Bern-Klug Mercedes, Connolly Robert, Downes Deirdre, Galambos Colleen, Kusmaul Nancy, Kane Rosalie, Hector Paige, Beaulieu Elise
a School of Social Work and Iowa Geriatric Education Center , University of Iowa , Iowa City , Iowa , USA.
b Geriatric Consultant , Marriotsville , Maryland , USA.
J Gerontol Soc Work. 2016 Feb-Mar;59(2):98-127. doi: 10.1080/01634372.2016.1157116.
In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care.
2015年7月，《联邦公报》公布了针对获得医疗保险和/或医疗补助认证的疗养院的拟议规则变更，以供公众评议。如果最终规则与拟议规则相似，它们将代表自1987年《综合预算调节法》中的《疗养院改革法案》以来，联邦政府对疗养院监管规则的最大变动。拟议的变更有可能提高疗养院居民的护理质量和生活质量。许多拟议的变更将直接影响社会工作的实践，并可能扩大疗养院社会工作者的角色。本文讨论了国家疗养院社会工作网络（NNHSW网络）成员在制定并向医疗保险和医疗补助服务中心（CMS）提交回应中所发挥的作用。本文介绍了拟议规则发布的背景，描述了NNHSW网络为制定并争取对这些规则的评论支持所采用的过程，还包括提交给CMS的实际评论。全国各地的社会工作教育项目和继续教育项目将继续在帮助社会工作专业学生和从业者为长期护理职业做好准备方面发挥重要作用。
