Daisy Arabella Only Working on the same two facilities that you identified in , prepare a 8- to 10-page report in a Microsoft Word document including the following: Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion: Purchase the answer to view it Purchase the answer to view it


The long-term care system has undergone significant changes in recent years to transition into a competition-driven system. This shift has been driven by various factors, including the need for cost containment, increasing demand for long-term care services, and the recognition of the importance of quality measures. In this report, we will analyze the changes brought to the long-term care system in order to reach full status as a competition-driven system.

Quality Measures and Reporting

One of the key changes in the long-term care system is the emphasis on quality measures and reporting. In the past, long-term care facilities were not required to measure and report their quality outcomes. However, as the healthcare industry shifted towards value-based care, there was a growing recognition of the need to measure and monitor the quality of care provided in these facilities.

As a result, a number of quality measures were developed and implemented, such as the Minimum Data Set (MDS) and the Quality Improvement Organization (QIO) program. These measures allow for the collection and reporting of data related to patient outcomes, safety, and satisfaction. This information is then made available to the public, allowing consumers to make informed decisions about their long-term care options.

Reimbursement Systems

Another significant change in the long-term care system is the shift from a fee-for-service reimbursement model to a value-based payment system. Under the traditional fee-for-service model, providers were paid based on the quantity of services rendered, regardless of the outcomes achieved. This created an incentive for providers to deliver more services, even if they were not necessary or beneficial for the patient.

In contrast, value-based payment models tie reimbursement to the quality and effectiveness of care provided. This encourages providers to focus on delivering high-quality, patient-centered care that achieves positive outcomes. For example, the Centers for Medicare and Medicaid Services (CMS) has implemented various value-based payment programs, such as the Nursing Home Value-Based Purchasing Program, which rewards facilities based on their performance in key quality measures.

Technology Integration

The integration of technology has also played a significant role in transforming the long-term care system into a competition-driven model. Advancements in electronic health records (EHRs), telehealth, and remote monitoring have enabled more efficient and coordinated care delivery.

EHRs allow for the electronic documentation and sharing of patient information across different healthcare settings, promoting seamless transitions of care. This improves communication and coordination among providers, ultimately leading to better outcomes for patients in long-term care facilities.

Telehealth and remote monitoring technologies have also expanded access to care for individuals residing in long-term care settings. These technologies enable virtual visits with healthcare providers, reducing the need for in-person visits and improving access to specialized care. Additionally, remote monitoring devices can track vital signs and alert providers to potential health issues, allowing for early intervention and prevention of complications.

Transparency and Consumer Choice

The transition to a competition-driven long-term care system has also placed a greater emphasis on transparency and consumer choice. With the availability of quality measures and other performance data, consumers can compare and evaluate different long-term care facilities based on their individual needs and preferences.

This increased transparency empowers consumers to make informed decisions about their care and hold providers accountable for the quality of services delivered. As a result, long-term care facilities are incentivized to improve their performance and provide high-quality care in order to attract and retain residents.


In conclusion, the long-term care system has undergone significant changes to become a competition-driven model. The emphasis on quality measures and reporting, reimbursement systems tied to outcomes, technology integration, and transparency have all contributed to this shift. These changes have not only improved the quality of care in long-term care facilities but have also empowered consumers to make informed choices about their care. As the long-term care landscape continues to evolve, it is essential to continue monitoring and evaluating the impact of these changes in order to further enhance the delivery of care in these settings.