The Impact of Long-Term Care Ombudsman Presence on Nursing Home Survey Deficiencies

Berish, Diane; Bornstein, Josh; Bowblis, John R.

doi:10.1016/j.jamda.2019.02.006

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Staffing is one of the main consequences that result from inadequate funding; the regulations that dictate the implementation of the LTCOP do not provide definitive guidelines related to what constitutes adequate staffing. What we do know is that previous research has indicated that there is great variability across states regarding ombudsman presence in settings like nursing homes, and that, in states where presence is low, this is associated with adverse quality outcomes (Berish et al, 2019). There is also no explicit information related to what the ratio of paid staff to volunteers should be for optimal effectiveness of day-to-day operations.…”

Section: Fundingmentioning

confidence: 96%

“…Insufficient funding is the most prominent barrier to the LTCOP's effectiveness (Berish et al, 2019;Hollister & Estes, 2013;Ostwald et al, 2003). Lack of funding at the local level results in a lack of administrative control of ombudsman program directors, which results in inadequate staffing, a lack of training and an inability to obtain legal services for their clients, and inability to provide continuing education for staff and volunteers, alike.…”

Section: Fundingmentioning

confidence: 99%

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Social Workers’ Impact on Policy Through Regulations: A Case Study of the U.S. Long-Term Care Ombudsman Program

Beltran

Miller

Hamler

2021

Journal of Social Work

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Summary Involvement in the political process in the United States is critical for social work professionals, as social policies dictate funding and programming in social work practice. Yet, there is little to no focus given to the regulation writing process in the social work literature in the United States. This article contributes to the scant body of knowledge that addresses the regulatory process from a social work perspective. A brief overview of the regulation writing process is provided, followed by a case study using the regulations for the U.S. Older Americans Act Long-Term Care Ombudsman Program to illustrate the process. Findings A total of 85 comments, submitted to the Federal Register docket, were analyzed using content analysis. Findings reveal that comment submissions varied greatly in terms of length, source, and input. Notably, findings indicate low participation from the social work profession. Application The open comment period of the regulation writing process offers a free, but effortful, window of opportunity for social workers to engage in post-legislative advocacy. There is a need to support the involvement of the social work profession in the regulation writing process, through practice and training enhancements.

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Section: Fundingmentioning

confidence: 96%

Section: Fundingmentioning

confidence: 99%

Social Workers’ Impact on Policy Through Regulations: A Case Study of the U.S. Long-Term Care Ombudsman Program

Beltran

Miller

Hamler

2021

Journal of Social Work

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A COVID Reset: The Future of the Long-Term Care Ombudsman Program and Its Volunteer Advocates

Nelson

Netting

2021

Journal of Gerontological Social Work

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Community Long Term Care Ombudsman Program Disaster Assistance: Ready, Willing or Able?

Nelson

Yang

Netting

et al. 2020

Journal of Homeland Security and Emergency Management

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The high elder care death toll of Hurricane Katrina in 2005, pushed the federally mandated Long-Term Care Ombudsman Program (LTCOP) into the unsought and unforeseen realm of disaster preparedness. This new role was an extension of the LTCOP’s historic resident’s rights investigative case advocacy. To assess if, how, and to what extent local ombudsmen adapted to this new function, 102 local LTCOP leaders completed a telephone survey based on the CMS Emergency Planning Checklist. This assessed their own and their programs’: (a) readiness to help facilities reduce disaster threats to residents, (b) familiarity with relevant disaster laws, rules, and resources; (c) readiness to help residents through the disaster cycle; and (d) levels of disaster training and/or their plans to provide such training to their staff and LTC stakeholders. Forty-two respondents (41.13%) had experienced a public disaster but over half or those responding (n = 56, 54.90%) felt fairly to somewhat prepared to help in a public crisis. After being ready to work away from their office during a crisis ($\overline{x}$ = 4.14, SD = 1.00) respondents felt most prepared “to assist during nursing home emergency closure and evacuation” ($\overline{x}$ = 3.86, SD = 1.09). t-tests revealed that respondents with a disaster experience were significantly more prepared in all assessed dimensions than as those without disaster experience. The study highlights the training needs of ombudsmen in high risk areas to better prepare them for disaster mitigation in nursing homes.

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The Impact of Long-Term Care Ombudsman Presence on Nursing Home Survey Deficiencies

Cited by 3 publications

References 16 publications

Social Workers’ Impact on Policy Through Regulations: A Case Study of the U.S. Long-Term Care Ombudsman Program

Social Workers’ Impact on Policy Through Regulations: A Case Study of the U.S. Long-Term Care Ombudsman Program

A COVID Reset: The Future of the Long-Term Care Ombudsman Program and Its Volunteer Advocates

Community Long Term Care Ombudsman Program Disaster Assistance: Ready, Willing or Able?

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