The IOM Evaluates the Quality of Long-Term Care

Expansion of a study on improving quality in long-term care

From mid-1997 to early 2001, the National Academy of Sciences—Institute of Medicine (IOM) examined the quality of care for individuals in nursing homes and other long-term care settings and published a book, Improving the Quality of Long-Term Care.

Key Findings

  • Among the major findings reported in Improving the Quality of Long-Term Care:

    • There is no core set of quality measures that apply across long-term care settings and services to nursing homes, home care, assisted living facilities, and board and care homes.
    • While OBRA '87 resulted in some improvements in quality of care, serious problems persist in some nursing homes.
    • Serious deficiencies remain in the implementation of government programs to assess and enforce basic standards of quality in long-term care.