Case Study Comparison Presentation
INTRODUCTION TO CASE
ACTIVE ADULT & SENIOR COMMUNITIES
ADVANTAGES & DISADVANTAGES
REGULATIONS GOVERNING ASSISTED LIVING
ASSITED LIVING FACILITY SERVICES
SOURCES OF REIMBURSEMENT-ASSISTED LIVING
SOURCES OF REIMBURSEMENT-SKILLED NURSING
SELECTING AN APPROPRIATE FACILITY
EFFECTS OF CULTURE CHANGE
PROGRESS OF TECHNOLOGY BASED LIVING
CONCLUSION -BEST LIVING ENVIRONMENT OPTION
Names: Ruby(F) and Irving(M) Kallenbach Marital Status: Married for 72 years
Age: 92 and 94, respectively
Religion: Jewish, Not able to attend services, participate in a nondenominational service in their community
Traditions: Enjoy all Jewish holidays with daughters and respect another daughter’s choice to be Christian, they celebrate Christian holidays with her family.
Medical Diagnosis: Ruby is treated for mild depression and anxiety. Irving has diabetes that is controlled with oral medications. Irving has been diagnosed with moderate dementia (recently) and has been asked to participate in a research study with Mayo Clinic.
Financial Resources and Insurance: Ruby purchased a life care contract at a continuing care retirement community (CCRC), however Irving did not qualify for the life care contract because of his dementia diagnosis. Ruby and Irving had enough funds for Irving to pay privately in the independent setting. They have Medicare and prescription drug coverage.
Introduction To Case
Social Support System: Ruby and Irving have lived in their CCRC for 6 years and have many friends. Ruby has made friends with the activity director (who is also Jewish) in assisted living and they have collaborated to offer annual Passover Seders for the Jewish residents that reside in the community, which is a small percentage of residents. Ruby and Irving have three daughters that reside in different states. Their oldest daughter is a Rabbi and is available to travel when necessary. Their middle daughter is a CPA and is very busy most of the year as she has her own business. Their youngest daughter is a social worker in a hospital setting.
Introduction To Case Cont.
Current living environment: The couple lives in a CCRC with multiple levels of care. Ruby feels that she has the emotional and social support that she needs to care for Irving; however, she is struggling as Irving is having more difficulty ambulating and is becoming more frustrated and agitated. Irving used to write out his day and follow the sheet of paper; however, this task has become nearly impossible. Irving is very frustrated as he was the professor of engineering at the local university. At times Ruby must call for assistance when Irving refuses to take his medications or becomes angry and unmanageable. Ruby knows that Irving could go to the memory care assisted living on campus, but she is struggling with the guilt of not being able to care for her husband of 72 years and the financial effect of the move.
Active Adult Communities
Independent Living Facility
Active Adult & Senior Communities
the Independent seniors can not use Medicaid to help pay for the rent
Assisted living, these individual need medical attention, they are able to use sources of finances to cover the cost of their rent. Such as Medicaid, Veteran Administrative , and long term care insurance
Advantages & Disadvantages
Regulations Governing Assisted Living
Department of Aging and Disability Services
Medicaid and Medicare
Difference in other states
Dementia Care Programs
Full room and board
Assistance in various daily tasks
Serves patients with a range of health issues
Assisted Living Facilities Services
Sources of Reimbursement for Assisted Living
Lower state revenues
OBRA (also known as the 1987 Federal Nursing Home Reform Act)
Centers for Medicare and Medicaid Services
(vary by state)
Sources of Reimbursement for Skilled Nursing
Reduction in staff
Recommendations from area hospitals
Texas Department of Aging and Disability Services (DADS)
Word of Mouth
Selecting an Appropriate Facility
Approach changes with:
Selecting a leader
Flexibility and adaptability for future needs
Effects of Culture Change
Technology’s integration into Health Care
Uses by providers and consumers
Provide efficiency and support
Progress of Technology Based Living
Needs more care for his ADL
The current facility has memory care
Best Living Environment Option
Needs less care then Irving
Can stay in the same building as Irving
Can be with her friends and people she knows
California Department of Public Health. (2016). Licensing and Certification. Retrieved from http://www.cdph.ca.gov/programs/LnC/Pages/LnCAboutUs.aspx
Hatcher, M., & Heetebry, I. (2004). Information technology in the future of health care. Journal of Medical Systems, 28(6), 673-88. doi:http://dx.doi.org/10.1023/B:JOMS.0000044969.66510.d5
Yee-Melichar, Darlene, and Flores, Cristina. Long-Term Care Administration and Management : Effective Practices and Quality Programs in Eldercare : Effective Practices and Quality Programs in Eldercare. New York, US: Springer Publishing Company, 2014. ProQuest ebrary. Web. 9 July 2016.
Botek A.M. (2016) Agingcare.com Retrieved from: https://www.agingcare.com/Articles/difference-between-independent-living- and-assisted-living-168142.htm
Center for Medicare advocacy Retrieved from: //www.medicareadvocacy.org/medicare-reimbursement-for-skilled-nursing- facilities-remains-high-for-2010-despite-reductions-in-overpayments
Mollica R. (2009) National center for assisted living American health care association Retrieved from: https://www.ahcancal.org/ncal/resources/documents/medicaidassistedlivingr eport.pdf
Alz.org. (2016) Residential Care | Caregiver Center | Alzheimer’s Association. Alzheimer’s Association. Retrieved from: http://www.alz.org/care/alzheimers-dementia-residential- facilities.asp on July 9, 2016.
Connell, Linda H. (2004). Nursing Homes and Assisted Living Facilities : Your Practical Guide for Making the Right Decision. Naperville, IL, USA: Sphinx Publishing, an Imprint of Sourcebooks, Inc., 2004. Retrieved from: http://site.ebrary.com.contentproxy.phoenix.edu/lib/apollolib/reader.action?docID=10096081 on July 9, 2016.
Medicare.org. (2016) Medicare Program. Retrieved from: http://www.medicare.org/medicare- program.html on July 9, 2016.
Texas Department of Aging and Disabilities. (2016) About the Agency (DADS). Retrieved from: http://www.dads.state.tx.us/news_info/about/ on July 9, 2016.
Click following link to download this document
LTC week 5 final presentation Case Study Comparison Presentation.pptx