HEIGHTENING PERSON-CENTERED PROCESSES IN THE DELIVERY OF NURSING RESTORATIVE CARE
The Centers for Medicare and Medicaid Services (CMS) have defined the parameters of nursing restorative care (NRC), including the type, duration, and frequency of care, for purposes of reimbursement. Despite documented benefits, reimbursement for NRC has been declining nationally. The Minnesota Depa...
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| Published in | Innovation in aging Vol. 2; no. suppl_1; p. 206 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
US
Oxford University Press
11.11.2018
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| Subjects | |
| Online Access | Get full text |
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| Summary: | The Centers for Medicare and Medicaid Services (CMS) have defined the parameters of nursing restorative care (NRC), including the type, duration, and frequency of care, for purposes of reimbursement. Despite documented benefits, reimbursement for NRC has been declining nationally. The Minnesota Department of Human Services has received ongoing feedback from nursing home providers regarding frustration with denial of reimbursement for NRC. An in-depth examination of this problem with n=132 nursing home providers, including analysis of NRC use, a survey of providers and auditors, and a stakeholder focus group, was conducted. Overall, providers saw benefit in NRC, but found frequency and intensity of care requirements, as well as the regulatory components (measurable goals, documentation, evaluation by RNs, staff training) challenging. Noted challenges included staff turnover, inconsistent guidance from auditors, and low NRC reimbursement. A more flexible, person-centered approach for NRC is recommended to maintain or prevent functional decline of residents. |
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| ISSN: | 2399-5300 2399-5300 |
| DOI: | 10.1093/geroni/igy023.757 |