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Transition: Long Term Care

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Transition: Long Term Care
Consumers Transition…………..40 million Americans will reach the age of 65 and over in 2011. In the year 2025, the youngest of the baby boomers will reach retirement age and when 2025 approaches, 63 million Americans will be retired (U.S. Census Bureau, 2008). This does not include the larger number of people living longer up to or over the age of 80. During the golden years, individuals will require different types of long-term care services to live out the rest of their life comfortably. Depending upon a consumer’s medical condition or needs, several options of long-term care or nursing facilities may be needed. Long-term services can be broken down into several categories. Some services for the elderly are nursing facilities, subacute …show more content…
Quality with healthcare can be defined as “a judgment about the goodness of both technical care and the management of the interpersonal exchanges between a client and practitioner” (Donabedian, 1991).
To help improve quality, regulations and laws pertaining to long term care standards were developed to impose the quality of care for consumers in nursing facilities. One of several regulations passed to set standards was the initiation of Omnibus Budget reconciliation Act (OBRA). OBRA set standards for residents’ rights, quality for life, staffing services, resident assessment, and federal procedures. Another quality improvement program comes from an accrediting agency such as Joint Commission on Accreditation Organizations (JCAHO) (Pratt, et al).
As a Health Care Manager, it will be in the best interest to understand regulations and enforce quality controls in the long-term facilities. All of the regulations can be complex and overlap one another. For example, most regulations of laws originated from the federal government. Federal laws account for the large proportion of Medicare and Medicaid standards. Next, state laws required that each state have a single agency to oversee Medicare and Medicaid. Lastly, the local level in the counties such as the health department has an interest
…show more content…
Retrieved February 18, 2010 from http://www.alz.org /alzheimers_disease _facts_figures.asp
American Health Care Association (2008). Retrieved 13 February 2009 from http://www.census.gov/population/www/pop-profile/natproj.html.
Donabedian, A. (1991). Reflections on the effectiveness of Quality Assurance. In H.D. Palmer, Striving for Quality in Health Care: An Inquiry into Policy and Practice. P.61
NC of Health and Human Services, (2007). Retrieved February 16, 2010 from http://www.ncdhhs.gov/aging/stplan/NC_Aging_Services_Plan_2007.pdf.
Pratt, J (2010). Long-Term Care: Managing Across the Continuum, Jones and Bartlett Publishers, 3rd ed. p.17.
State Health Facts, (2009) Retrieved February 16, 2010 from http://www.statehealthfacts.org.
U.S. Census Bureau. (2008). U.S. Interim projections by age , sex, race, and Hispanic origin: 2000-2050. Retrieved February 7, 2010 from U.S. Census Bureau:

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