Preview

Transition: Long Term Care

Better Essays
Open Document
Open Document
1098 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
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:

You May Also Find These Documents Helpful

  • Powerful Essays

    Some things to consider when trying to offer quality care from the health care facilities point of view, includes: ensuring compliance with laws and regulations, following standards of care, ensuring staff and processes are necessary and effective, continuous training, developing and analyzing systems and processes within the company, minimizing unnecessary waste, resources, and processes. There are many “performance and core quality measures”, programs that may be implemented and once a program is started,…

    • 1130 Words
    • 5 Pages
    Powerful Essays
  • Powerful Essays

    Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of care implies that one or more of the requirements mandatory under the federal regulations 42 CFR 483 .13 involving resident behavior and facility practices, 42CFR .15 involving quality of life or 42CFR 483 .25 regarding quality of care are not complied with leading to actual jeopardy to the resident health or safety or having potential for causing more than minimal harm (HealthCare information, 2007). Any nursing home found with delivering substandard quality of healthcare or carrying significant deficiencies in its healthcare treatment plans would be required to immediately address the issue.…

    • 1268 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Nursing homes serve as a home for individuals who might need to be assisted with activities of daily…

    • 1150 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Accreditation Audit Task 1

    • 1716 Words
    • 6 Pages

    Hospitals are one of the many organizations that must comply with regulations to keep patients and staff safe and as well as maintain the quality of care. Ideally, a good care system for patients includes medical professionals as well as friends and family to compliment each other in providing for patient needs. Because patients require care from medical professions in hospitals, there are provisions that the hospital must follow. “Compliance means conforming to a rule, such as a specification, policy, standard or law. Regulatory compliance describes the goal that corporations or public agencies aspire to in their efforts to ensure that personnel are aware of and take steps to comply with relevant laws and regulations (Compliance and Regulatory Compliance, 2013)”. For this reason there are terms of compliance that hospitals must adhere to. The Joint Commission Handbook serves as a means of regulation and compliance for hospitals and other such facilities. There are four categories that the Joint Commission focuses on during the accreditation audits for a hospital: Information Management which involves the efficient management of health information and accuracy, Medication Management involving labeling and sterility, Communication involving verification, and Infection Control to minimize spread and infection.…

    • 1716 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Kemper, P., & Murtaugh, C. (1991). Lifetime use of nursing home care. New England Journal of…

    • 1523 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Obra Regulations

    • 884 Words
    • 4 Pages

    References: FEderal and MA Long term care laws and regulations. (2008). Retrieved July 1, 2013, from MANHR: http://www.manhr.org/fed_ma_laws_regs.aspx…

    • 884 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Week 3 Dq 1

    • 362 Words
    • 2 Pages

    For an organization, understanding the issues around regulatory compliance can be a difficult and frustrating attempt. A short-term action an organization has to use to come into regulatory compliance is identifying standards of care. An understanding of professional practices is a key element of the review of professional liability exposures. Knowledge of such standards is crucial in controlling risk during the development and implementation of new and alternative treatment regimens. A long-term action is ensuring that the regulatory approval process is conducted in a timely and cost-effective manner. The primary purpose of measuring consumer satisfaction is to improve the quality of care provided should always be kept in mind. This principle should guide in what data are collected, how they are collected and most importantly, how they are analyzed and reported.…

    • 362 Words
    • 2 Pages
    Good Essays
  • Best Essays

    In the United States, nursing homes play vital role in delivering long term care (LTC) to people in an effective manner. However, the needs and requirements of LTC are quickly changing; hence nursing home chains need to update their operational style so as to better meet the emerging needs of the patient care. The last few decades witnessed the emergence of a number of patient care models which intended to transform the organizational culture of nursing home care across the United States. The culture change is usually taken place through radical innovation over several years. The major culture change models developed over the years include Wellspring, Service House, Eden Alternative, and Regenerative Community. According to Grant (2008), these culture change models share the common goal of focusing more on ‘person-centered’ or ‘resident-directed’ care and developing new operational practices that would transform nursing home environments from an institution to home. This paper will discuss the business case for implementing nursing home culture change with particular focus given to for-profit organizations.…

    • 1759 Words
    • 8 Pages
    Best Essays
  • Best Essays

    U.S. Census Bureau, Population Division. (2010). Table 4. Estimates of the Resident Population by Race and Hispanic Origin for the United States and States: July 1, 2009 (SC-EST2009-04). U.S. Census.…

    • 2609 Words
    • 11 Pages
    Best Essays
  • Best Essays

    Health law and Regulations

    • 1715 Words
    • 5 Pages

    Federal regulation agencies function as an extension of the executive branch in government that generate and enforce legislation. Regulation and regulatory agencies play an important role in the health care arena. The array of regulations that govern healthcare are overwhelming, however, each individual regulatory agency has a specific scope that focuses on protecting and maintaining quality care, and work to improve access and affordability for Americans. The path to practicing medicine has a display of regulatory hurdles. Healthcare regulatory agencies monitor practitioners and facilities, channel information on industry changes, promote safety, enforce legal compliance, and quality services. The driving force behind these agencies is to reduce costs while ensuring quality services. The current financial trends in healthcare move from volume to value. Cost effectiveness will drive the growth of integrated delivery systems focusing on higher quality, better outcomes, and greater satisfaction. When a hospital focuses on value, it requires the hospital to clarify on every dollar they spend. With that said, the significance of government agencies within the healthcare arena take on additional challenges in enforcing compliance to operating standards. Government agencies permeate virtually all day-to-day aspects of healthcares goods, services, reimbursement rates, patient protection, hospital accreditation, and licensure of professionals practicing healthcare. The regulatory agencies that enforce compliance to healthcare regulations and legislature provide structure and shape to Americas fragmented healthcare system. From the movement of each dollar in the healthcare arena to how patients and doctors communicate regulatory agencies will continue to translate policy into action and monitor and enforce compliance with healthcare regulations.…

    • 1715 Words
    • 5 Pages
    Best Essays
  • Powerful Essays

    The goal for long-term care in the twenty-first century is to be organized as an efficient, coordinated continuum of high-quality care (Evashwick, 2005). According to Evashwick and Rundall continuum of care is defined as more than a collection of fragmented services; it is an integrated system of care. Therefore, in order for long-term care to provide an quality of care, each services provided must work together as an organization.…

    • 1343 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Long-Term Care

    • 1248 Words
    • 5 Pages

    Gleckman, Howard . (2009). The Future of Long-Term Care: What Is Its Place in the Health Reform Debate? Urban Institute…

    • 1248 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Day, J. (1993). Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1993 to 2050Current Population Reports P.25-1104 (Chapter 2). United States Bureau of Census, United States Bureau of Census. Retrieved December 15, 2005, from United States Bureau of Census: http://www.census.gov/prod/1/pop/p23-190/p23190-f.pdf…

    • 1258 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Long Term Care

    • 1629 Words
    • 7 Pages

    Long-term care has and is continuing to become an important part of the continuum of care. Years ago Long-term care (LTC) was considered only to be for the elderly, but as time passes it is for anybody and everybody who needs it. Barton (2006) stated, “Regardless of the length of time (i.e., from weeks to years), long-term care is an array of services provided in a range of settings to individuals who have lost some capacity for independence due to injury, chronic illness, or condition” (p. 367). According to Barton (2006), it states that the services long-term care provides help the consumer with basic needs and shows the individuals how to do daily living activities, along with therapy and being able to manage their conditions. Today long-term care is serving consumers of all ages in home, community, and institutional settings (Barton, 2006).…

    • 1629 Words
    • 7 Pages
    Better Essays
  • Better Essays

    Demographic Paper

    • 927 Words
    • 4 Pages

    Between 2000 and 2050, the number of ageing population will increase by 135% During this time period, the proportion of the population that is over the age of 65 will increase from 12.7% in 2000 to 20.3% in 2050; the proportion of the population that is age 85 and older will increase from 1.6% in 2000 to 4.8% in 2050 ((Wiener & Tilly, 2002). The market for health care services will increase with the ageing of the societies and because the ageing process will not stop, the health care market and hospitals will have to adapt to the changes of their patients. The health of older Americans is improving. Still, many are disabled and suffer from chronic conditions needing a longer recovery time, temporary assistance and support to take care of themselves (Mierla_Florina, 2008). Since the ageing population will require focusing on these chronic diseases, the style of medicine will be required to change to correct the ongoing management of theses disease and disabilities. With these chronic illnesses long term care services such as nursing homes, home health, personal care and adult day care will become important sources of care ((Wiener & Tilly, 2002).…

    • 927 Words
    • 4 Pages
    Better Essays