Friday, October 24, 2014
Delivering Quality Care in Skilled-Nursing Facilities

The delivery of quality care is the centerpiece of our profession – whether it’s providing critical and valuable services to medically fragile elders, the chronically or terminally ill, or those recovering from serious injury or surgery.

In spite of the ever-increasing acuity of patients who are discharged from hospitals into skilled nursing and rehabilitation, quality care is improving in California and trending in a positive direction.

There have been many changes since lawmakers recognized that insufficient Medi-Cal reimbursement rates to skilled nursing providers were having an impact on staffing levels, wages, and the financial stability of many facilities.

A new law, the 2005 Medi-Cal Long Term Care Reimbursement Act, changed the reimbursement formula and increased rates paid to facilities. The new system was funded by a self-imposed “Quality Assurance” fee paid by providers in combination with federal and state Medi-Cal funds.

As a result, since 2006, there have been notable improvements in quality care measures.

Leading the Nation in Quality

The federal Centers for Medicare & Medicaid Services (CMS) tracks 18 quality measures on its Nursing Home Compare website enabling consumers to obtain additional information about the level of care in skilled nursing centers. 

The delivery of quality care continues to improve and California ranks #1 and #2 nationally in several categories.

You can see California's continuing progress compared to the rest of the nation HERE.
Living Options
For many, quality care means being able to stay at home as long as possible.

Consumers of long-term care have a range of options from a "social" model of care in home- and community-based settings - to a "medical" model for short-stay or long-term needs in a skilled nursing facility. Both are important elements of the long-term care continuum.

California is a leader in providing services in the community, while preserving the availability of care for the most medically challenged residents.  Read more

about national efforts to improve quality in four key areas, how California providers can take part and which providers are taking the lead.

Making News
The Picker Institute's Long-Term Care Improvement Guide offers the latest research in the field of patient-centered care. Read the report

Quality assessment and assurance goals are reviewed and revised in this California case study. Provider Magazine
Recognizing Quality

See which CAHF members have received the prestigious National Quality Awards.

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