• 2020 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2020 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    April 14-18, 2020, Honolulu, HI.

    Earn up to 18 CNE hours.


    Find out more about it and REGISTER today!

  • W A N T E D   G A P N A   L E A D E R S!
    Call for Nominations!

    Have you ever considered stepping forward, accepting the challenge and volunteering for a position on the 2020-21 National Board of Directors? Register online NOW by March 22, 2020!

    Step Up - NOW is the Time! Register Here>

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!

  • ConventionCALL FOR: Podium and Poster Abstracts

    For the 38th GAPNA Annual Conference
    at the Hyatt Regency
    New Orleans, LA, September 24-26, 2020

    GAPNA members are invited to submit an abstract about their innovative work, that should enrich the APRN's knowledge and/or enhance the care of an older adult. Deadline March 15, 2020.

    Find out more info and deadline dates

  • FREE CE for GAPNA MembersFREE continuing education credit is available for the following session:

    "Update in Chronic Kidney Disease Management and Prescribing"

    (session captured at the GAPNA 2018 Annual Conference)

    For January/February 2020 - Get Your Free CNE Now!

State Regulation of Care Quality Is Costly to Nursing Homes

Nursing homes are a highly regulated industry in the United States. They must comply with federal Medicare and Medicaid standards, as well as those imposed by individual states.

Maintaining compliance with all of these regulations imposes costs on nursing homes, concludes a new study.

William D. Spector, PhD, a researcher at the Agency for Healthcare Research and Quality, and Dana B. Mukamel, PhD, and Charlene Harrington, PhD, RN, of the University of California, and other co-investigators found the more stringent the regulatory requirements, the higher the costs nursing homes face.

They collected data on 11,168 freestanding U.S. nursing homes between 2004 and 2006. Medicare cost reports yielded information on total expenditures and wages.

The researchers also conducted a survey of each state’s certification and licensing office for information on nursing home quality deficiencies and the associated financial penalties.

From these and other data, they calculated for each state a regulatory stringency index. Higher index values indicate stricter state regulation of quality.

The researchers found that nursing homes located in states with more stringent regulation of quality had higher costs.

The incremental costs of one standard deviation increase in regulation stringency resulted in $78,467 in costs (in 2006 dollars). This translates into 1.1% of the yearly expenditures for an average nursing home.

The researchers caution the findings should not deter continuing attempts to regulate quality and note that research underway is aimed at estimating the impact of state regulation on quality.

Estimates of both the costs and benefits of regulation are needed to assess the value of regulation.

More details are in Mukamel et al. (2011). Does state regulation of quality impose costs on nursing homes? Medical Care, 49(6), 529-534.

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