Independent of most ADLS or High functioning Seniors needing more help! These are the Clients that would benefit from Assisted Living (due to not needing much care giving support & being quite independent) Assisted living does not take Medicaid payment.
Independent of most ADLS or High functioning Seniors needing more help! These are the Clients that would benefit from Assisted Living (due to not needing much caregiving support & being quite independent) Assisted living does not take Medicaid payment.
Homes are in the same economical pinch as other industries higher out go and less income. Regardless of income we are responsible to pay for Mortgage, taxes, utilities, supplies and Employees, payroll takes, professional service fees and consumables i.e. groceries, house hold items and fuel.
I would think you would have to be quite large of offset the negative revenue this creates. DSHS more likely to pay for in-home services thru the COPES program (this may not be the best situation for client.) It leaves many seniors at risk; it is very unfortunate set of circumstances due to the platform many seniors and left vulnerable.
The Bigger question to me is why Medicaid rates for same services rendered? Medicaid payments differ from SNF to AFH they pay, AFH much lower rates for same services rendered?
Families get angry when they realize options aren’t there for loved ones.
I have had families contact us for placement circumstances such as, loved one lives in Assisted living and either the Assisted living cannot offer services now needed sue to increased dependency of ADL assistance lack of custodial ability or health decline they may be paying the Maximum but do not want to pay for care and services, they express they want to pay less and get more services or on the other hand they have simply ran out of funding and AL does not accept Medicare.
Why can Skilled Nursing take these individuals? Simply put rates are higher for custodial care for these individuals and there area adds on services such as PT/ OT therapies and evaluations. That can be performed at AFH Thru Home Health services. The facility is large enough there can be a private pay / Medicaid ratio.
Physician’s Groups Can no longer operate taking New Medicare (due to low rate) people are frustrated about this too.
I can only advocate family and community involvement, Medicaid COPES or in home services to fill in the gaps
For myself I can only take Few Medicaid payments, I usually do this only for Hospice clients. I know from experience that they will have other services available to them thru Hospice.
This is baffling: ask your self, "Could you operate a facility without funds?"
$42.00 day reimbursement (provide services of 24 hours care,)
$11.00 day Bed hold
things to think about: how much is a cheap hotel room 1 night how much does it cost to have a bath aid? health monitoring? Meals? what do Utilities cost.Laundry service? the list does on.
Senior Care Options on LinkedIn Please share your ideas
Someone needs to work with families,” he says. “What kinds of long-term care facilities are the best at achieving those goals? Doctors would not likely know about that.”
Doctors should help facilitate this decision, primarily by recruiting other experts to assist the families in times of crisis, frustration and confusion. In choosing a long-term care facility for their loved one, families need to consider quality, accessibility, availability, location and amenities; and most doctors would not know about these criteria, he says.
“When people come to me for advice about finding a nursing home, I ask them, ‘Why do you need a nursing home?’” he says. “’Do you need to put [a senior] in an institution? [Have you considered] home care, respite care, adult day care?’”
As he argues in “The Good Caregiver,” in the case of a senior relative who is released from a hospital or medical center after surgery, families may mistake a hospital discharge planner for an advocate. Kane says that realistically the discharge planner cannot serve as a family advocate because his or her decision is based on an institutional requirement to remove a patient from a facility in less than 24 hours.
Kane explains that the only part of senior housing and the continuum of care in general that is truly fully regulated is the nursing home. He describes the continuing care retirement communities and assisted living facilities as “wide open.” He says that, with an assisted living facility, there is no assessment, no medical assessment, no in-depth examination of a senior’s functionality and primarily a word-of-mouth style of referral for families. He says most people are not “well-informed” about this.
Assisted living has developed into a highly variable form of care. “If you go to an assisted living facility, you don’t know what you are getting,” he says. “Amenities vary for people as well as admission, discharge and pricing criteria.”
Still, an American Health Care Association (AHCA)’s National Center for Assisted Living (NCAL) annually publishes its Assisted Living State Regulatory Review. Its 2011 Regulatory Review, available on its website. at these summarizes state rules on licensee, definition, disclosure, facility scope of care, third party scope of care, move-in/move-out requirements, resident assessment, medication management, physical plants, residents allowed per room, bathroom requirements, life safety, Alzheimer’s unit, staff training for Alzheimer’s care, staffing education/training, administrator education/training, continuing education requirements and Medicaid coverage. The Department of Health and Human Services’ “Assisted Living and Residential Care Policy Compendium,” the latest one being in 2007, also cites regulations on assisted living services providers.
All 50 states and the District of Columbia regulate the industry. In 2010 and 2011, 18 states are updating their policies in the aforementioned areas, most especially in Alaska, Arizona, Florida, Georgia, Hawaii, Idaho, Iowa, Kentucky, Maine, New Jersey, New Mexico, Oregon, Pennsylvania, South Carolina, Texas, Utah and Washington State.
In 2010, the Long-Term Care Community Coalition (LTCCC) published an Overview of State Survey and Enforcement Laws, Regulations and Policies for Assisted Living, finding that state departments of health or social services oversee assisted living facilities.
With respect to assessments, NCAL’s provider-members have adopted what is known as a “person-centered” focus to evaluate each senior patient’s individual needs.
Yet, Terri Corcoran, board secretary, public relations chair and staff publication co-editor of the Well Spouse TM Association, a nonprofit association of spousal caregivers based in Freehold, N.J., agrees that social workers and discharge planners, not doctors, can best assist with a family’s decision to place an aging relative in long-term care.
“Get as many facts as you can,” Corcoran says to families with seniors in need of care. “Doctors cannot really assist, aside from presenting the facts of the illness and the basic needs the patient will have for continuing care.”
Corcoran, a senior who for the past seven years has provided care at home for her physically and mentally disabled husband, says a family’s decision about long-term care depends on the level of ability to cope.
“You can’t generalize,” she says, when asked theoretically about an overwhelmed elderly woman who would have to provide care for a senior-citizen husband with functional, health and behavioral problems. “Each situation is different. It depends on how much a caregiver can physically and mentally manage, and how much help they get, either from other family members or from paid home health aides.”
Corcoran says some caregivers have careers and do not have the time and energy to provide the needed care, which isn’t her case.
“Some people have careers and they are not wired that way [to provide care],”
she says. “It’s a very difficult decision and you can never say never,” adding that long-term care may be an option after years of care giving at home.
“Not only are [families] not well-informed but [doctors, long-term care facilities] are also not aware of internal conflicts [within a family],” he says. “You bring a lot of baggage to the table [when you decide to place a senior in a long-term care facility
I would think you would have to be quite large of offset the negative revenue this creates. DSHS more likely to pay for in-home services thru the COPES program (this may not be the best situation for client.) It leaves many seniors at risk; it is very unfortunate set of circumstances due to the platform many seniors and left vulnerable.
The Bigger question to me is why Medicaid rates for same services rendered? Medicaid payments differ from SNF to AFH they pay, AFH much lower rates for same services rendered?
Families get angry when they realize options aren’t there for loved ones.
I have had families contact us for placement circumstances such as, loved one lives in Assisted living and either the Assisted living cannot offer services now needed sue to increased dependency of ADL assistance lack of custodial ability or health decline they may be paying the Maximum but do not want to pay for care and services, they express they want to pay less and get more services or on the other hand they have simply ran out of funding and AL does not accept Medicare.
Why can Skilled Nursing take these individuals? Simply put rates are higher for custodial care for these individuals and there area adds on services such as PT/ OT therapies and evaluations. That can be performed at AFH Thru Home Health services. The facility is large enough there can be a private pay / Medicaid ratio.
Physician’s Groups Can no longer operate taking New Medicare (due to low rate) people are frustrated about this too.
I can only advocate family and community involvement, Medicaid COPES or in home services to fill in the gaps
For myself I can only take Few Medicaid payments, I usually do this only for Hospice clients. I know from experience that they will have other services available to them thru Hospice.
This is baffling: ask your self, "Could you operate a facility without funds?"
$42.00 day reimbursement (provide services of 24 hours care,)
$11.00 day Bed hold
things to think about: how much is a cheap hotel room 1 night how much does it cost to have a bath aid? health monitoring? Meals? what do Utilities cost.Laundry service? the list does on.
Senior Care Options on LinkedIn Please share your ideas
Someone needs to work with families,” he says. “What kinds of long-term care facilities are the best at achieving those goals? Doctors would not likely know about that.”
Doctors should help facilitate this decision, primarily by recruiting other experts to assist the families in times of crisis, frustration and confusion. In choosing a long-term care facility for their loved one, families need to consider quality, accessibility, availability, location and amenities; and most doctors would not know about these criteria, he says.
“When people come to me for advice about finding a nursing home, I ask them, ‘Why do you need a nursing home?’” he says. “’Do you need to put [a senior] in an institution? [Have you considered] home care, respite care, adult day care?’”
As he argues in “The Good Caregiver,” in the case of a senior relative who is released from a hospital or medical center after surgery, families may mistake a hospital discharge planner for an advocate. Kane says that realistically the discharge planner cannot serve as a family advocate because his or her decision is based on an institutional requirement to remove a patient from a facility in less than 24 hours.
Kane explains that the only part of senior housing and the continuum of care in general that is truly fully regulated is the nursing home. He describes the continuing care retirement communities and assisted living facilities as “wide open.” He says that, with an assisted living facility, there is no assessment, no medical assessment, no in-depth examination of a senior’s functionality and primarily a word-of-mouth style of referral for families. He says most people are not “well-informed” about this.
Assisted living has developed into a highly variable form of care. “If you go to an assisted living facility, you don’t know what you are getting,” he says. “Amenities vary for people as well as admission, discharge and pricing criteria.”
Still, an American Health Care Association (AHCA)’s National Center for Assisted Living (NCAL) annually publishes its Assisted Living State Regulatory Review. Its 2011 Regulatory Review, available on its website. at these summarizes state rules on licensee, definition, disclosure, facility scope of care, third party scope of care, move-in/move-out requirements, resident assessment, medication management, physical plants, residents allowed per room, bathroom requirements, life safety, Alzheimer’s unit, staff training for Alzheimer’s care, staffing education/training, administrator education/training, continuing education requirements and Medicaid coverage. The Department of Health and Human Services’ “Assisted Living and Residential Care Policy Compendium,” the latest one being in 2007, also cites regulations on assisted living services providers.
All 50 states and the District of Columbia regulate the industry. In 2010 and 2011, 18 states are updating their policies in the aforementioned areas, most especially in Alaska, Arizona, Florida, Georgia, Hawaii, Idaho, Iowa, Kentucky, Maine, New Jersey, New Mexico, Oregon, Pennsylvania, South Carolina, Texas, Utah and Washington State.
In 2010, the Long-Term Care Community Coalition (LTCCC) published an Overview of State Survey and Enforcement Laws, Regulations and Policies for Assisted Living, finding that state departments of health or social services oversee assisted living facilities.
With respect to assessments, NCAL’s provider-members have adopted what is known as a “person-centered” focus to evaluate each senior patient’s individual needs.
Yet, Terri Corcoran, board secretary, public relations chair and staff publication co-editor of the Well Spouse TM Association, a nonprofit association of spousal caregivers based in Freehold, N.J., agrees that social workers and discharge planners, not doctors, can best assist with a family’s decision to place an aging relative in long-term care.
“Get as many facts as you can,” Corcoran says to families with seniors in need of care. “Doctors cannot really assist, aside from presenting the facts of the illness and the basic needs the patient will have for continuing care.”
Corcoran, a senior who for the past seven years has provided care at home for her physically and mentally disabled husband, says a family’s decision about long-term care depends on the level of ability to cope.
“You can’t generalize,” she says, when asked theoretically about an overwhelmed elderly woman who would have to provide care for a senior-citizen husband with functional, health and behavioral problems. “Each situation is different. It depends on how much a caregiver can physically and mentally manage, and how much help they get, either from other family members or from paid home health aides.”
Corcoran says some caregivers have careers and do not have the time and energy to provide the needed care, which isn’t her case.
“Some people have careers and they are not wired that way [to provide care],”
she says. “It’s a very difficult decision and you can never say never,” adding that long-term care may be an option after years of care giving at home.
“Not only are [families] not well-informed but [doctors, long-term care facilities] are also not aware of internal conflicts [within a family],” he says. “You bring a lot of baggage to the table [when you decide to place a senior in a long-term care facility
No comments:
Post a Comment