Reference: Know About the Nursing Home Reform Act of 1987. (2020, July 21). Ben Crump. https://bencrump.com/nursing-home-abuse/what-you-need-to-know-about-the-nursing-home-reformact-of-1987/ #2 RESPOND TO VALERIE: H.R.3545- Omnibus Budget Reconciliation Act of 1987 (OBRA ’87) The Omnibus Budget Reconciliation Act of 1987 (OBRA ’87) is a federal regulation that significantly impacts long-term care facilities regulated by the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS), setting standards for nursing homes participating in Medicare and Medicaid (Hawes et al., 1997). OBRA ’87 mandates specific care and quality standards, including resident assessments, individualized care plans, and rights protections. A key aspect is the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) for assessing residents’ health and care needs (Hawes et al., 1997). Compliance with OBRA ’87 is crucial for facilities to maintain Medi care and Medicaid eligibility and improve care quality and safety. Facility compliance with regulations, such as those set forth by the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS), is crucial for ensuring the sa fety, wellbeing, and rights of residents in long-term care facilities. Compliance with regulations helps to maintain high standards of care, protect residents from harm, and promote quality of life within these facilities. Here are some reasons why facility compliance with regulations is important: 1. 2. 3. Quality of Care: Regulations are designed to set minimum standards for care that must be met by long-term care facilities. Compliance helps ensure that residents receive appropriate and high-quality care that meets their physical, emotional, and social needs (N. H. a. C. Team, 2024). Residents Safety: Regulations often include provisions related to infection control, medication management, fall prevention, and other safety measures (N. H. a. C. Team, 2024). Compl iance with these regulations helps to create a safe environment for residents and reduce the risk of accidents, injuries, and adverse events. Protection of Residents Rights: Regulations protect the rights of residents in long -term care facilities, including rights related to privacy, dignity, autonomy, and freedom from abuse and neglect (N. H. a. C. Team, 2024). Compliance with these regulations is essential for upholding residents’ rights and ensuring that they are treated with respect and dignity. The impact of non-compliance with regulations on facility operations can be significant and may include the following consequences: 1. 2. 3. Financial Penalties: Non-compliance with regulations can result in financial penalties imposed by regulatory agencies (What Is OBRA? Learn More About OBRA Regulations Governing Nursing Homes | Sweeney Law Firm, n.d.). These penalties can be costly and may impact the financial stability of the facility. Loss of Funding: Facilities that fail to comply with regulations may face sanct ions, including the loss of eligibility to participate in Medicare and Medicaid programs (N. H. a. C. Team, 2024). This can lead to a loss of funding and revenue, which can have a major impact on the facility’s operations. State Monitoring: Non- Compliance may trigger state monitoring of long-term care facilities to ensure adherence to federal standards (N. H. a. C. Team, 2024). State monitoring involves inspections, audits, and oversight to assess compliance requirements and to address deficiencies in resident care and facility operations. References Hawes, C., Mor, V., Phillips, C. D., Fries, B. E., Morris, J. N., Steele‐friedlob, E., Greene, A., & Nennstiel, M. (1997). The OBRA‐87 Nursing Home Regulations and Implementation of the Resident Assessment Instrument: Effects on Process Quality. Journal of the American Geriatrics Society, 45(8), 977 – 985. https://doi.org/10.1111/j.1532-5415.1997.tb02970.x Team, N. H. a. C. (2024, March 15). Nursing Home Reform Act of 1987 – Understand its Impact. Nursing Home Abuse Center. https://www.nursinghomeabusecenter.com/resources/nursing-home-reformact/#:~:text=Nursing%20homes%20found%20to%20be,monitoring%2C%20and%20temporary%20stat e%20management. What is OBRA? Learn more about OBRA Regulations Governing Nursing Homes | Sweeney Law Firm. (n.d.). https://sweeneylawfirm.com/content/obra-regulations Thank you, Valerie #3 RESPOND TO YASMINE: One Florida regulation affecting long-term care facilities regulated by the Department of Health and the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services is the requirement for these facilities to adhere to infection control protocols. Infection control regulations are crucial for ensuring the safety and well-being of residents in long-term care facilities, especially considering the vulnerability of this population to infectious diseases (Centers for Disease Control and Prevention, 2022). These regulations may include guidelines for staff training on infection control measures, protocols for handling contagious illnesses, maintaining cleanliness and hygiene standards, and implementing procedures for preventing the spread of infections within the facility. These regulations are designed to uphold the standards of care and safety for residents in long -term care facilities, aligning with the broader goals of promoting quality healthcare services and protecting public health (Centers for Disease Control and Prevention, 2022). Compliance with such regulations is essential for maintaining licensure and certification from both state and federal regulatory bodies. Centers for Disease Control and Prevention. (2022, November 18). Infection control. Centers for Disease Control and Prevention. https://www.cdc.gov/infectioncontrol/index.html
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