The proposed program will address the needs of minorities 65 and older at the time the program is implemented. Those taking part in the program would not loose any of the health benefits they are receiving from Medicaid under the current SSI health benefits insurance program. As well the person or persons must prove that they cannot afford to reside in a traditional long term care facility, such as a nursing home or assisted living, without incurring out of pocket cost. To be eligible, the individuals must be African American, U.S. citizen, reside in the state of Mississippi, and have a median $650 SSI income. As well they are not required to liquidate there asset’s and must reapply every year to reevaluate their eligibility. The goal of the proposed program is to make amendments to the current Medicare part C health insurance program, which under the current design addresses long- term care for a limited amount of time, such as for rehabilitation purposes and can not …show more content…
Therefore we propose to amend this portion of the program to extend the financial assistance for long-term care to include home care, which consist of recipients being able to reside in the comforts of there own home, or with relatives, and the relatives be compensated for the care of their loved ones. We propose it will take a budget of 200,000 dollars a year to provide this supplemental assistance. The strengths of the proposed posed program is that it provides income for a sector of the population, while also addressing the needs of the elderly that have been disenfranchised under the current policy and are in need of
As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home.
inally, Title VII provides support for programs to ensure protection of the rights of older adults, including the Long-Term Care Ombudsman Program and elder abuse prevention services. The Long-Term Care Ombudsman Program is required to investigate and resolve complaints made by or on behalf of nursing facility residents or other institutionalized populations. Title VII funds are allocated based on the state’s proportion of residents age 60 and
Medicare beneficiaries might need to jump through some hoops to get that palliative care. Hospice is one of the services covered for Medicare beneficiaries and is obviously a necessary service at the end of life. In the past, Hospice had four benefit periods, two-90 day periods, one-30 day period and one unlimited period. Prior to 1998, if a member entered the unlimited period but did not die, they lost all future Medicare Hospice coverage.
California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.
It is my analysis of the financial burden and decisions we had to make for my grandmother is that as the demand increases for long-term care as the baby boomer population ages, Medicare and Medicaid will be forced to reevaluate how they pay for long-term care. Many states are not equipped to handle the comprehensive needs of this aging population (Ford, Henderson, & Handley, 2010). Also, families are forced to take on enormous financial burdens due to the lack of coverage by Medicare (Can Medicare, 2015). The are no true pros to this situation.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
The Balance Budget Act (BBA) of 1997 made substantial changes to nearly all aspects of the Medicare program to contain spending. The Act was the largest reductions in federal Medicaid spending in Medicaid since 1981. It was expected that the Act will achieve a gross federal Medicaid savings of $17 billion over five years and $61.4 billion in ten years. After the legislation 's offsetting increases in Medicaid spending are accounted for, there was a further anticipation of a net federal Medicaid savings of $7.3 billion over the next five years and $36.9 billion over the next ten years. Some revision to the Act was made in 1999 but the key provisions were as follows.
Hello, Mary. The goal of beneficence is to protect the well-being of the patients. In nursing, doing good and doing the right thing is the best policy. In our long-term care restraints is not an alternative. Instead of using restraints our facility provides patient care observers to be with the patient to ensure their safety.
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Around 1954 and 1965 the social security act made more packages like disability coverage and medical benefits. As time passes, the social security includes pensions, unemployed insurance and money to dependent children. (Borick, Hyde, Russell & Shafritz, 2017, p.468) From the writing, it’s easy to visualize the steps of changing social equity to develop as social security to every citizen in the USA. The author also refers how the government made rules to differentiate low-income earners.
Back when it was first established in 1935, Social Security was an excellent cushion for retirees; as of late, the program has spiraled into such a chaotic, corrupt mess, that Americans need to find a solution to this monster of a program. Firstly, it is important to note exactly why Social Security is such a negative program. Were it used for its original intention, Social Security would be a blessing, but instead, it is a plague unto not only the pockets, but also the work-ethics of all working-class Americans. SSI disability is a welfare-like system which awards benefits based on an individual’s physical or mental health.
To keep cost down our proposal requires the existing budget to distribute 8% of its current41% funding for long-term care to encompass supplemental income for home-based care. As well the recipients are allowed to maintain their assets and maintain SSI income, which further reduces the government 's financial obligations, Furthermore supplementing income allows caregivers to maintain autonomy themselves and offering
In 2003, they revised their program to reach out to more minorities and low-income borrowers. Their strategy involved assistance programs for down-payments and closing costs, programs for rehabilitation loans, mortgage revenue bond, FHA and VA loans, multiunit loans, rural housing,
For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation.
Life expectancy Life expectancy is an average number of years that a person can expect to live in "full health" by taking into account years lived in less than full health due to disease and/or injury (WHOStat 2006). Crude Death/Mortality Rate (CDR) Crude Death Rate or Crude Mortality Rate is the total number of deaths to residents in a specified geographic area such as a country divided by the average total population for the same geographic area for a specified time period and multiplied by 100,000. The term crude means it does not account for age, sex or other variables in any aspects of death. CRUDE DEATH RATE=(Total deaths per year)/(Average Total population of that year)