As health care providers, we all want to provide the highest quality of care possible to our patients. Over the last few years, the member facilities of the Louisiana Nursing Home Association have made a special effort to implement changes and best practices to improve quality of care, including culture change.
LNHA is proud that a substantial number of nursing facilities improved their overall Five Star Quality Rating between 2009 and 2014. The overall rating created by the Centers for Medicare and Medicaid Services is based on scores in three domains: health inspections, staffing and quality measures. The proportion of facilities with a one-star overall rating in Louisiana has decreased by 57 percent, and the proportion with a five-star overall rating increased by 438 percent from January 2009 to May 2014, and the percentage of facilities with a four-star rating increased by 70 percent during the same time period.
The following data regarding quality also show great improvement by Louisiana nursing facilities:
- RN staffing increased 75 percent in Louisiana nursing facilities as compared to 44 percent nationally.
- Total nurse staffing increased 19 percent in Louisiana as compared to 13 percent nationally.
- The use of physical restraints and the development of pressure ulcers decreased faster in Louisiana than in the nation.
- Neuroleptic medication use decreased 11 percent.
According to the 2013 American’s Health Rankings Annual Edition, Louisiana’s seniors rank second worst in the nation in health measures such as diabetes, obesity, physical inactivity and smoking. Those factors contribute to the health outcomes that are experienced in the facilities.A cost-saving achievement took place when LNHA, working in concert with the Department of Health and Hospitals, succeeded in reducing the number of overall beds and the number of empty beds. Over the past 10 years, Louisiana’s nursing facilities accomplished an intentional reduction of beds from 40,000 beds to approximately 35,000 beds, a 12.5 percent decrease — the equivalent of 35 fewer nursing facilities being taken offline.
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