Long-Term Care:

Status of Quality Assurance and Measurement in Home and Community-Based Services

PEMD-94-19: Published: Mar 31, 1994. Publicly Released: Mar 31, 1994.

Additional Materials:

Contact:

Office of Public Affairs
(202) 512-4800
youngc1@gao.gov

Pursuant to a congressional request, GAO reviewed the methods for: (1) measuring the quality of home and community-based long-term care services; and (2) assuring quality long-term care services for disabled persons.

GAO found that: (1) the complex financing structure that supports home and community-based care services has resulted in different quality assurance requirements for similar services; (2) program administrators and service providers do not articulate goals for home and community-based long-term care, especially at the individual service level; (3) goals for personal care services are less formal; (4) states are facing challenges in extending access to home and community-based services to all those in need; (5) service providers have emphasized several factors in measuring the quality of home care including coordination of care, appropriateness of treatment, and provider training and experience; (6) state and federal agencies have implemented a variety of quality assurance standards, but these standards are not sufficient to ensure quality long-term care services; (7) Medicare has developed several service requirements to ensure the health and safety of its patients; (8) most states require home care agencies to obtain a license before providing home care services; and (9) on-site inspection and supervision varies due to the lack of specific regulations and funding.

Sep 29, 2016

Sep 28, 2016

Sep 15, 2016

Sep 14, 2016

Sep 12, 2016

Sep 9, 2016

Sep 6, 2016

Looking for more? Browse all our products here