“One of the fundamental functions of health care policy is to improve the overall quality of care that is delivered in hospitals and long-term care facilities. Assuring that every institution and individual health care provider offers the best possible care can be a challenge, as the definition of "quality" can vary greatly among regions, facilities, and providers (Singh, 2010).”
“Several organizations have attempted to help better understand the "quality chasm" by developing tools for assessing the relative quality of institutions and their services (Singh, 2010).” These tools are built on standards of care and performance benchmarks allowing for a balanced comparison across facilities and regions. With establishing a facility that is conductive to being long-term care or hospital acute and chronic care having policy and procedures set can initiate insurance or payer source and a lot understanding the area the facility has concentration. Hospital care facilities operate with instructed care from doctors, medical advisor staff, and or community involvement. Hospitals vary in aspect of initial care of patients some facilities have particular concentration for particular group of people like the Brenner’s Hospital for Children specializes hospital devoted to children’s medicine. Founded in May 1986 Winston Salem N.C. the hospital advocated by Jimmy Simon and donation from Brenner family that has later implemented 160 private rooms, six playrooms, an interactive video wall and a rooftop garden with playground equipment. The center has focused on developing a teaching program in adolescent medicine for medical students and pediatric residents, and establishing an adolescent medicine clinic at North Carolina Baptist Hospital. Today the hospital is assisted by several support groups for patients and family members and multiple advantages through community involvement to help the hospital maintain quality and sufficient service for its patients.
Four major areas of health care delivery were identified and reviewed: the patient experience; the functioning of health care delivery teams; the functioning of the larger organizations within which the health care delivery teams operate; and the environment in which the organizations operate. “Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals with clinically complex problems, such as multiple acute or chronic conditions, that need hospital-level care for relatively extended periods” (Monroe, 2007). Long-term care is a variety of services that includes medical and non-medical care. It is primarily concerned with promoting fitness and function for many more years to ensure quality of life for patients in as needed independent bases for the patient. Since the early 1950s long-term care facilities have greatly involved into a retirement community that many individual are able to call home with quality and dignity. With the adoption of health care changing daily to meet the generations that will utilize retirement centers, nursing homes, and hospice houses quality is essential to these thriving facilities. The Brightmore of Wilmington provides a continuum of care and wide array of services and amenities designed for active senior living. The facility has three communities that carter to patient specific needs; independent apartment homes, assisted living apartment homes, and personal and memory care residents. Each area has specifics in health care development to associate the best possible continuum of care for the patient in order to render quality of service. With many communities for senior living competition of services are highly involved in each state and area.
The two facilities obtain the