AAHSA' Task Force Report on the Survey System

The American Association of Homes and Services for the Aging (AAHSA) developed a Task Force on Survey, Certification and Enforcement.  In June 2008, they issued a report titled Broken and Beyond Repair: Recommendations to Reform The Survey and Certification System.

The AAHSA Task Force on Survey, Certification and Enforcement believes strongly that
despite some measurable, specific successes, the nursing home oversight system has,
overall, failed to fulfill its 20-year-old goals to ensure a nursing facility’s “sustained
compliance” with regulations and to enhance quality of care and quality of life for
residents living in those facilities.
The Task Force’s year-long examination has convinced
each of its members not only that the system is not working today – but also that the
system will not work in the future, when a growing number of older Americans with
increasingly complex care needs will seek care in nursing homes. Now is the time – not
tomorrow or next year or five years from now – to take bold steps to design a new system
for ensuring quality of care and quality of life in this country’s nursing homes.

The National Commission for Quality Long-Term Care, a bipartisan study group,
suggested in its December 2007, report that the long-term care system can no longer
depend on “the old ways of doing things.”19 In this report, the Task Force on Survey,
Certification and Enforcement urges AAHSA to take the lead in advocating for steps that
will introduce “new ways of doing things” into the survey and certification system. We
urge the association to consider our recommendations carefully and to act on them
boldly.

Task Force: "The System is Broken, and Can't be Fixed"

An independent, broad-based national expert panel should be convened to re-examine the oversight process for nursing homes, a task force from the American Association of Homes and Services for the Aging (AAHSA) concluded in its final report, "Broken and Beyond Repair: Recommendations to Reform the Survey and Certification System."

The report's 31 recommendations include improved communication to surveyors and providers about new requirements and changes to the survey process, standardized job descriptions for surveyors, more efficient use of survey resources, and flexibility to adapt to culture change. The task force's overarching recommendation is that an independent commission, such as the Institute of Medicine, reexamine the survey and certification process to "create a common vision for how our nation should care for its frailest citizens and to recommend a new oversight model for ensuring that this vision becomes reality in every nursing home today."

Bonnie Gauthier acknowledged that "our short-term suggestions alone won't bring the system back to the intent of OBRA 87 -- achieving optimal, quality-based, resident-centered care -- but they will tide the system over until broad systemic change can occur." Immediate changes needed, according to the report, include better public reporting of survey results, joint education of providers and surveyors, and greater overall consistency in the process."

To inform its conclusions, the report includes a digest of interviews with survey agency representatives from seven states and a catalog of surveyor job descriptions from numerous states.
Larry Minnix, AAHSA's president and CEO, said  "This system is angry, broken and can't be fixed. A system based on consistency, fairness and accuracy will help us move toward the day when there are two types of nursing homes: the excellent and the non-existent."

Get copies of the report 

About AAHSA
The members of the American Association of Homes and Services for the Aging ( www.aahsa.org) help millions of individuals and their families every day through mission-driven, not-for-profit organizations dedicated to providing the services that people need, when they need them, in the place they call home. Our 5,800 member organizations, many of which have served their communities for generations, offer the continuum of aging services: adult day services, home health, community services, senior housing, assisted living residences, continuing care retirement communities and nursing homes. AAHSA's commitment is to create the future of aging services through quality people can trust.
SOURCE American Association of Homes and Services for the Aging
 

Poliakoff & Associates, P.A., is one of South Carolina’s most respected and distinguished law firms. The Poliakoff firm began nearlyMore...