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Paper to Electronic Charts Made Easy

Community clinics with experience making the transition from paper to electronic records share the strategies, techniques, and insights they learned along the way.

Among Hospitals, A Special Critical List

People in rural and remote areas throughout California depend on critical access hospitals. This paper tracks the changing landscape and financial health of these small but important institutions.

Telehealth Project to Provide Dental Care

Low-income families will receive free dental care, thanks to the Virtual Dental Home, a telehealth project supported by CHCF and other funders. The four-year pilot project will eventually operate in nine California communities.

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Long-Term Care

Thursday, April 24, 2008

Database of Nursing Homes With Low Ratings Added to CMS Web Site

On Thursday, CMS added to the Nursing Home Compare Web site a searchable database with the names of nursing homes that rank in the lowest 5% to 10% in quality based on state inspection results, the Wall Street Journal reports.

CMS first released the information in the database as a list of Special Focus Facilities that includes about 130 of the 16,000 nursing homes in the U.S.

In addition to the database, the Web site includes summarized information from state inspections and data that nursing homes must submit to regulators about their residents. CMS updates the site monthly.

According to consumer advocacy groups, the CMS Web site provides the most complete information on the quality of nursing homes in the U.S.

In addition, a number of private Web sites that offer information on the quality of nursing homes are "improving their offerings," the Journal reports. State-specific sites, such as California Nursing Home Search operated by the California HealthCare Foundation and UC-San Francisco, also are available.

Consumer advocacy groups maintain that such Web sites can help determine the quality of nursing homes but do not provide a substitute for in-person visits.

Elinor Ginzler, a senior vice president at AARP, said that consumers should examine information on pain management, cases of pressure sores and use of restraints when they consider nursing homes.

Other Initiatives

The move by CMS to expand the Web site marks the latest step in a "trend toward giving consumers easier access to a trove of nursing home information online," the Journal reports.

Sens. Herb Kohl (D-Wis.) and Chuck Grassley (R-Iowa) have introduced a bill that would require disclosure of additional information on the quality of nursing homes.

Grassley hopes to include the legislation in a Medicare bill expected to reach the Senate floor this summer. He said, "More transparency will drive better quality care" (Wilde Mathews, Wall Street Journal, 4/24).

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