Lauren Hunt

speaker
489 appearances 7 recordings 1 series first heard Mar 2019 last heard Mar 2023

Lauren Hunt’s voice in public audio — every appearance, attributed to the second.

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In the nursing homes.
I mean, there have been observational studies that have shown effectiveness.
A
I also think it's about how you pay for it.
Because I think that if people are paid to do it, then that sometimes moves the needle.
on whether or not we're actually doing it.
And there's quality measures associated
Yeah, I mean, I think that once you start making these measures mandatory, then the organizations will have to respond.
And also, if there's incentives or disincentives to measure things or change your practices, then...
then people will definitely respond to that.
I think the concern is that you end up with this situation where people are teaching to the test to some degree.
So their measurement practices are really just to get the A, right?
And not so much about the actual quality of care.
So that's kind
like a task-oriented, which you see comes up with the minimum data set in the United States and some of these other quality measures that are coming down the line with palliative care.
Yeah, I mean, well, the VA has a bereaved family survey that all residents of nursing homes in the VA, their caregivers complete after the person has died.
And so you could incorporate something like that into all nursing homes in the United States, not just VA nursing homes.
And then, you know, the MDS includes a lot of measurements around pain and depression, but not so much about end of life quality experience.
I think we also just need to fully recognize that nursing homes are a place that many people end up dying in, which I feel like is something that...
most people are in denial about.
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