Pushed by large employers who are eager to know what they are buying when they purchase health care for their employees, an outfit called the National Committee for Quality Assurance today ranks health-care plans on 17 different performance measures.
Yet these grievances are about access to the system, not about the quality of care received by those who get in.
Berwick, president of the Institute for Health Care Improvement and one of the nation's top health-care quality experts, praises the VHA's information technology as "spectacular".
"But these facilities could have the same high level of quality care as those with low percentages of bedsores."
Georgia: Hutcheson Medical Center Subacute Care Unit (Fort Oglethorpe)
Iowa: Belmond Health Care Center (Belmond); Kingsley Nursing and Rehab Center (Kingsley); Emmetsburg Care Center (Emmetsburg); Ruthven Community Care Center (Ruthven)
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"For the first time in recent history, Medicaid recipients must make the same choices about care setting as private-pay individuals."
Under the new law, 278 people in Wisconsin are affected by the cap on the state's Community Options Program, which was created to fund community-based alternatives to nursing-home care. Another 500 to 600 people are affected by the cap on Medicaid reimbursements for home health care, the state estimates.
Even among middle-class black professionals, finding quality child care is as much an issue as affording it.
Child and dependent care problems are already having a serious impact on worker absenteeism, recruitment and retention--and affecting America's bottom line.
How do you size up today's long-term care financing situation?
Keith Weikel, MD, Executive Vice-president, Health Care and Retirement Corporation: "Clearly a lot of people today are being impoverished by long-term care costs, and we need to address this as a society and as an industry.