Case Study Comparison Presentation Outline
LTC/315
Case Study Comparison Presentation Outline
Compare active adult and senior communities
Adult communities
Senior Communities
- Age restricted communities
- Activities
- Entertainment
- Disadvantages
- on site medical facilities
- Read UOP Course E-book- chapter: Assisted Living Regulations and Licensing
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?
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
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