A Task Force to Study Quality of Care in Maryland Nursing Facilities: A Case in Point

Abstract

The number of residents with complex medical needs and acuity levels has been increasing in nursing homes in this country. The general philosophy of care has evolved from one of custodial care to promoting each resident’s highest level of functioning. The author was part of a task force process mandated by the legislature in Maryland to study the quality of nursing home care in the state. The final recommendations made by the task force took form in legislative proposals submitted to the General Assembly in the 2000 legislative session and resulted in the passage of six pieces of legislation directed at improving the quality of care in Maryland nursing home facilities. The author provides an excellent case example of how nurses can use their expertise and political skills to contribute successfully to the policy process.

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References

Johnson, J. , Cowles, C. M. , & Simmens, S. J. (1996). Quality of care and nursing staff in nursing homes. In Institute of Medicine report, Nursing staff in hospitals and nursing homes: Is it adequate? (pp. 426-452). Washington, DC: National Academy Press.

Maryland Department of Aging . (2000, April 12). Summary of nursing home task force legislation-2000 General Assembly. Annapolis, MD: Author.

Ward, S. R. (chair). (1999, December). Report of the task force on quality of care in nursing facilities (Submitted to the Maryland General Assembly). Annapolis, MD.