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Improving the Quality of Long-Term Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-02-27

Total Pages: 344

ISBN-13: 0309132746

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Improving the Quality of Care in Nursing Homes

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1986-02-01

Total Pages: 432

ISBN-13: 0309036461

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As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Dying in America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2015-03-19

Total Pages: 638

ISBN-13: 0309303133

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For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Quality of Life Therapy

Author: Michael B. Frisch

Publisher: John Wiley & Sons

Published: 2005-07-26

Total Pages: 369

ISBN-13: 0471727237

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Note: Book no longer includes a CD-ROM, but the files are available online for download for both book and ebook purchasers at www.wiley.com/go/frisch "This book defines an approach to well-being and positive psychology, that is state-of-the-art, evidence-based, empirically validated, and an outstanding guide for anyone interested in learning about the practice of positive psychology or well-being." —Ed Diener, the world authority on happiness from the University of Illinois and President of the International Positive Psychology Association. Endorsed by Christopher Peterson of the University of Michigan and taught in Marty Seligman's Masters in Applied Positive Psychology (MAPP) Program at the University of Pennsylvania, this book teaches a simple, step-by-step method for putting the fields of well-being and positive psychology into practice. It is a "one-stop shopping" manual with everything you need in one book and with one approach. This approach to greater happiness, meaning, and success is “evidence-based” and empirically validated. It has been successfully tested in three randomized controlled trials, including two NIH-grant funded trials conducted by James R. Rodrigue and his colleagues at Beth Israel and Harvard Medical Centers in Boston. Quality of Life Therapy also known as Quality of Life Therapy and Coaching or QOLTC is designed for use by therapists, coaches, organizational change-agents/consultants, and all professionals who work to improve peoples' well-being. Many laypersons and clients have found the book useful as well. This book explains the "Sweet 16" Recipe for Joy and Success, along with validated interventions for each: 1. Basic Needs or Wealths: Health, Money, Goals-and-Values/Spiritual Life, Self-Esteem 2. Relationships: Love, Friends, Relatives, and Children 3. Occupations-Avocations: Work and Retirement Pursuits, Play, Helping-Service, Learning, Creativity 4. Surroundings: Home, Neighborhood, Community

Improving Quality of Care in Low- and Middle-Income Countries

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-11-19

Total Pages: 126

ISBN-13: 030937345X

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Quality of care is a priority for U.S. Agency for International Development (USAID). The agency's missions abroad and their host country partners work in quality improvement, but a lack of evidence about the best ways to facilitate such improvements has constrained their informed selection of interventions. Six different methods - accreditation, COPE, improvement collaborative, standards-based management and recognitions (SBM-R), supervision, and clinical in-service training - currently make up the majority of this investment for USAID missions. As their already substantial investment in quality grows, there is demand for more scientific evidence on how to reliably improve quality of care in poor countries. USAID missions, and many other organizations spending on quality improvement, would welcome more information about how different strategies work to improve quality, when and where certain tools are most effective, and the best ways to measure success and shortcomings. To gain a better understanding of the evidence supporting different quality improvement tools and clarity on how they would help advance the global quality improvement agenda, the Institute of Medicine convened a 2-day workshop in January 2015. The workshop's goal was to illuminate these different methods, discussing their pros and cons. This workshop summary is a description of the presentations and discussions.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author: OECD

Publisher: OECD Publishing

Published: 2019-10-17

Total Pages:

ISBN-13: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Improving the Quality of Life

Author: Susan Watson

Publisher: Black Rabbit Books

Published: 2003

Total Pages: 32

ISBN-13: 9781583404034

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Explores how the quality of life varies in different parts of the world and what can be done to help meet people's basic needs, both through government action and the efforts of individual citizens.

Improving Quality of Life for Individuals with Cer Ebral Palsy Through Treatment of Gait Impairment: International Cerebral Palsy Function and Mobility

Author: T. F. Novacheck

Publisher:

Published: 2020-12-10

Total Pages: 176

ISBN-13: 9781911612414

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This book is based on presentations and discussions of a group of world-renowned experts during a symposium "International Cerebral Palsy Function & Mobility Symposium: Improving Quality of Life for Individuals with Cerebral Palsy through Treatment of Gait Impairment" which was held in Banff, Canada, in December 2019. Clinicians and scientists are paired to discuss the current state of knowledge, working at the border of what we know and what we don't, to advance the care of those with gait impairment due to cerebral palsy. Using authors with different focus, points of view, and ways of thinking, to help establish a framework to guide research efforts for the next five years and to ensure that progress continues to be made to improve the quality of life for those with gait impairments. Disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Focus on gait and mobility in a clear, well-structured format. Enhances debate and exploration of issues. Challenges long-held assumptions to explore the current state of research, testing, and treatment and help direct it meaningfully. The disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Presents objective, but also expert opinion, on how future research could be best directed. Patient goals need more attention, outcomes have stagnated, the details of the underlying neurological impairments are still a mystery, and strong evidence for what we do is desperately needed.