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 Who Will Care For Us written by Paul Osterman and published by Russell Sage Foundation. This book was released on 2017-09-06 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of elderly and disabled adults who require assistance with day-to-day activities is expected to double over the next twenty-five years. As a result, direct care workers such as home care aides and certified nursing assistants (CNAs) will become essential to many more families. Yet these workers tend to be low-paid, poorly trained, and receive little respect. Is such a workforce capable of addressing the needs of our aging population? In Who Will Care for Us? economist Paul Osterman assesses the challenges facing the long-term care industry. He presents an innovative policy agenda that reconceives direct care workers’ work roles and would improve both the quality of their jobs and the quality of elder care. Using national surveys, administrative data, and nearly 120 original interviews with workers, employers, advocates, and policymakers, Osterman finds that direct care workers are marginalized and often invisible in the health care system. While doctors and families alike agree that good home care aides and CNAs are crucial to the well-being of their patients, the workers report poverty-level wages, erratic schedules, exclusion from care teams, and frequent incidences of physical injury on the job. Direct care workers are also highly constrained by policies that specify what they are allowed to do on the job, and in some states are even prevented from simple tasks such as administering eye drops. Osterman concludes that broadening the scope of care workers’ duties will simultaneously boost the quality of care for patients and lead to better jobs and higher wages. He proposes integrating home care aides and CNAs into larger medical teams and training them as “health coaches” who educate patients on concerns such as managing chronic conditions and transitioning out of hospitals. Osterman shows that restructuring direct care workers’ jobs, and providing the appropriate training, could lower health spending in the long term by reducing unnecessary emergency room and hospital visits, limiting the use of nursing homes, and lowering the rate of turnover among care workers. As the Baby Boom generation ages, Who Will Care for Us? demonstrates the importance of restructuring the long-term care industry and establishing a new relationship between direct care workers, patients, and the medical system.
Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
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 Home based Long term Care written by WHO Study Group on Home-Based Long-Term Care and published by World Health Organization. This book was released on 2000 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life expectancy is increasing in many parts of the world and more are also being enabled to live with disabling conditions that once might have been fatal. People who are chronically ill, have serious disabilities, have HIV/AIDS, are mentally ill, or victims of accidents and disasters, or elderly - many will need continuing care and support and these numbers will grow. How best to meet these needs is getting more attention. Such care is not to just look after the sick but to enable those with long term illnesses or disabilities to live their lives as fully as possible. Institutionalization is often not the best way of care and the home where the patient lives with family members and friends nearby is often more appropriate. This report examines the options, highlighting the clear benefits of home-based care whilst being aware of the needs of the carers in the home. The report stresses it is time for health systems to take responsibility for providing caregivers in families and communities with the support they both need, and to bring greater benefit to the patient.
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Download or read book Who Provides Long term Care in the U S Updated written by and published by . This book was released on 2012 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most long-term care is provided, unpaid, by family members and friends. This is sometimes called "informal" caregiving. Paid long-term care services are provided formally by a wide variety of professionals, with the largest share coming from the "direct care workforce," including home health aides, certified nursing assistants, and personal care aides. This fact sheet describes both unpaid and paid long-term care providers across the U.S. All of the references accessed to produce this fact sheet are provided for further review.
Download or read book Aging Well written by JEAN. HASELTINE GALIANA (WILLIAM.) and published by Springer. This book was released on 2019-01-01 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.
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 Providing Healthy and Safe Foods As We Age written by Institute of Medicine and published by National Academies Press. This book was released on 2010-11-29 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.
Download or read book Long Term Care in America written by M. D. John P. Geyman and published by . This book was released on 2020-01-06 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a looming crisis in our nation's capacity to provide long-term care. The needs keep increasing while more and more of our aging seniors and large numbers of disabled can no longer gain access to affordable care. The markers are serious--more than one-half of Americans age 65 and older are expected to need help with activities of daily living, whether in a nursing home, assisted living facility, or at home; U. S. seniors are projected to outnumber children under 18 by 2035; dementia increases as our population ages, expected to involve almost 40 percent of people over age 85; one in four Americans has a major disability; and there is a growing shortage of caregivers. Regardless of our age and current circumstances, all of us will face the need for long-term care for a parent, another family member, or ourselves down the road. When that time comes, it is an open question whether most of us will be able to gain access to personal, affordable long-term care when we need it. This book examines the many issues involved in charting a way toward a system of universal coverage that will fix the challenge of long-term care.
Download or read book Real People Real Problems written by Jo Harris-Wehling and published by National Academies. This book was released on 1995 with total page 314 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
Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Download or read book Effective Management of Long term Care Facilities written by Douglas A. Singh and published by Jones & Bartlett Learning. This book was released on 2005 with total page 676 pages. Available in PDF, EPUB and Kindle. Book excerpt: This outstanding new text provides a clear understanding of how the ideal long-term care facility should operate, and how prospective as well as currently employed nursing home administrators can hone their skills to deliver quality services cost-effectively.
Download or read book The Future of Long Term Care written by Pablo Villalobos Dintrans and published by Nova Science Publishers. This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Population aging is challenging countries around the globe to adapt their public policy responses to the new world. Long-term care is a relevant topic today both because of the rapid growth in long-term care needs in every country and the lack of responses from governments. The Future of Long-term Care explores some issues related to the implementation of long-term care responses in different countries. Looking at six different cases, the book highlights the need to foster an urgent debate in the area, as well as emphasizing the need for action in the coming years. The examples analyzed show common problems faced by countries trying to respond to their people's needs, as well as the dissimilar stages, contexts, and paths followed by each one in the endeavour for providing long-term care services to the population. Whether the analysis is carried out in countries with well-established long-term care systems or in places where the debate is just starting, the book proves that this is an area in which many challenges remain. Learning lessons from others is important but providing a space for countries to frame their problems and propose their solutions is crucial. This book contributes to fill this gap and contribute to a debate that is just starting in many places around the world"--
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
