JAMDA
Volume 10, Issue 6 , Pages 431-435 , July 2009

Impact of Medical Director Certification on Nursing Home Quality of Care

  • Frederick N. Rowland, PhD, MD, CMD

      Affiliations

    • Section of Geriatric Medicine, Saint Francis Hospital and Medical Center, Hartford, CT
    • Mercy Community Health, West Hartford, CT
    • Corresponding Author InformationAddress correspondence to Frederick N. Rowland, PhD, MD, CMD, Department of Medicine, Section of Geriatric Medicine, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105–1299.
    • ,
  • Mick Cowles, BA, MS

      Affiliations

    • Cowles Research Group, McMinnville, OR
    • ,
  • Craig Dickstein, BA, MS

      Affiliations

    • Tamarack Professional Services, LLC, Caratunk, ME
    • ,
  • Paul R. Katz, MD, CMD

      Affiliations

    • Division of Geriatrics/Aging, University of Rochester School of Medicine and Dentistry, Rochester, NY

References 

  1. AMDA. Certified Medical Director in Long Term Care (AMDA CMD). Available at: http://www.amda.com/certification/overview.cfm. Accessed June 17, 2009.
  2. Interpretive Guidelines for Long-Term Care Facilities. Available at: http://cms.hhs.gov/manuals/Downloads/som107ap_pp_guidelines_ltcf.pdf. Accessed June 17, 2009.
  3. NursingHome Compare. Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. January 2009. Available at: http://www.cms.hhs.gov/CertificationandComplianc/13_FSQRS.asp. Accessed June 17, 2009.
  4. Obtained from the files of Cowles Research Group. Available at: http://www.longermcareinfo.com/about_oscar.html. Accessed June 17, 2009.
  5. Cowles CM. Nursing Home Statistical Yearbook: 2007. McMinnville, OR: Cowles Research Group; 2008;pp.70, 72–73
  6. American Medical Directors Association . Roles and responsibilities of the medical director in the nursing home: position statement A03. J Am Med Dir Assoc. 2005;6:411–412
  7. Schnelle JF. Total quality management and the medical director. Clin Geriatr Med. 1995;11:433–448
  8. Schnelle JF, Ouslander JG. CMS guidelines and improving continence care in nursing homes: The role of the medical director. J Am Med Dir Assoc. 2006;7:131–132
  9. Zimmer JG, Watson NM, Levenson SA. Nursing home medical directors: Ideals and realities. J Am Geriatr Soc. 1993;41:127–130
  10. Smith RL, Osterweil D. The medical director in hospital-based transitional care units. Clin Geriatr Med. 1995;11:373–389
  11. Colon-Emeric CS, Casebeer L, Saag K, et al. Barriers to providing osteoporosis care in skilled nursing facilities: perceptions of medical directors and directors of nursing. J Am Med Dir Assoc. 2005;6:S61–S66
  12. Richards CL. Preventing antimicrobial-resistant bacterial infections among older adults in long-term care facilities. J Am Med Dir Assoc. 2005;6:144–151
  13. Munir J, Wright RJ, Carr DB. A quality improvement study on calcium and vitamin D supplementation in long-term care. J Am Med Dir Assoc. 2006;7:305–309
  14. Pattee JJ, Otteson OJ. Medical Direction in the Nursing Home: Principles and Concepts for Physician Administrators. Minneapolis, MN: North Ridge Press; 1991;
  15. In:  Levenson SA editors. Medical Direction in Long-Term Care: A Guidebook for the Future. 2nd ed. Durham, NC: Carolina Academic Press; 1993;
  16. In:  Katz PR,  Calkins E editor. Principles and Practice of Nursing Home Care. New York: Springer Publishing; 1989;
  17. Ouslander JG, Osterweil D, Morley J. Medical Care in the Nursing Home. 2nd ed.. New York: McGraw-Hill; 1997;
  18. Boyce BF, Bob H, Levenson SA. The preliminary impact of Maryland's medical director and attending physician regulations. J Am Med Dir Assoc. 2003;4:157–163
  19. Caprio TV, Karuza J, Katz PR. Profile of physicians in the nursing home: Time perception and barriers to optimal medical practice. J Am Med Dir Assoc. 2009;10:93–97

 The authors have no conflicts of interest regarding this article.

PII: S1525-8610(09)00198-4

doi: 10.1016/j.jamda.2009.05.012

JAMDA
Volume 10, Issue 6 , Pages 431-435 , July 2009

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