In addition to an individual's personal health, support network, and physician, the nursing facility and its staff, as well as state and federal regulations impact an individual's overall experience in a nursing facility. The 2008 NFQR assessed the quality of care and quality of life of a sample of more than 2,000 individuals who resided in nursing facilities in Texas in 2008.
Survey results indicate that most individuals were satisfied with their overall experience and health care services in their nursing facility this year. Quality of care improvements noted this year compared to last year include a higher proportion of residents who were incontinent and had a continence promotion plan, residents assessed for fall risks, advance care plans which addressed artificial nutrition and hydration, residents assessed for the risk for weight loss and dehydration, and reassessments of residents on antianxiety medications. Quality of life improvements included increased privacy and satisfaction with safety and security.
Quality of care areas that showed declines include the need to address antibiotic resistant infections, the proportion of residents with an advance care document, care consistent with an advance care document, and social and recreational activities offered at nursing facilities.
This review contributes to the knowledge base that helps inform policy making for the growing aging population. This information is shared not only internally at DADS but also with providers and fosters open communication and collaboration to improve the quality of care and quality of life of the people DADS serves.
Updated: June 8, 2010