Intrinsic to the development of the Program Letter, was the input we solicited on exemplary systems from individuals and organizations with special knowledge or experience about the topic.
The Program Letter is developed using help from individuals and organizations.
Improvements included increased funding for nursing home surveyors, more prompt investigation of complaints alleging serious harm to residents, more immediate enforcement actions for homes with repeated serious problems, a reorganization of HCFA's regional staff to improve consistency in oversight, and increased funding for administrative law judges to reduce the backlog of appealed enforcement actions.