Addressing The Issue Of The Global Waiver

1. Home Healthcare Case: Given what you have learned about the accessibility and financing of home care services, are such services as readily available to other consumers as they were to Joan and Jerry? In this particular case regarding Joan and Jerry, and the availability of home health care services compared to that of others is a quite simple. Lack of knowledge and understanding is of the utmost detrimental in medical terms due to the fact that there are many programs that are available to help those with disabilities or home bound. In this case, perhaps Joan and Jerry 's daughter should have been more involved with the medical needs of both her parents. Especially due to the age of her father who was in desperate attempt to keep his disabled wife comfortable in their home. Home health care services are readily available to covered members of Medicare/Medicaid or other third-party payers. Although in Joan 's later days of life, her medical needs were being attended to by home health care professionals, perhaps her life could have been extended and foreseen medical conditions that could have prevented another stroke. "Being an informal caregiver plays a huge role in providing care and relief to long-term consumers (Pratt, 2010)." If Jerry would have taken advantage of home health care and it 's available services at an earlier stage, then perhaps he would not have to have had a hip replacement by having more rest to take care of himself. "As with other forms of long-term

The Older Americans Act (OAA) funds critical services that keep older adults healthy and independent—services like meals, job training, senior centers, caregiver support, transportation, health promotion, benefits enrollment, and more. The Act is overdue for reauthorization—and Congress needs to seize this opportunity to update and renew its commitment to these programs and those they serve. To ensure America’s aging population is able to maintain and live healthy lives provisions are needed to the current OAA. These provisions include:

In1948, the Nation Health Services separated both older people and disabled people into two categories one group who they thought was sick and the other group for the people needing care and attention. The people who were thought to be sick were placed in hospitals and the people who were thought to need care and attention were placed in residential homes. The local authorities were able to charge for the individuals using th residential homes even if they were deemed as sick or needing care and attention but

Long-term care assists individuals who cannot adequately perform their routine activities of daily living. These activities include dressing, bathing, walking, meal preparation, and taking medications ( Batnitzk,A.,Hayes,D.,& Vinall,P.E. 2014,(c. 5.1). These services are typically for clients over the age of 65 years old and is used to promote independence and security for those who cannot take care of their needs due to illness or debility (c.6.1). The type of provider will depend on the type of care a client needs. For instance, some elderly people that need help with food preparations or everyday activities will request to stay at home and have a family member take care of them. This is one way that long-term care is rendered but is unpaid. Another way is through nursing facilities, skilled nursing facilities and assisted living that will handle more complex or full-time

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.

Roles of Administrator and Case Managers in this facility vs. roles of Administrator and Case Manager in other facilities

The Elder Justice Act was passed on March 23, 2010 as part of the Patient Protection and Affordable Care Act (PPACA) as the first piece of federal legislation to allow funds to address elder abuse, neglect and exploitation nationwide (Federal Laws, 2015). Part I of the Elder Abuse Act is the Elder Justice Coordinating Council made up of federal government representatives charged with the responsibility of coming up with programs for the promotion of elder justice. They have to provide recommendations to the Secretary of the Department of Health and Human Services on the issues of abuse, neglect and exploitation of the elderly. Then there are 27 professionals from the general public who are to give recommendations to the Coordinating Council as well. Part II of the Elder Justice Act talks about funding and enhancing long-term care. Long-term care is important because you need programs committed to training long-term staff,

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

In the fiscal year 2010, (O’Shaughnessy, 2012) only about 5.1%, or 3 million people, out of the 57.8 million people age sixty and over, received services funded by the Act. These services included home delivered meals, home care, personal care, or case management services on a regular or intensive basis. About 14%, 8 million people, received other services, such as transportation, congregate meals, or information and assistance on a not so regular basis. A report was made by the Government Accountability Office stating that their findings were that many older people are in need of meals and other supportive services to help remain independent in their own communities, but a large portion of them are not getting the help they are in need of. Some barriers causing this lack of help are lack of funding and lack of knowledge among the older Americans that they may be eligible for benefits and services can be available for them.

42 USCS 3002, The Public Health and Welfare, Chapter 35, lists the programs for older Americans. The Aging and Disability Resource Center is a part of the State’s system of long term care.

Seniors who fall under a coverage hole will start getting some help. Some are saying that seniors may lose Medicare benefits they now enjoy, but that is not true. The health reform act will not cut guaranteed benefits; a person will still be able to maintain the coverage they want. Americans on Medicare will receive free preventive care without co- payments or deductibles. Seniors will also receive $250 to help pay for their prescriptions. There will also be alternatives to nursing home placement, such as day-service programs, home-care aides, meal programs, senior centers and transportation services. A public, voluntary long-term care insurance program known as the Community Living Assistance Services and Supports, have enrolled individuals who have substantial daily needs to receive at least $50 a day. This money is to be used to defray the costs of services such as home care, family caregiver support, and adult day-care or residential care.

Due to variations in state public policy, several different independent variables will be used to examine the extent to which states have enrolled Medicaid recipients in managed care. The elderly and disabled require skilled nursing care, which has proven very expensive. Since the Boren Amendment, interpreted by the Supreme Court, refused to allow states to freeze their reimbursement rates to nursing homes and hospitals, states have seen the cost of long-term care rise rapidly. As the Baby Boom generation ages, it is expected

Health care is a fascinating industry. So many types of care are included within the industry. Health care can be very broad or very specific. Health care is also comprised of different types of health care. One specific sector is long-term health care. Long-term care plays a huge role in the health care continuum. This paper will define long-term care and a continuum as well as discuss the services provided and how these services fit in the continuum of care, the resources that go along with long-term care and how it contributes to overall health care resources, and how long-term care services

Before there was any type of reform, legislation those that were running these Long-Term Services were abusing and neglecting the patients they were be paid to take care of, in light of quality of life. They were giving them medications that were keep them in deep trances were they didn’t have to care for them, but could keep them in a trance like state for hours and even days at times. “Although Nursing Home Care in general has improved, problems persist in areas relevant to end-of-life care, including pressure sore, malnutrition, dehydration, pain and quality of life.” (Sarah Thompson, 2008 ) These were all serious issues that needed to be addressed and major improvements starting happening within Long-Term