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Long-Term Care

PROLOGUE

Long-Term Care

PROLOGUE: As if the challenge of inventing a new medical model for chronic illness weren’t enough, the institutional and community infrastructure through which nursing and supportive services are provided to the frail, infirm, and disabled faces many difficulties as well. Nursing homes, home health agencies, and other subacute care providers are struggling to adapt to new Medicare payment systems that not only reduce their reimbursement but also introduce complicated new evaluation and data requirements.

The theory that an adequate flow of patient data might supplant today’s cumbersome and unsatisfactory quality regulation has a long way to go to become operational. . . . [Full Text of this Article]

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