HA540 Unit 7: Atchison Nursing Home Quality and Safety Analysis

This report analyzes the Atchison Senior Village nursing home, located in Kansas, USA, based on the HA540 assignment brief focusing on healthcare operations and quality assessment. The report provides an overview of the nursing home, including its ownership, size, and services. It then discusses the home's overall performance, highlighting deficiencies and overcharging of patients, as evidenced by the January 2019 inspection. The analysis delves into safety performance, citing issues such as an inadequate caregiver-to-patient ratio, and an imbalance between care and pricing. The report emphasizes the importance of quality improvement strategies, including regulatory measures and regular inspections, to ensure better care and accountability. References to relevant research papers support the analysis of the nursing home's performance and highlight the need for improvements in healthcare quality and safety.

Atchison Nursing Home
Name
Institution

Scope of the Presentation
The presentation will focus on;
 Overview of the nursing home
 Its over performance
 Quality performance
 Safety performance
 Conclusion

Introduction
Health care is an important aspect for the well being of
any population.
It is a basic need especially with the advancement of age.
The quality of the services can help in;
 minimizing possible risks of exposing people to danger of
health hazards.
 Reducing infection by other opportunistic infections.

Atchison Nursing Home
Atchison senior village nursing home is a
care giving home of the aged
Location: Kansas Missouri USA.
Ownership: the county government and it is
medium in size with 56 certified beds.
Service: provide continuing care for the
retirement community but its participation is
purely on Medicare and Medicaid.

Overall Performance
The last inspection in January 2019 showed unsatisfactory
performance
Shortcomings for poor performance include;
 Overcharges the patients (Ae-Sook Kim 2016)
 $156 for single patient
 $145 for double
 avarage; $160
 N/B- the average is 0.75% higher than the state charges
which is $143.

Cont..
Vulnerability
 There are cases of vulnerable patients who have been
withdrawn due to;
Poor health care
Increased risks of infections
- Only 20% of the vulnerable patients remain due to
inability to get better services elsewhere

Safety Performance
There is poor safety performance because;
 Number of caregivers are smaller than the patients
 Mutawe (2015) estimates a ratio of 1:14
 Caregivers operate with specified time as per the job
description
 results: improper attention & increased chances of
infections

Cont..
There in an imbalance between care and
price
 safety of the people who need care is
therefore not equivalent to the amount of
money they pay (Hitt & Tambe, 2016).
 Furthermore subjection to an increase of
0.75% should have been an extra mile for
better services.

Quality Improvement
Quality of care should be the goal of every nursing home
(Troyer & Thompson, 2014).
Improvement strategies
 Regulations should be attached to the operation of the
organization
 It will be helpful in eliminating factors threatening the
quality of care

Cont..
Continued inspection should also be conducted regularly
to determine the homes that meet the human health
requirement standards.
From the results;
 Poorly performing homes should be closed
 The public will have better choice of homes for their aging
relatives or patients.
 Accountability will issue public authentic briefs about the
home

Conclusion
Atchison senior village nursing home has a poor star
rating due to poor services offered to the clients and poor
performance.
It takes advantage of the vulnerable through overcharging.
Quality of the services should also be advocated so as to
limit exploitation.

References
Ae-Sook Kim. (2016). Market Conditions and Performance in the
Nursing Home Compare Five-Star Rating. Journal of Health Politics,
Policy & Law, 41(5), 939–968.
https://doi.org/10.1215/03616878-3632221
Hitt, L. M., & Tambe, P. (2016). Health Care Information Technology,
Work Organization, and Nursing Home Performance. ILR Review,
69(4), 834–859. https://doi.org/10.1177/0019793916640493
Mutawe, A. (2015). Occupational Health & Safety Compliance In
Nursing Homes. (cover story). Professional Safety, 45(11), 18.
Retrieved from
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3742545&site=ehost-live
Troyer, J. L., & Thompson Jr., H. G. (2014). The Impact of Litigation
on Nursing Home Quality. Journal of Health Politics, Policy & Law,
29(1), 11–42. https://doi.org/10.1215/03616878-29-1-11
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