California, California Ohio, York discussed on The Healthcare Policy Podcast

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So we saw an one hundred and ninety nine percent increase in citation rates So that's two thousand two, hundred, twenty, one more citations an every state experienced a large increase, the largest being California, Ohio Texas New, York and Pennsylvania and then we saw between twenty sixteen, Seventeen Things stabilized and then in twenty seventeen to twenty eighteen rates decreased by twenty two point. One percent of the largest in California Ohio, Indiana and New York. Okay. Thank you. So this is not surprising. to summarize the trump administration. Provides essentially, this moratorium on Reagan forcement and not surprising. This is the effect we get a relative citations I do have A. Question I believe you make brief mention of state. Regulatory. Action and I asked that specifically because. The issue here largely gets at informed consent. And you do make note of this issue some tangentially about states having passed laws. Requiring, informed consent what's comet or Sussman of states policing? Their nursing homes. So we didn't look into that I specifically for the report as I mentioned is in the background section I, think oversight of nursing homes is is always going to be escape federal venture because you know the surveyors are are you know work for at state surveyors and so there's always variability there I I can't speak to this specific policies in states in the extent to which they have worked or not worked because we didn't really look at that but that is to say that there is some variation in how states have have handled this particular issue. Okay thank you. I'll just note and this is buried somewhere in in your report and typed it in my notes you stayed over all the state focus our state of to reduce have been largely stagnant focus is more on physical rather than chemical restraints, but you do note three states. California Oklahoma and Illinois Nara require. Physician obtained a form consent. Let me go to. the latter part of the report, and before we get to that I do have to ask you and I feel largely remiss if I didn't ask you, this is calling for your interpretation Again, before we get reports conclusions in what we may see in the next Congress relative to legislation in responses. report. As you well, where the federal government has for decades used taxpayer dollars to pay for sniffs are reimbursed them, and this has been under the guise of providing healthcare for over and let's be clear hair. Moreover, these are frail elderly women who reside in these facilities The result of which L. were well aware per my mention of David Graham. has resulted in likely the deaths of many thousands of these residents and to say further as an I cited. Intentionally. Richard MODs testimony. You heard in November. This behavior may actually violate international treaty. So my question is concerning how long this has persisted. what's your interpretation explanation as to why we can't seem to resolve a remedy or address successfully this problem It's a good question I think it's this is kind of a tricky issue I'm I would say to to preface it. This is not specifically what our report looked into could. So I am. Speaking more from my experience working in this space. But I think this. This question really gets to the broader issue of quality in nursing homes and wide. We continues to struggle even after the Nursing Home Reform Act. was passed in one, thousand, nine, hundred, seven. Thirty three years ago at this point, and that was really meant to to overhaul nursing homes and and provide a safe environment for patients and and I also want to mention sort of the current. The current backdrop today with covid nineteen and how long.

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