Racial Disparities Within Nursing Home ( Nh ) Care Quality...

I. Introduction There exist significant racial disparities in nursing home (NH) care quality. Although some improvements have been made in recent years, Blacks are still more likely to receive suboptimal care in this setting, compared to Whites (1). Blacks are also more likely to be admitted to poorer quality NH’s than Whites (2). There also tend to be racial disparities in psychosocial well-being among NH residents, as determined by lower social engagement among Blacks versus Whites (3). These findings are particularly alarming provided that the proportion of Blacks aged 65 and older who live in NH’s has increased dramatically, while the number of Whites in NH’s has declined (4). Multiple factors contribute to the disparities between Blacks and Whites in NH care quality. One such factor is the lack of regulatory practices to curb racial discrimination in this setting. This paper will propose a policy that aims to enforce and penalize Center for Medicare and Medicaid Services (CMS)-funded NH’s that are in violation of current anti-discriminatory laws. The proposed policy would be passed and implemented at the federal government level, however it would also require cooperation from public, state agencies. II. Analysis of the Problem When Title VI of the Civil Rights Act prohibited segregation in 1964, NH’s were not prioritized for enforcement of desegregation (1). NH’s were not inspected for civil rights violations, nor were they required to provide information on theShow MoreRelatedNursing Essay41677 Words   |  167 PagesThe Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright  © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 Read Morepreschool Essay46149 Words   |  185 Pagescircumstance can impede their continued learning and development long past kindergarten. High-quality preschool teaching contributes to children’s longrange social and academic success, as well as their ability to express themselves creatively through the arts, their capacity to engage in physically challenging activities, and their development of lifelong health habits. Children who attend high-quality preschools benefit from rich opportunities to learn through play. They also benefit from curriculumRead MoreStrategic Human Resource Management72324 Words   |  290 Pagestheoretical evidence concerning the positioning for human resource strategies (especially Ulrich). ï  ¬ ï  ¬ ï  ¬ ï  ¬ ï  ¬ ï  ¬ A. INTRODUCTION Why is human resource management important? Ever since the earliest theories of management, the role of people within the organisation has been accepted and it is commonly recognised that someone in every organisation will need to be responsible for the various matters which arise in connection with the employment of people – commonly recognised as the HR functionRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pagesin medicine and health care were very often offset by the degradation of the global environment and massive spurts in excessive mortality brought on by warfare, famine, periodic genocidal onslaughts, and worldwide epidemics. In no previous epoch of history was war so vilified and peace so consciously pursued through the establishment of international organizations and diplomatic exchanges. Despite these endeavors, the levels of domestic and international violence within human populations and theRead MoreFundamentals of Hrm263904 Words   |  1056 PagesShort-Term Disability Plans 303 Long-Term Disability Plans 303 WORKPLACE ISSUES: OSHA’s Top Ten Violations 324 Training for Employees, Supervisors and Managers 325 Contemporary Health and Safety Issues 325 Workplace Violence 325 Indoor Air Quality 326 The Smoke-Free Environment 327 WORKPLACE ISSUES: Faith in the Slaughterhouse 327 Repetitive Stress Injuries 328 Stress 328 Common Causes of Stress 329 DID YOU KNOW?: Employees Wasting Time at Work 330 Symptoms of Stress 331 Reducing Stress 331