[4alabama] Racial Disparities in Nursing Home Care

Tue Sep 11 14:30:03 CDT 2007

e-Alert | The Commonwealth Fund
-----Original Message-----
From: The Commonwealth Fund [mailto:commonwealthfund at cmwf.org]
Sent: Tuesday, September 11, 2007 11:18 AM
To: Judy Roy
Subject: Racial Disparities in Nursing Home Care

        Dear Colleague:
      In metropolitan areas across the U.S., blacks are more likely than
whites to live in poor-quality nursing homes, according to a new
Commonwealth Fund-supported study published today in Health Affairs. The
disparity appears to be linked to patterns of residential segregation.

      The researchers, based at Temple and Brown universities, say the
problem is most acute in the Midwest: 10 of the 20 nursing homes with the
greatest disparities in quality of care were located in Wisconsin, Indiana,
Ohio, and Michigan. In Milwaukee, blacks are more than twice as likely as
whites to live in a nursing home with significant inspection deficiencies,
substantial staffing shortages, and financial problems.

      Nursing homes in the South are least likely to have an unequal racial
distribution of nursing home residents relative to residential racial
composition.

      Overall, blacks are more likely than whites to be in a nursing home
that has been cited with a deficiency causing actual harm or immediate
jeopardy to residents.

      The study's authors say that quality disparities in nursing homes
could be mitigated by improving payment structures for nursing homes with a
high proportion of Medicaid residents; closing the gap between the amount
paid to nursing homes by Medicaid and private payers; and monitoring
admissions practices to ensure that they meet Civil Rights Act requirements.

      Rewarding Quality in Nursing Homes
      Robert L. Kane, M.D., Greg Arling, Ph.D., and Christine Mueller,
Ph.D., R.N. et al.
      May 11, 2007
      Read more >

      Twenty Common Nursing Home Problems and the Laws to Resolve Them
      Eric Carlson, J.D.
      April 27, 2006
      Read more >

        The Commonwealth Fund is a private foundation that aims to promote a
high performing health care system that achieves better access, improved
quality, and greater efficiency. If you received this alert as a "forward"
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        Copyright 2007 C The Commonwealth Fund

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-----Original Message-----
From:
The Commonwealth Fund [mailto:commonwealthfund at cmwf.org]
Sent:
Tuesday, September 11, 2007 11:18 AM
To:
Judy Roy
Subject:
Racial Disparities in Nursing Home Care
http://www.commonwealthfund.org/img/newsletter_shared/banner_ealert.gif

Dear Colleague:
In metropolitan areas across the U.S., blacks are more likely than whites to live in poor-quality nursing homes, according to a http://www.commonwealthfund.org/cnlib/pub/enews_clickthrough.htm?enews_item_id=29866&return_url=http%3A%2F%2Fwww%2Ecommonwealthfund%2Eorg%2Fpublications%2Fpublications%5Fshow%2Ehtm%3Fdoc%5Fid%3D521746%26%23doc521746 new Commonwealth Fund-supported study
published today in
Health Affairs.
The disparity appears to be linked to patterns of residential segregation.
The researchers, based at Temple and Brown universities, say the problem is most acute in the Midwest: 10 of the 20 nursing homes with the greatest disparities in quality of care were located in Wisconsin, Indiana, Ohio, and Michigan. In Milwaukee, blacks are more than twice as likely as whites to live in a nursing home with significant inspection deficiencies, substantial staffing shortages, and financial problems.
Nursing homes in the South are least likely to have an unequal racial distribution of nursing home residents relative to residential racial composition.
Overall, blacks are more likely than whites to be in a nursing home that has been cited with a deficiency causing actual harm or immediate jeopardy to residents.
The study's authors say that quality disparities in nursing homes could be mitigated by improving payment structures for nursing homes with a high proportion of Medicaid residents; closing the gap between the amount paid to nursing homes by Medicaid and private payers; and monitoring admissions practices to ensure that they meet Civil Rights Act requirements. http://www.commonwealthfund.org/img/newsletter_shared/tdot.gif

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Rewarding Quality in Nursing Homes
Robert L. Kane, M.D., Greg Arling, Ph.D., and Christine Mueller, Ph.D., R.N. et al.
May 11, 2007
http://www.commonwealthfund.org/cnlib/pub/enews_clickthrough.htm?enews_item_id=29865&return_url=http%3A%2F%2Fwww%2Ecommonwealthfund%2Eorg%2Fpublications%2Fpublications%5Fshow%2Ehtm%3Fdoc%5Fid%3D482145%26%23doc482145 Read more »
Twenty Common Nursing Home Problems and the Laws to Resolve Them
Eric Carlson, J.D.
April 27, 2006
http://www.commonwealthfund.org/cnlib/pub/enews_clickthrough.htm?enews_item_id=29864&return_url=http%3A%2F%2Fwww%2Ecommonwealthfund%2Eorg%2Fpublications%2Fpublications%5Fshow%2Ehtm%3Fdoc%5Fid%3D368902%26%23doc368902 Read more »
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http://www.commonwealthfund.org/ The Commonwealth Fund
is a private foundation that aims to promote a high performing health care system that achieves better access, improved quality, and greater efficiency. If you received this alert as a "forward" or if you would like to receive alerts on other issues, visit our http://www.commonwealthfund.org/emailalert/ E-mail Alert Sign-up page
, or send an e-mail to mailto:e-alerts at cmwf.org e-alerts at cmwf.org
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