Long term residential Care week 2
Lola2230
9781284086522_SLID_CH03.pptChapter 3
Toward an Ideal System
Learning Objectives
Identify the characteristics of an ideal
long-term care system
Describe what it means for the long-term care system to be consumer-driven
Identify the roles of formal and informal caregivers
Learning Objectives (continued)
4. Define the components of a full and uniform assessment of a consumer's
service needs
5. Discuss the need for incentives for providers and consumers
The Criteria for Designing or Evaluating a Long-Term Care System
What are they?
How were they developed?
How are they used?
Criterion I. The long-term care system should be based on recognition of the needs, rights, and responsibilities of individuals.
It should:
Be consumer driven
Meet all of the needs of the consumers
Focus on the individual, recognizing that individuals have unique needs
Respect different cultures and cultural values
It should:
Promote quality, dignity, and self-improvement for consumers
Balance consumer rights and responsibilities
Offer consumers a choice of service providers and service delivery modalities
Criterion I (continued)
Criterion II. The long-term care system should be easily accessible.
It should:
Be universally accessible
Be user friendly
Provide care in the least restrictive environment
Encourage single-site care availability
Criterion III. The long-term care system should coordinate professional, consumer, family, and other informal caregiver resources.
It should:
Integrate professional, community, family, and other informal caregiver efforts
Evolve from the current medical model to a holistic model of service delivery
Involve families in case management and care delivery
Criterion IV. The long-term care system should be an integral part of the health and social system to promote integration, efficiency,
and cost-effectiveness.
It should:
Include a full continuum of services
Include a full and uniform assessment (initial and ongoing) of the consumer's needs.
Criterion IV. (continued)
It should:
C. Provide emphasis on, and reimbursement for, illness prevention efforts as an integral part of the overall system
D. Be planned and coordinated to reduce fragmentation and inefficiencies
E. Be based on outcome-oriented accountability
Criterion V. The long-term care system should be adequately and fairly financed.
It should:
Utilize public and consumer resources to ensure universal access to services
Provide incentives for consumers to use services in an appropriate and cost-effective manner
Provide incentives for consumers to self-finance their care
Criterion V. (continued)
It should:
Avoid causing impoverishment of consumers and families
Provide incentives for providers to develop cost-effective measures
Develop payment mechanisms that allow efficient providers to adequately compensate staff and to allow for appropriate operating surplus and/or return on investment
Criterion V. (continued)
It should:
Operate within the limits of a well-conceived budget
Provide significant flexibility to enable consumers to meet long-term care needs as each consumer defines those needs
Be based on uniform financial eligibility criteria
Criterion VI. The long-term care system should include an education component to create informed consumers, providers, reimbursers, and regulators.
It should:
Include community education
Include education for providers
Educate young, healthy persons to better prepare them to cope with chronic illness
Summary
The Criteria provide a basis for evaluating the current long-term care system and for developing an ideal long-term care system.
