Quality with healthcare can be defined as “a judgment about the goodness of both technical care and the management of the interpersonal exchanges between a client and practitioner” (Donabedian, 1991).
To help improve quality, regulations and laws pertaining to long term care standards were developed to impose the quality of care for consumers in nursing facilities. One of several regulations passed to set standards was the initiation of Omnibus Budget reconciliation Act (OBRA). OBRA set standards for residents’ rights, quality for life, staffing services, resident assessment, and federal procedures. Another quality improvement program comes from an accrediting agency such as Joint Commission on Accreditation Organizations (JCAHO) (Pratt, et al).
As a Health Care Manager, it will be in the best interest to understand regulations and enforce quality controls in the long-term facilities. All of the regulations can be complex and overlap one another. For example, most regulations of laws originated from the federal government. Federal laws account for the large proportion of Medicare and Medicaid standards. Next, state laws required that each state have a single agency to oversee Medicare and Medicaid. Lastly, the local level in the counties such as the health department has an interest …show more content…
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