U.S. Faces Long Term Assist Crisis
Recommendation 1: Maintain together with strengthen a someone together with draw of piece of occupation solid unit of measurement centered Long Term Services together with Supports arrangement with both the someone with cognitive or functional limitations together with the draw of piece of occupation solid unit of measurement caregiver every bit a focus for services together with supports (see Family Caregiving).
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The U.S. is facing a long-term-care crisis together with needs to produce a ameliorate task of preparing for it according to novel congressional report.
Baca Juga
The federal Commission on Long-Term Care completed its piece of occupation on a packet of recommendations to hold upwards included inwards its Final Report on long-term services together with supports to hold upwards published past times September 30.
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Commission on Long-Term Care Summary of Recommendations
SERVICE DELIVERY
H5N1 to a greater extent than responsive, integrated, person-centered, together with fiscally sustainable Long-Term Services together with Supports (LTSS) delivery arrangement that ensures people tin flame access character services inwards settings they choose.
Rebalancing - H5N1 Balanced Array of LTSS:
Recommendation: Promote services for persons with functional limitations inwards the to the lowest degree restrictive setting appropriate to their needs - edifice a system, including Medicaid, with options for people who would prefer to alive inwards the community.
Integration:
Recommendation 1: Establish a unmarried indicate of contact for LTSS on the attention team.
Recommendation 2: Align incentives to improve the integration of LTSS with wellness attention services inwards a person- together with family-centered approach.
Recommendation 3: Use engineering scientific discipline to a greater extent than effectively to mobilize together with integrate community resources together with to percentage information alongside providers, individuals together with draw of piece of occupation solid unit of measurement caregivers across settings of care
Recommendation 4: Create livable communities edifice on models that tin flame improve access to services together with wellness care-LTSS coordination.
Uniform Assessment:
Recommendation: Completion of a simpler together with to a greater extent than usable touchstone assessment machinery across attention settings (acute, post-acute, together with LTSS).
Consumer Access/Assistance:
Recommendation 1: Expand the "No Wrong Door" approach to supply enhanced options counseling for individuals to navigate LTSS; together with supply the back upwards needed to brand this approach effective nationally.
Recommendation 2: Provide information together with assistance to consumers together with draw of piece of occupation solid unit of measurement caregivers inwards advance of transition from ane setting to the adjacent (for example, astute attention patients at admission non but at discharge).
Recommendation 3: Improve access to information engineering scientific discipline that tin flame improve consumer together with caregiver access to information.
Quality:
Recommendation: Improve focus on character across settings of LTSS - with especial attending to abode together with community-based services.
Payment Reform:
Recommendation - Advocate for novel models of world payment that pay for post-acute together with long-term services together with supports on the footing of the service rather than the setting.
WORKFORCE
VISION: An LTSS arrangement that is able to back upwards draw of piece of occupation solid unit of measurement caregivers together with attract together with retain a competent, adequately-sized workforce capable of providing high quality, person- together with family-centered services together with supports to individuals across all LTSS settings.
Family Caregiving:
Recommendation 1: Maintain together with strengthen a person- together with family-centered LTSS arrangement with both the someone with cognitive or functional limitations together with the draw of piece of occupation solid unit of measurement caregiver (spouse or partner, kid or grandchild, parent, sibling, or other unpaid assistant) every bit a focus for services together with supports. Include draw of piece of occupation solid unit of measurement caregivers together with their needs inwards assessment together with attention planning processes.
Recommendation 2: Include draw of piece of occupation solid unit of measurement caregivers inwards patients' records together with every bit a fellow member of the attention team.
Recommendation 3: Ensure draw of piece of occupation solid unit of measurement caregivers convey access to relevant information through technology.
Recommendation 4: Encourage caregiver interventions, including time out options, together with integration with volunteer efforts.
Paid Workforce:
Recommendation 1: Revise compass of practise to broaden opportunities for professional person together with instantly attention workers with demonstrated competency.
Recommendation 2: Recommend that the federal authorities piece of occupation with states to enable national criminal background checks for all members of the LTSS workforce.
Direct Care Workforce:
Recommendation 1: Create meaningful career ladders together with lattices for instantly attention workers that final result inwards access to career advancement opportunities together with improved compensation.
Recommendation 2: Integrate instantly attention workers into attention teams.
Recommendation 3: Recommend that the appropriate federal way collect detailed information on the LTSS workforce.
Recommendation 4: Encourage states to improve standards together with constitute a certification procedure for home-care workers.
FINANCE
VISION: H5N1 sustainable residue of world together with private financing for long-term services together with supports (LTSS) that enables individuals with functional limitations to remain inwards the workforce or inwards appropriate attention settings of their choice. One that 1) provides the tools together with protections to enable Americans to encompass together with ameliorate laid upwards for the financial opportunity of needing LTSS; together with 2) ensures that individuals with express financial resources or for whom the terms of their attention exceeds their financial resources convey access to needed high-quality services together with supports.
Alternative Approaches:
Approach A: Strengthen LTSS financing through private options for financial protection
Approach B: Strengthen LTSS financing through Social Insurance
Medicaid Improvement:
Recommendation 1: Create a demonstration projection to supply workers with disability coverage for the LTSS they demand to remain employed.
Recommendation 2: Assist the states to gain greater uniformity of eligibility together with benefits inwards State Medicaid Buy-In programs for LTSS for workers with important disabilities.
Medicare Improvement:
Recommendation 1: Eliminate the 3-day infirmary rest requirement for SNF coverage.
Recommendation 2: Reconsider the requirement for receiving abode wellness services nether Medicare that the private hold upwards "homebound."
Savings:
Recommendation: Allow individuals together with families with important disabilities to access the educational savings computer programme to also help inwards saving for a electrical flow or futurity LTSS need.
ADVANCING H5N1 NATIONAL ADVISORY COMMITTEE
ON LONG-TERM SERVICES AND SUPPORTS
Recommendation 1: H5N1 subsequent national advisory commission hold upwards created to proceed this piece of occupation together with consider the Commission's recommendations together with potential financing frameworks every bit a starting indicate for its ain assessments together with recommendations.
Recommendation 2: Convene the White House Conference on Aging to include LTSS.
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