Download or read book Best at Home written by Jill C. Feasley and published by National Academies. This book was released on 1996 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Download or read book Understanding Home and Community based Long term Services and Supports written by Yan Wang and published by . This book was released on 2019 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Home and community-based services (HCBS) have now become a mainstay of publicly-funded long-term services and supports (LTSS) in the United States, as the reliance on institutional long-term care is decreasing. Much of this national trend is driven by a process known as Medicaid LTSS delivery system rebalancing. The objective of my dissertation is to explore and better understand HCBS as a way to curb LTSS spending growth through an evaluation of Medicaid's most recent rebalancing effort - the Balancing Incentive Program (BIP). The study consists of three sections. The introductory chapter gives a general overview of background information and research context. The next chapter reviews Section 1915 (c) Waivers as the standard bearer of HCBS to present a snapshot of service provision and use across states. It involves a detailed inspection and classification of HCBS to address heterogeneous definitions and scopes. Chapter 3 has two subsections which perform quantitative data analyses. The first part assesses the effectiveness of the BIP in terms of its impact on health care utilization, expenditures, and health among older adults; and the second part investigates whether the program contributes to survival benefits for the elderly population. My dissertation illustrates the evolving landscape of LTSS; and it suggests that federal and state policies aimed at expanding HCBS as alternatives to institutional long-term care seem to be a promising practice, without driving up the utilization of and expenditures on other health care services or negatively impacting health outcomes. Under the pressure of population aging and government budget crisis, the study could make a timely contribution to the development of a more efficient and effective long-term care system in the United States.
Download or read book Community Based Systems of Long Term Care written by Rick T. Zawadski and published by Routledge. This book was released on 2014-04-23 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: An enlightening review of the successes and failures of several federally funded community-based projects that offered elderly persons an alternative to nursing home care. Policymakers, caregivers, and students of public administration and gerontology must read this valuable book.
Download or read book Long term Care in Illinois written by John V. Lambert and published by Nova Publishers. This book was released on 2004 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Illinois is the fifth largest state in the country with 12.4 million people in 2000; the population increased by almost 9% or about one million people in the past decade. About 12% of the state's population is age 65 and older -- 1.5 million people in 2000. By 2025 the Illinois elderly population is expected to increase by over 50% and will be 16.6% of the state's total population. Illinois is one of the few states in the country that provides older persons and younger adults, who meet the eligibility criteria, with state entitlements to home and community-based long-term care services. Both entitlements resulted from court cases that were brought to eliminate waiting lists for services. The state funds the Community Care Program for older adults and the Home Services Program for persons with physical disabilities with a combination of state general revenue funds and Medicaid Section 1915 (c) waiver funds. The Community Care Program uses contracted agencies for the provision of homemaker, adult day care services, and case management services. In contrast, the Home Services Program's relies primarily on personal assistants, whom consumers supervise, to provide services. According to state officials, in 2002 the state had about 3,000 people with developmental disabilities in state-operated development centers (SODCs), 6,500 people in private intermediate care facilities for the mentally retarded (ICFs/MR) and 8,800 people in Section 1915 (c) Medicaid home and community-based services waivers for the developmentally disabled.
Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Download or read book Long Term Care in the Context of the Olmstead Decision written by and published by . This book was released on 2007 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Planning For Long Term Care For Dummies written by Carol Levine and published by John Wiley & Sons. This book was released on 2014-03-10 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers advice and recommendations from AARP experts and other specialists on planning for the financial, medical, legal, and personal aspects of long-term elder care.
Download or read book Long Term Care in Maine written by John V. Lambert and published by Nova Publishers. This book was released on 2004 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Demographic challenges posed by the growing elderly population and demands for greater public commitment to home and community-based care for persons with disabilities have drawn the attention of federal and state policymakers. Spending on long-term care by both the public and private sectors is significant. In 2001, spending for long-term care services for persons of all ages represented 12.2% of all personal health care spending (almost $152 billion of $1.24 trillion). Federal and state governments accounted for almost two-thirds of all spending. By far, the primary payer for long-term care is the federal-state Medicaid program, which paid for almost half of all long-term care spending in 2001. Maine is one of the smallest states in the country with 13 million people in 2000; it is also one of the oldest states, with 14.4% of its population aged 65 and older. By 2025, over one-fifth of its population will be 65 and older. Medicaid spending for long-term care in Maine in FY2001 was $411 million -- almost one-third of all Medicaid spending. In part due to the aging population and because of a 1993 budgetary crisis involving rapidly escalating Medicaid nursing home costs, Maine has pursued an aggressive policy to decrease dependence on nursing homes. Between 1995 and 2001, the percentage of public long-term care funding devoted to these facilities decreased from 84% to 61%. Moreover, the state has decreased reliance on large state-operated residential facilities for persons with mental retardation in favor of smaller community-based facilities. Maine's efforts to reduce reliance on institutional care has been in part due to expanded use of Medicaid's home and community-based waiver program as well as multiple state-funded programs. PARTIAL
Download or read book Longterm care availability of Medicaid home and community services for elderly individuals varies considerably written by and published by DIANE Publishing. This book was released on with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long term Care in Oregon written by John V. Lambert and published by Nova Science Publishers. This book was released on 2004 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oregon is a recognized leader in home and community-based care and has more than 20 years of experience in moving long-term care clients from institutional settings to home and community-based settings. In 2002, 82 per cent of Oregon's Medicaid long-term care clients were served in the community. Additionally, Oregon was the only state in the nation whose spending for institutional care was less than half of the state's total Medicaid long-term care spending in 2000, with only 37.2 per cent spent on institutional care compared to the national average of approximately 70 per cent. Oregon officials recognize that with the aging population and increasing cost, they may need to rethink the design of their current system. They hope to incorporate a concept of 'bounded choice' where a person's wishes are considered within the boundaries of service capacity and fiscal constraints.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Long Term Care Services in the United States 2013 Overview written by National Center for Health Statistics and published by Government Printing Office. This book was released on 2014-03 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.
Download or read book Long Term Care written by Kathryn G. Allen and published by DIANE Publishing. This book was released on 2003-10 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Home & community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. This report reviews: (1) trends in states' use of Medicaid home & community-based service (HCBS) waivers, particularly for the elderly; (2) state quality assurance approaches, including available data on the quality of care provided to elderly individuals through waivers; & (3) the adequacy of federal oversight of state waivers. Charts & tables.
Download or read book Medicaid Long Term Care written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1995-07 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analyzes how far the three states had gone in shifting their long-term care to home & community-based settings & what controls they had in place to manage the growth of home & community-based programs & what impact the shifts & controls have had on the ability to deliver long-term care services.
Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long Term Care Managing Across the Continuum written by John Pratt and published by Jones & Bartlett Publishers. This book was released on 2010-01-12 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is intended as both a college text and a reference source for professionals, policy makers, and regulators. The text provides a sound reference source for anyone wishing to gain a better understanding of the long-term care system. It is concise, but complete, defining the various segments of the system. It also describes how the system developed to its current state, compares it to an ideal system, and projects future trends likely to impact the system. The earlier editions have been used by multiple colleges and universities for their long-term care administration courses. It has also been adopted as a cited reference for the national licensing examination prepared by the National Association of Long-Term Care Administrator Boards (NAB) which is used by all fifty state licensing boards (and the District of Columbia), and for the Certification examination of the American College of Health Care Administrators (ACHCA). It covers the full continuum of long-term care in enough detail to develop a sound understanding of the system, yet does not get bogged down in overly-specific detail as some texts do. Features: 1. Explains how the long-term care system developed and compares it to an ideal system, 2. Describes the primary types of long-term care providers (nursing facilities, assisted living, subacute care, senior housing, community-based care), presenting each in a similar manner, making it easy to compare and contrast them, 3. Covers how the providers interact with each other and with consumers and regulators - focusing specifically on how they compete, cooperate, and integrate; how they are regulated; financing; quality; ethical issues, 4. Discusses how long-term care providers are governed and managed, with chapters also devoted to leadership and culture change, technology, and marketing, 5. Outlines future trends and their projected impact on long-term care, and discusses how managers should act for success in the future. Students will find: 1. Case studies with each of the provider chapters, showing how they serve specific consumers. 2. Discussion questions and vocab terms at the end of each chapter 3. Online supplemental materials with both chapter-based interactive flash cards and an overall Glossary on-line
