Quality of Long-term Care: Hearing Before the Subcommittee on Health of the Committee on Finance, United States Senate, One Hundredth Congress, First Session, April 28, 1987, 4. sējumsU.S. Government Printing Office, 1988 - 193 lappuses |
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AARP ACSW addition adequate admissions aide training appropriate April 28 areas assure beneficiaries bill Chairman client committee compliance conditions of participation Congress consumer cost coverage develop elderly enforcement ensure FACG HCFA home health agencies home health aide home health services implement improve Institute of Medicine intermediate sanctions IOM recommendations IOM report issues legislation licensed practical nurses long-term care Medicaid program Medicare and Medicaid monitoring National nurse's aides nurses aides nursing home quality Nursing Home Reform nursing home residents Older Americans Act Ombudsman Program paraprofessionals participate in Medicare percent persons policies private pay problems professional proposals quality of long quality of long-term receive regulations regulatory reimbursement requirements resident assessment ROPER Senator CHAFEE Senator MITCHELL Senator PRYOR skilled nursing facilities SNFs social services social worker staff staffing standards Subcommittee on Health survey agency survey and certification survey process surveyors Willging YORDY
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29. lappuse - The deficiencies noted individually or in combination, do not jeopardize the health and safety of the patients and a written justification of such a finding is maintained on file by the appropriate State agency; And provided further, That (3) No more than two successive agreements for 6 months are executed with any skilled nursing home having deficiencies, and no second agreement is executed if...
37. lappuse - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
74. lappuse - We believe that if these recommendations are implemented by the Congress, the Executive Branch, and the states, the quality of care and quality of life for many thousands of nursing home residents will improve substantially. While many of the 15,000 nursing homes participating in the Medicaid and Medicare...
39. lappuse - SSI program. States may also cover additional persons as categorically needy. These might include persons who would be eligible for cash assistance, except that they are residents in medical institutions , such as skilled nursing or intermediate care facilities . In addition to the categorically needy, States may at their option cover the "medically needy...
110. lappuse - I am Paul Willging, Executive Vice President of the American Health Care Association (AHCA), the largest association representing America's long term care providers.
63. lappuse - Yet there is consensus that regulations have made a positive contribution, although reliable comparative data are not available to support this judgment. The committee found that the consumer advocates, providers, and state regulators with whom it discussed these matters believe that a larger proportion of the nursing homes today are safer and cleaner, and the quality of care, on the average, probably is better than wai the case prior to 1974.
149. lappuse - Codify the current homabound guideline and clarify that an individual need not be totally dependent and bedridden to be considered homebound. Improve the quality of care in a number of ways, including creating standards for training of paraprofessionals and a patient bill of rights for home care consumers. Thank you for the opportunity to be here today to discuss these important issues with you. I will be happy to respond to any questions you may have. The CHAIRMAN. Thank you very much. Ms. Mootz,...
41. lappuse - Include case management (commonly understood to be a system under which responsibility for locating, coordinating, and monitoring a group of services rests with a designated person or organization), homemaker and chore services, adult day health, and respite care.
144. lappuse - The current definition in the guidelines is interpreted in an inconsistent and varying manner by fiscal intermediaries. This is especially so in cases where beneficiaries are leaving their homes to go out for periodic adult day care, outpatient kidney dialysis, chemotherapy and other similar treatment. Even though the current guideline allows beneficiaries to go out for medical reasons, some Fis severely limit frequency and others do not honor the medical reason exception at all. In situations where...
145. lappuse - Service, a model curriculum and teaching guide for the instruction of the homemaker-home health aide in 1978.