Tuesday, August 30, 2011
Race to the Middle - or just stuck in the middle?
What would a nursing home look like if you applied the same standards to healthcare that the state has now applied to AYP? Only 49-50 percent of the residents would be required to receive "proficient" care - no bed sores, working wheelchairs, functional respiratory devices, nutritious meals, baths, freedom from med errors. God, you better hope to be in the 50 percent of haves. Because life would be hell for the have-nots. And yet, the home would still have a superior rating and a body count! Coveted 5 stars, well if it was education it would be the coveted 3 stars.
BTW - it is nearly impossible to receive the 5 star Medicaid rating. Only 1-2 long-term care facilities in the state of Delaware have achieved that rating and maintained it since the system was implemented. But, hey, we're celebrating huge AYP gains across the state b/c only half of our students were required to be proficient in order to achieve AYP. Come on! 30+ schools failed to meet fed. minimums and yet they are rated Superior???
Yeah? and in the real world, if only half the residents in a nursing home received genuine, competent care, the facility wouldn't be rated Superior, THE PUBLIC, STATE, LEGISLATORS, and GOVERNOR WOULD DEMAND THAT THE FACILITY BE CLOSED and Dir. of Nursing and Medical Director WOULD BE JAILED! IMPRISONED! LOCK THE DOOR, THROW AWAY THE KEY! (seriously, not kidding.)
What hell is wrong with this picture?
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