An assessment of strategies for improving quality of care in nursing homes

quality of care in nursing homes remains problematic. This article assesses strategies for improving quality of care in these facilities. Design and Methods: This article reviews the research literature on eight strategies: strengthening the regulatory process, improving information systems for quality monitoring, strengthening the caregiving workforce, providing consumers with more information, strengthening consumer advocacy, increasing Medicare and Med-icaid reimbursement, developing and implementing practice guidelines, and changing the culture of nursing facilities. Results: Although individual ap-proaches vary, several themes emerge. First, several strategies require substantially more resources and will increase costs. Second, the research literatur