Overview and policy implications. Nursing home residents with dementia: characteristics and problems. Special care units for people with dementia: findings from descriptive and from evaluative studies. Regulations and guidelines for special care units. Regulations and interpretations of regulations that interfere with the design and operation of special care units

This product of the Facility Guidelines Institute (FGI) provides minimum standards for design and construction of hospitals and outpatient facilities. The standards for long- term care facilities will appear in a new document for 2014; please see the entry for Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Included in the Guidelines for Hospitals and Outpatient Facilities is information on the planning, design, construction, and commissioning process and facility requirements for both hospitals and outpatient facilities. Included are general hospitals, psychiatric hospitals, and rehabilitation facilities as well as new chapters on children's and critical access hospitals. Outpatient facilities covered include primary care facilities; outpatient surgery facilities; birth centers; urgent care centers; mobile units; outpatient psychiatric and rehabilitation centers; facilities for endoscopy, dialysis, and cancer treatment; and a new chapter on dental facilities. In addition, the 2014 Guidelines includes new material on safety risk assessments and medication safety zones; increased requirements for commissioning infrastructure systems; and updated requirements for surgery, imaging, endoscopy, and dialysis facilities as well as primary care facilities and freestanding emergency facilities.

Standards to guide the design and construction of nursing homes, assisted living facilities, independent living settings, and related outbased service facilities, including adult day care

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.