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An exploratory study of boarding home sanctions and compliance in Washington State.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	An exploratory study of boarding home sanctions and compliance in Washington State./
作者:	Schaffner, Mindy L.
面頁冊數:	1 online resource (139 pages)
附註:	Source: Dissertations Abstracts International, Volume: 70-04, Section: B.
Contained By:	Dissertations Abstracts International70-04B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3318449click for full text (PQDT)
ISBN:	9780549677901

An exploratory study of boarding home sanctions and compliance in Washington State.
Schaffner, Mindy L.

An exploratory study of boarding home sanctions and compliance in Washington State. - 1 online resource (139 pages)

Source: Dissertations Abstracts International, Volume: 70-04, Section: B.

Thesis (Ph.D.)--University of Washington, 2008.

Includes bibliographical references

Department of Psychosocial and Community Health, School of Nursing The growing number of people seeking residential care services requires regulatory systems that are effective in quality assurance enforcement. This is the first study to evaluate the effectiveness of enforcement actions on future boarding home compliance behaviors. The sanctions considered include stop placement of admissions, civil fines and conditions on license. The six-year retrospective study describes the characteristics of 601 sanctioned and non-sanctioned homes in the state of Washington. Sanctioned homes were found to significantly relate to the following characteristics: licensed bed capacities over 75 beds, Enhanced Adult Residential (EARC) or Adult Residential (ARC) Medicaid contracts, mental health placements through Regional Support Network (RSN), licensure for more than 12 years, and for-profit corporate status. Logistic regression identified that higher citation numbers and Priority #1 complaints (i.e. the most severe complaint type) were predictors of being sanctioned. Boarding homes that received a Condition on license were less likely to receive additional Conditions. These sanctions were the most effective intermediate sanction in terms of decreasing the chances of repeat sanctioning. Although Civil Fines were the most widely used intermediate sanction, they were found to be the least effective in reducing future fines. Approximately 75% or 461 of the intermediate sanctions received were civil fines. Stop Placement of Admissions had no significant effect on reducing future Stop Placement sanctions. Intermediate sanctions were not found to completely deter future intermediate sanctioning. Fourteen percent (14%) of all homes studied received at least one repeat sanction during the course of the six-year study. Three percent (3%) of all homes received sanctions in all three time periods studied. The most important policy implication of this research is that not all intermediate sanctions are successful in reducing non-compliant facility behaviors. The effective use of intermediate sanctions by regulators is needed to promote quality of care standards.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9780549677901Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Board and careIndex Terms--Genre/Form:

542853
Electronic books.

An exploratory study of boarding home sanctions and compliance in Washington State.
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