Intermediate Care Facilities for Individuals With Intellectual Disabilities: Does Ownership Type Affect Quality of Care?-Reference-Cited by-同舟云学术

Intermediate Care Facilities for Individuals With Intellectual Disabilities: Does Ownership Type Affect Quality of Care?

Published:2022-05-31 Issue:3 Volume:60 Page:212-225
ISSN:1934-9556
Container-title:Intellectual and Developmental Disabilities
language:en
Short-container-title:

Author:

Morantz Alison¹,Ross Leslie²

Affiliation:

1. Alison Morantz, Stanford Law School

2. Leslie Ross, University of California, San Francisco

Abstract

Abstract Because many large, state-owned Intermediate Care Facilities for Individuals With Intellectual Disabilities (ICF/IIDs) have closed or downsized, their average size has fallen markedly, as has the number that are publicly owned. We probe the relationship between ownership type and four measures of care quality in ICF/IIDs. Data on deficiency citations suggest that for-profits underperform other ownership types, although data on complaints show no clear pattern. Meanwhile, data on staffing ratios and restrictive behavior management practices, based mostly on facility self-reports, generally tell the opposite story. Our results lend some credence to concerns regarding inadequate care in for-profit ICF/IIDs, while underscoring the importance of requiring ICF/IID operators to report more comprehensive, longitudinal data that are less prone to error and reporting bias.

Publisher

American Association on Intellectual and Developmental Disabilities (AAIDD)

Subject

Psychiatry and Mental health,Community and Home Care,Developmental and Educational Psychology,Education,Pediatrics, Perinatology and Child Health

Link

https://meridian.allenpress.com/idd/article-pdf/60/3/212/3066031/i1934-9556-60-3-212.pdf

Reference47 articles.

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2. Brown, S. L. (2002). Nonprofit ownership and quality in Medicaid's long term care program for persons with developmental disabilities. Journal of Health and Human Services Administration, 25(3), 315– 341.

3. Centers for Disease Control and Prevention. (n.d.). Data and statistics on autism spectrum disorder . https://www.cdc.gov/ncbddd/autism/data.html

4. Centers for Medicare & Medicaid Services. (n.d.). Intermediate Care Facilities for Individuals With Intellectual Disability . https://www.medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/intermediate-care-facilities-individuals-intellectual-disability/index.html

5. Centers for Medicare & Medicaid Services. (2009). 2009 POS [Provider of Service] File [Data set]. https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Provider-of-Services/POS2009

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