Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. Ineffective responses to the complex challenges of nursing home care have resulted in a system that often fails to ensure the well-being and safety of nursing home residents.
The devastating impact of the COVID-19 pandemic on nursing home residents and staff has renewed attention to the long-standing weaknesses that impede the provision of high-quality nursing home care.
With support from a coalition of sponsors, the National Academies of Sciences, Engineering, and Medicine formed the Committee on the Quality of Care in Nursing Homes to examine how the United States delivers, finances, regulates, and measures the quality of nursing home care. David Stevenson, PhD, professor of Health Policy, was a member of the 17-person committee.
The resulting report identifies seven broad goals, which provide the overarching framework for a comprehensive approach to improving the quality of care in nursing homes. The committee presents an interrelated set of recommendations to achieve each of these goals.