Case Study: Comparison Presentation Outline

Case Study Comparison Presentation Outline

LTC/315

Case Study Comparison Presentation Outline

Compare active adult and senior communities

Adult communities

Senior Communities

    1. Age restricted communities
    2. Activities
    3. Entertainment
      1. Disadvantages
        1. on site medical facilities

        Assisted living

        Nursing home

        Hospice

        What are the main differences

        Community life style type

        Services/Actives

        Cost

        What are two specific regulations governing assisted living facilities

        Licensed as Residential Care Facilities for the Elderly (RCFEs)

        Is it different in other states?

          1. Read UOP Course E-book- chapter: Assisted Living Regulations and Licensing

          What types of services do assisted living facilities offer

          Help with activities of daily living such as bathing, dressing, and eating

          What types of clients do they serve?

          Health care management and monitoring

          What types of clients do they serve?

          What are the common sources of reimbursement for assisted living

          Private Pay; when an individual uses their own necessary funds to pay for care.

          Private pay is the largest source of reimbursement for assisted living care. 

          Public; Medicaid

          Medicaid usually does not cover and is state funded; Medicaid only pays for certain number of hours and certain amount of days. Reimbursement usually comes with what type of service was performed and what the individual received in the state they were provided in.  All stated vary.

          Insurance; Medicare and Long-Term Care

          What governing bodies oversee skilled nursing facilities

          Local; Many skilled nursing facilities are protected by state and federal regulations to prevent abuse and to provide great quality of care

          How do these differ between states? States vary in the number of rules they enforce in nursing homes but must still comply with federal laws that are designed to protect the residents that live there.

          State; the state conducts a search of the facility to make sure it follows their state regulations.  However, the state’s certificate that is given to the facility is in approval form the CMS (Centers for Medicare & Medicaid Services)

          How do these differ between states? All states have the same guidelines when it comes to nursing home facilities.  Some states have harsher guidelines to follow that other states.

          Federal; CARF; Commission on Accreditation of Rehabilitation Facilities; a nonprofit organization that focuses on advancing the quality of services in health and human services.  Services range from child to elderly individuals that receive treatment.

          How do these differ between states? Cost is different between the states and the tax laws are different as well too.

          What are the common sources of reimbursement for skilled nursing

          Skilled nursing is reimbursed by Medicare and some Long-Term Care Facilities.  With Medicare if the individual no longer needs or no longer qualifies for the high level of care the facility offers then they must rely on other means.  Which could mean for the patient to pay out of pocket for their care or investigate other types of insurance.  Some residents may have to move into an ALF then in a nursing facility.  This would be a lot cheaper for the resident and will still be able to get the care they need.

          Private

          What affect might these have on care?

          Public

          What affect might these have on care?

          Insurance

          What affect might these have on care?

          What governing bodies oversee skilled nursing facilities

          Local

          How do these differ between states?

          State

          How do these differ between states?

          Federal

          How do these differ between states?

          What are the common sources of reimbursement for skilled nursing

          Private

          hat effect might these have on care?

          Insurance

          hat effect might these have on care?

          Government assistance

          hat effect might these have on care?

          What resources can be used to select an appropriate facility

          Websites

          Physicians

          Speaking with Friends and Family

          What are some effects of culture change in the continuum of care?

          Idea #1

          How might future generations continue to affect it?

          Idea #2

          How might future generations continue to affect it?

          How have philosophies of technology-based living progressed over the past 10 years

          Change #1

          Change #2

          How have philosophies of technology-based living progressed over the past 10 years

          What living environment option do you believe is the best for your individual or couple

          Adult Living

          Explain why

          Senior Community

          Explain why