William Scanlon

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Nursing home reimbursement systems which do not adjust payment levels to patient care needs lead to access problems for heavy-care patients. Unnecessarily long and costly hospital stays may result. A patient-based nursing home incentive reimbursement system has been designed and is being evaluated in a controlled field experiment in 36 California skilled(More)
I am pleased to be here today as you discuss issues related to the current recruitment and retention of nursing staff, including both nurses and nurse aides, and concerns about the future supply of these workers. The health and long-term care systems in the United States rely heavily on the services of both nurses and nurse aides, the two largest groups of(More)
A reanalysis of data from the 1977 National Nursing Home Survey, including data not available earlier, led to an estimate that 668,000 chronic mentally ill patients reside in nursing homes. Several subpopulations of nursing home residents were also identified and compared, which showed, for instance, that residents with only mental disorders were younger,(More)
Long-term care represents a significant burden to the approximately 7 million elderly in need, their families, and the Medicaid program. Concerns exist about access, quality, cost, and the distribution of the burden of care. In this article each area is discussed, highlighting the principal issues, identifying the unique aspects that pertain to long-term(More)
vii ACKNOWLEDGMENTS Acknowledgments We would like to acknowledge the contributions of several individuals, some of whom were previous committee members of the NCVHS Subcommittee on Populations. were all previous members of the subcommittee and participated in hearings, or subcommittee breakouts dedicated to the content of this report. Vickie Mays, Ph.D.,(More)
The simulation model of a device/system available from design implies the use of model-based approach in the manufacturing fault diagnosis. The model-based diagnosis uses knowledge of the structure and behaviour of a device and observations of the device's behaviour to discover the causes of malfunctions. The major difficulty of model-based diagnosis is to(More)
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