Long Term Managed Care Systems
2 years ago 20
InformalCaregiving.docx
9781284199062_SLID_CH01.pptx
InformalCaregiving.docx
1. Informal Caregiving: Contrast the positive and negative aspects of care giving from the caregiver's perspective and discuss the issues that tip the balance for any given individual. Page 33 in the text discuss the problem of inadequate support for informal caregivers. Along with the video on this page, the video, "A Window into The Daily Struggles of Long-Term Care" on the Week 1 Page is useful to watch for this discussion. http://www.youtube.com/watch?v=CYZdsJqx4xc
How would support and incentives for informal caregivers support our current long-term care system?
2. Continuum of Care: Long-term care providers may be considered in a continuum of care. Summarize this concept and include the three elements of a continuum discussed in Chapter 1 in the text.
9781284199062_SLID_CH01.pptx
CHAPTER 1
Long-Term Care Today: Turbulent Times
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Learning Objectives
Define the current long-term care system, including how it developed, and key strengths and weaknesses of the system.
Define the term continuum of care.
Identify and define the consumers and providers of long-term care.
Define institutional and noninstitutional care and the strengths and shortcomings of each approach.
Identify the changes taking place in long-term care today.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Defining the Long-Term Care System
Long-term care: “Care of those persons requiring health care, personal care, social, and supportive services over a sustained period of time”
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Factors Contributing to Development of the Long-Term Care System
Financing: Growing role of government
The impact of regulations
The results of past successes
Cost-reduction efforts
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Components of the Long-Term Care System (1 of 2)
Consumers
– Elderly users of long-term care
The elderly as a political force
– Nonelderly long-term care users
The physically handicapped
The mentally ill/mentally retarded
Baby boomers: new long-term care consumers
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Components of the Long-Term Care System (2 of 2)
Providers
– Nursing facilities
– Subacute care
– Assisted living/residential care
– Elderly housing
– Community-based services
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Institutional vs. Noninstitutional Care
Institutional
– Nursing facilities
– Assisted living
– Subacute care
– Hospice care
Noninstitutional
– Adult day care
– Home health
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Long-Term Care as Part of a Continuum
The continuum of care is:
– Client-oriented
– Comprehensive
– Integrated
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Long-Term Support and Services
New terminology: LTSS
– Expands the definition for delivery and payment
– Used by federal and state governments
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Strengths and Weakness in the Long-Term Care System (1 of 2)
Strengths
– Response to changing needs
– Uniquely American nature
– Dedication of caregivers
– Focus on customer service
– Innovative types of care
– Integration efforts
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Strengths and Weakness in the Long-Term Care System (2 of 2)
Weaknesses
– Payment-driven
– Inequitably distributed services
– Fragmented and uncoordinated
– Mix of health and social services
– Multiple entry points
– Overshadowed by the acute system
– Poor public image
– Inadequate support for informal caregivers – but improving
– Confusing and “user-unfriendly” system
– Not prepared for boomer cohort
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Summary
The long-term care system has taken years to develop, and is still evolving.
It is a critical part of the overall continuum of care, and has both strengths and weaknesses
The boomer cohort will be a challenge for providers and payers
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
image2.png
InformalCaregiving.docx
1. Informal Caregiving: Contrast the positive and negative aspects of care giving from the caregiver's perspective and discuss the issues that tip the balance for any given individual. Page 33 in the text discuss the problem of inadequate support for informal caregivers. Along with the video on this page, the video, "A Window into The Daily Struggles of Long-Term Care" on the Week 1 Page is useful to watch for this discussion. http://www.youtube.com/watch?v=CYZdsJqx4xc
How would support and incentives for informal caregivers support our current long-term care system?
2. Continuum of Care: Long-term care providers may be considered in a continuum of care. Summarize this concept and include the three elements of a continuum discussed in Chapter 1 in the text.
9781284199062_SLID_CH01.pptx
CHAPTER 1
Long-Term Care Today: Turbulent Times
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Learning Objectives
Define the current long-term care system, including how it developed, and key strengths and weaknesses of the system.
Define the term continuum of care.
Identify and define the consumers and providers of long-term care.
Define institutional and noninstitutional care and the strengths and shortcomings of each approach.
Identify the changes taking place in long-term care today.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Defining the Long-Term Care System
Long-term care: “Care of those persons requiring health care, personal care, social, and supportive services over a sustained period of time”
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Factors Contributing to Development of the Long-Term Care System
Financing: Growing role of government
The impact of regulations
The results of past successes
Cost-reduction efforts
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Components of the Long-Term Care System (1 of 2)
Consumers
– Elderly users of long-term care
The elderly as a political force
– Nonelderly long-term care users
The physically handicapped
The mentally ill/mentally retarded
Baby boomers: new long-term care consumers
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Components of the Long-Term Care System (2 of 2)
Providers
– Nursing facilities
– Subacute care
– Assisted living/residential care
– Elderly housing
– Community-based services
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Institutional vs. Noninstitutional Care
Institutional
– Nursing facilities
– Assisted living
– Subacute care
– Hospice care
Noninstitutional
– Adult day care
– Home health
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Long-Term Care as Part of a Continuum
The continuum of care is:
– Client-oriented
– Comprehensive
– Integrated
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Long-Term Support and Services
New terminology: LTSS
– Expands the definition for delivery and payment
– Used by federal and state governments
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Strengths and Weakness in the Long-Term Care System (1 of 2)
Strengths
– Response to changing needs
– Uniquely American nature
– Dedication of caregivers
– Focus on customer service
– Innovative types of care
– Integration efforts
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Strengths and Weakness in the Long-Term Care System (2 of 2)
Weaknesses
– Payment-driven
– Inequitably distributed services
– Fragmented and uncoordinated
– Mix of health and social services
– Multiple entry points
– Overshadowed by the acute system
– Poor public image
– Inadequate support for informal caregivers – but improving
– Confusing and “user-unfriendly” system
– Not prepared for boomer cohort
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Summary
The long-term care system has taken years to develop, and is still evolving.
It is a critical part of the overall continuum of care, and has both strengths and weaknesses
The boomer cohort will be a challenge for providers and payers
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
image2.png
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