Problems of the Elderly: Central States Coalition on Aging : Hearing Before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, Second Session, August 9, 1986, Kansas City, MO.

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42. lappuse - Act should be targerted for: * provide assurances that preference will be given to providing services to older individuals with the greatest economic or social needs...
41. lappuse - Efficient community services which provide social assistance in a coordinated manner and which are readily available when needed. (9) Immediate benefit from proven research knowledge which can sustain and improve health and happiness. (10) Freedom, independence, and the free exercise of individual initiative in planning and managing their own lives.
43. lappuse - Notwithstanding any other provision of law, a State may, for purposes of the programs authorized by this Act, elect to receive cash payments in lieu of donated foods for all or any portion of its project. In any case in which a State makes such an election, the Secretary of Agriculture shall make cash payments to such State in an amount equivalent in value to the donated foods which the State otherwise would have received if such State had retained its commodity distribution.
21. lappuse - ... leadership in the cause of maintaining quality care under the Medicare program. My Association's interest in this area is not a selfish interest, an interest just in ourselves. We believe a simple truth binds the generations together in the quest for quality health care. That simple truth is this: The quality, or lack of it, of care under Medicare is ultimately indicative of the standard of care for most everyone else in our country. For Medicare is the flagship of the American health care system...
22. lappuse - Denials of claims lncreased 233 percent from the first quarter of 1984 to the first quarter of 1986. Moreover, there is great variability across the fiscal intermediaries in thesi denial rftt **? *"i fSuir**ents of intermittency and homebound status can act as a -Catch 22' for patients, particularly those newly discharged from the hospital.
39. lappuse - ... meet the needs of older persons with greatest economic or social need, with particular attention to low income minority individuals. Such activities may include location of services and specialization in the types of services must needed by these groups to meet this requirement. However, the area agency may not permit a grantee or contractor under this part to employ a means test for services funded under this part, (d) No requirement...
39. lappuse - Inc., is an educational association, nonprofit, and we all support it; and one of the things that we have been trying to do through education of truckers is to educate, often, the farmers in handling their animals.
22. lappuse - ... unacceptable deviations from quality care. The fact of the matter is, however, that the country lacks adequate information about medical outcomes and the quality monitoring system necessary to promptly alert providers and policymakers to unacceptable care. Until peer review organizations (PROs), quality of care was not an issue in Medicare. It is startling to discover that the word quality is not even mentioned in Medicare, Title 18 of the Social Security Act; PRO authority is found in Title...
71. lappuse - Specifying desired outcomes is important because it focuses on the purpose of nursing home care. 0uality of Life Unlike other medical care settings, the nursing home is a place of residence. Both the IOM report and a study of quality of life as viewed by nursing home residents emphasize that quality of life is of major importance to residents, in addition to quality care. A report by the National Citizens Coalition for Nursing Home Reform, entitled "A Consumer Perspective on Quality Care: The Residents'...
71. lappuse - Resident Assessment A standardized resident assessment system is essential to evaluate the care needs of each resident upon admission in order to develop an individual plan of care. Periodic reassessments are necessary to moni'-or changes in the resident's health and to modify the care plan.

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