OBRA

WHAT IS OBRA?

OBRA stands for the Omnibus Budget Reconciliation Act of 1987. This nursing home reform act was enacted by Congress to protect people from abuse in nursing homes. The intention of OBRA is to prevent people from being admitted or being kept in nursing homes who do not need or want to be there.

WHY DO I NEED AN INTERVIEW?

The OBRA law requires that an interview and assessment be completed by an independent party. This team will investigate whether or not your wishes are being respected regarding placement in a nursing home, and whether it is medically necessary for you to be there.

WHAT SHOULD I EXPECT?

First, we carefully review your medical charts. We then meet with you to explain the OBRA process, obtain permission to interview you, and talk with you about your feelings and wants concerning living in a nursing home. With your permission, we may speak with your family members or loved ones to hear their concerns on your behalf. We then submit a written report with recommendations regarding your care. The state OBRA office will review the report and give a final approval.

HOW WE HELP

When health care decisions are to be made, we are there to make sure your voice is being heard and your needs and wishes are being taken into consideration by the health care system. As an independent organization, we will interview and assess those entering or are current residents of a nursing home to make sure their needs are, or will be met.

We contract with community mental agencies in Allegan, Kent, Lake, Mason, Oceana and Ottawa counties to provide unbiased assessment of your needs and wants concerning entering or residing in a nursing home.

WHO PAYS FOR THE INTERVIEW?

Since the federal government requires the interview, it is paid for by the government.

HOW DO I GET THE RESULTS?

After the state OBRA office decides on your case, we will come meet with you to discuss their findings. If you disagree with the recommendations, you can appeal the decision by mailing an appeal form to the state OBRA office. The state will then follow up on your appeal.