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Full-Text Articles in Medicine and Health Sciences
The New York State Nursing Home Transition And Diversion Medicaid Waiver Program : A Descriptive Cost Comparison, Joe Atsushi Katagiri
The New York State Nursing Home Transition And Diversion Medicaid Waiver Program : A Descriptive Cost Comparison, Joe Atsushi Katagiri
Legacy Theses & Dissertations (2009 - 2024)
The New York State Nursing Home Transition and Diversion Medicaid waiver program (NHTD) assists individuals with long-term care needs with the goal of living safely in their communities. This program is founded on two assumptions: it is less expensive to provide long-term care services to Medicaid recipients in the community as opposed to a nursing home and those who are willing and capable of living in a community setting should do so. However, the healthcare environment in the United States is facing the rising cost of long-term care. The first assumption, if true, could be used as a means to …
Stakeholder, Organizational And Environmental Influences On Nursing Home Regulatory Enforcement : A New Perspective, Tamika R. Black
Stakeholder, Organizational And Environmental Influences On Nursing Home Regulatory Enforcement : A New Perspective, Tamika R. Black
Legacy Theses & Dissertations (2009 - 2024)
This dissertation proposes a conceptual framework that integrates stakeholder and compliance theory and employs a multi-method approach to examine the influence of stakeholders, bureaucratic discretion and external environment on nursing home inspections and enforcement. Negative binomial regression analysis was conducted on a population of 655 nursing homes in New York to identify determinants of variation in compliance and enforcement (as measured by deficiency citations). As hypothesized, organizational characteristics (i.e., nursing home bed capacity, sponsorship, occupancy rates and Medicaid revenue) were significant predictors of regulatory compliance and quality of care. Nursing home complaints, the presence of family councils, political party of …
Organizational Learning And Nursing Home Quality Of Care In New York State, Ting-Wei Chiang
Organizational Learning And Nursing Home Quality Of Care In New York State, Ting-Wei Chiang
Legacy Theses & Dissertations (2009 - 2024)
The primary purpose of the present study is to examine the relationship between organizational learning (OL) and nursing home quality of care (NHQC). The present study addresses OL through both descriptive and prescriptive approaches. The descriptive approach proposes a prism model that defines OL from psychological perspectives, structural perspectives, and cultural perspectives. The prescriptive approach illustrates how each dimension of OL can be improved by its corresponding organizational learning mechanisms (OLMs).