Strategies To Improve Access To Medicaid Home And Community Based Services

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Strategies to Improve Access to Medicaid Home- and Community-based Services

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 420 pages
File Size : 50,9 Mb
Release : 2004
Category : Community health services
ISBN : PURD:32754076884349

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Strategies to Improve Access to Medicaid Home- and Community-based Services by United States. Congress. Senate. Committee on Finance Pdf

Improving the Quality of Long-Term Care

Author : Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care
Publisher : National Academies Press
Page : 344 pages
File Size : 48,5 Mb
Release : 2001-02-27
Category : Medical
ISBN : 9780309132749

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Improving the Quality of Long-Term Care by Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care Pdf

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Medicaid Eligibility Quality Control: The review process

Author : United States. Social and Rehabilitation Service
Publisher : Unknown
Page : 132 pages
File Size : 41,8 Mb
Release : 1975
Category : Medicaid
ISBN : MINN:31951D00623361Q

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Medicaid Eligibility Quality Control: The review process by United States. Social and Rehabilitation Service Pdf

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 46,8 Mb
Release : 2008
Category : Medical
ISBN : IOWA:31858055672798

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Patient Safety and Quality by Ronda Hughes Pdf

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Nutrition and Healthy Aging in the Community

Author : Institute of Medicine,Food and Nutrition Board
Publisher : National Academies Press
Page : 152 pages
File Size : 45,6 Mb
Release : 2012-06-15
Category : Medical
ISBN : 9780309253109

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Nutrition and Healthy Aging in the Community by Institute of Medicine,Food and Nutrition Board Pdf

The U.S. population of older adults is predicted to grow rapidly as "baby boomers" (those born between 1946 and 1964) begin to reach 65 years of age. Simultaneously, advancements in medical care and improved awareness of healthy lifestyles have led to longer life expectancies. The Census Bureau projects that the population of Americans 65 years of age and older will rise from approximately 40 million in 2010 to 55 million in 2020, a 36 percent increase. Furthermore, older adults are choosing to live independently in the community setting rather than residing in an institutional environment. Furthermore, the types of services needed by this population are shifting due to changes in their health issues. Older adults have historically been viewed as underweight and frail; however, over the past decade there has been an increase in the number of obese older persons. Obesity in older adults is not only associated with medical comorbidities such as diabetes; it is also a major risk factor for functional decline and homebound status. The baby boomers have a greater prevalence of obesity than any of their historic counterparts, and projections forecast an aging population with even greater chronic disease burden and disability. In light of the increasing numbers of older adults choosing to live independently rather than in nursing homes, and the important role nutrition can play in healthy aging, the Institute of Medicine (IOM) convened a public workshop to illuminate issues related to community-based delivery of nutrition services for older adults and to identify nutrition interventions and model programs. Nutrition and Healthy Aging in the Community summarizes the presentations and discussions prepared from the workshop transcript and slides. This report examines nutrition-related issues of concern experienced by older adults in the community including nutrition screening, food insecurity, sarcopenic obesity, dietary patterns for older adults, and economic issues. This report explores transitional care as individuals move from acute, subacute, or chronic care settings to the community, and provides models of transitional care in the community. This report also provides examples of successful intervention models in the community setting, and covers the discussion of research gaps in knowledge about nutrition interventions and services for older adults in the community.

Home- and Community-Based Services for Older Adults

Author : Keith Anderson,Holly Dabelko-Schoeny,Noelle L. Fields
Publisher : Columbia University Press
Page : 360 pages
File Size : 47,9 Mb
Release : 2018-05-01
Category : Social Science
ISBN : 9780231546997

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Home- and Community-Based Services for Older Adults by Keith Anderson,Holly Dabelko-Schoeny,Noelle L. Fields Pdf

As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?

Best at Home

Author : Jill C. Feasley
Publisher : National Academies
Page : 88 pages
File Size : 41,5 Mb
Release : 1996
Category : Community health services
ISBN : NAP:14188

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Best at Home by Jill C. Feasley Pdf

Report on the Activities of the Committee on Finance of the United States Senate During the ... Congress Pursuant to Rule XXVI of the Standing Rules of the United States Senate

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 88 pages
File Size : 42,6 Mb
Release : 2005
Category : Electronic
ISBN : PURD:32754072618196

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Report on the Activities of the Committee on Finance of the United States Senate During the ... Congress Pursuant to Rule XXVI of the Standing Rules of the United States Senate by United States. Congress. Senate. Committee on Finance Pdf

Integrating Social Care into the Delivery of Health Care

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health
Publisher : National Academies Press
Page : 195 pages
File Size : 46,6 Mb
Release : 2019-12-30
Category : Medical
ISBN : 9780309493468

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Integrating Social Care into the Delivery of Health Care by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health Pdf

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

The Future of Nursing 2020-2030

Author : National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030
Publisher : Unknown
Page : 128 pages
File Size : 43,7 Mb
Release : 2021-09-30
Category : Electronic
ISBN : 0309685060

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The Future of Nursing 2020-2030 by National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030 Pdf

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Jonas and Kovner's Health Care Delivery in the United States

Author : James R. Knickman, PhD,Brian Elbel, PhD, MPH
Publisher : Springer Publishing Company
Page : 549 pages
File Size : 45,6 Mb
Release : 2023-03-04
Category : Medical
ISBN : 9780826173041

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Jonas and Kovner's Health Care Delivery in the United States by James R. Knickman, PhD,Brian Elbel, PhD, MPH Pdf

Newly revised and significantly updated, Jonas and Kovner's Health Care Delivery in the United States, 13th Edition continues to be a highly acclaimed and trusted resource covering all aspects of health care in the United States. This comprehensive textbook contains information on a wide array of topics, including the organization of care, population health, the fundamental challenges of health disparities, health care financing and economics, and health information technology’s role in improving care and protecting privacy. New chapters on public health preparedness and its role in mitigating effects on health and the health system, and the medical and social challenges of caring for older adults provide insight into important, ongoing challenges and what those challenges reflect about our system of care. With an increased emphasis on health disparities, population health, and health equity, this textbook includes a timely focus on how social and behavioral determinants influence health outcomes. Students will gain a deeper understanding of public health systems and their societal role and of the economic perspectives that drive health care managers and the system. Thorough coverage of the rapid changes that are reshaping our system, in addition to an evaluation of our nation’s achievement of health care value, will equip students with the critical knowledge they need to enter this dynamic and complex field. The book also includes cutting-edge, evidence-based information on preventive medicine, innovative approaches to control health care costs, initiatives to achieve high quality and value-based care, and much more from prominent scholars, practitioners, and educators within health care management, public health, population health, health policy, medical care, and nursing. Key Features: New chapters on Public Health Preparedness and Caring for Older Adults Expanded coverage on health disparities and health equity, public health systems and their societal role, and the economic perspectives driving health care managers and the system Careers in Focus sections provide perspectives from a range of career paths in the health sector and how they contribute to the health care workforce Case Exercises and Discussion Questions have been expanded for all chapters Digital access to the entire text, including four supplementary eChapters that provide an engaging visual overview of trends in health care and detail the Affordable Care Ave--including its history and implementation, updates to the law, and changes as a result of the COVID-19 pandemic Purchase includes digital access for use on most mobile devices or computers, and qualified instructors also have access to a full suite of instructor resources

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 54,9 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Improving Health in the Community

Author : Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health
Publisher : National Academies Press
Page : 497 pages
File Size : 47,5 Mb
Release : 1997-05-21
Category : Medical
ISBN : 9780309055345

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Improving Health in the Community by Institute of Medicine,Committee on Using Performance Monitoring to Improve Community Health Pdf

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Elder Care in Crisis

Author : Emily K. Abel
Publisher : NYU Press
Page : 278 pages
File Size : 55,8 Mb
Release : 2022-10-25
Category : Social Science
ISBN : 9781479815418

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Elder Care in Crisis by Emily K. Abel Pdf

Explains why there is a crisis in caring for elderly people and how the COVID-19 pandemic exacerbated it Because government policies are based on an ethic of family responsibility, repeated calls to support family members caring for the burgeoning elderly population have gone unanswered. Without publicly funded long-term care services, many family caregivers cannot find relief from obligations that threaten to overwhelm them. The crisis also stems from the plight of direct care workers (nursing home assistants and home health aides), most of whom are women from racially marginalized groups who receive little respect, remuneration, or job security. Drawing on an online support group for people caring for spouses and partners with dementia, Elder Care in Crisis examines the availability and quality of respite care (which provides temporary relief from the burdens of care), the long, tortuous process through which family members decide whether to move spouses and partners to institutions, and the likelihood that caregivers will engage in political action to demand greater public support. When the pandemic began, caregivers watched in horror as nursing homes turned into deathtraps and then locked their doors to visitors. Terrified by the possibility of loved ones in nursing homes contracting the disease or suffering from loneliness, some caregivers brought them home. Others endured the pain of leaving relatives with severe cognitive impairments at the hospital door and the difficulties of sheltering in place with people with dementia who could not understand safety regulations or describe their symptoms. Direct care workers were compelled to accept unsafe conditions or leave the labor force. At the same time, however, the disaster provided an impetus for change and helped activists and scholars develop a vision of a future in which care is central to social life. Elder Care in Crisis exposes the harrowing state of growing old in America, offering concrete solutions and illustrating why they are necessary.

Health Care Financing Review

Author : Anonim
Publisher : Unknown
Page : 244 pages
File Size : 53,7 Mb
Release : 2000
Category : Medical care
ISBN : OSU:32437121146480

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Health Care Financing Review by Anonim Pdf