Long Term Residential Care

Select one of the criterion for an ideal long term care systems and discuss the impact of the criterion on patient care and well-being. Discuss the entire criterion using in text citations throughout. Remember another scholarly resource.

The initial discussion post must be at least 250-350 words of content, referencing the reading of the week, and including at least one scholarly source.
All initial posts need a reference. Your initial post should never be all opinion. You need to refer to the reading and required resources and prove your information with valid data.

Bullet points that may help you create a post that will ensure a great grade:

1. DO NOT copy information from any source even if you’re giving credit to the source. You can use one quote in a post. More than that will drop your grade.

2. DO USE intext citations. These are necessary to the post. For each area that you discuss and each idea you present you MUST add the author and date in parenthesis, to your post.

3. AVOID using outdated references. References that are more than 5 years old are not appropriate in most cases. Avoid it. Healthcare is rapidly changing. References that are 20 years old are most likely inappropriate. Don’t chance it.

When writing a post please understand the use of paraphrasing. Paraphrasing is not just taking a sentence and changing a word or two. “See the car at the end of the street” is the original text. “See the auto at the end of the block” IS NOT paraphrasing.

Paraphrasing occurs when you review material and then discuss it all in your own words. As an example I do write a long post each week. I rarely if ever use even a quote. I supply my references which are available for you to view. You can see how the information is presented along with the intext citations.

Also remember, when using any words from the etext such as “reimbursement driven” this requires that you provide quotation marks and a specific in text citation using the page number that shows where it was obtained. It is much better to find your own words because to achieve the highest grade, no quotations should be used.

Chapter 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.

Related posts

Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.

Examples of nonbiased formal and informal specialized diagnostic assessments that are administered to the students being evaluated, including any legal and ethical requirements.