...Running head: Hospitals and Long-Term Care Facilities Hospitals and Long-Term Care Facilities Sharhonda Harvey Dr. Gary A. Morris Health Services Organization – HSA 500 August 8, 2010 Hospitals and Long-Term Care Facilities 1. Describe the difference between nonprofit and for-profit hospitals. There are numerous factors that differentiate nonprofit and for profit hospitals. According to Horwitz (2005), “Two-thirds of all U.S. urban hospitals are nonprofit, with the remainder split between for-profit and government ownership” (p. 790). One major difference between the two entities is that nonprofit entities tend to put excess funds back into the organization and receive tax exemptions, whereas for-profit entities keep the profits and dispense them among stock holders. Overall, whether the hospital is nonprofit or for-profit it is imperative that each entity meet the needs of the patients, work under the same health guidelines, and provide the appropriate training for staff to ensure they are providing safe care. Nonprofit hospitals are commonly known for their role in the community. Williams (2009) found “nonprofit entities serve a community service and have special recognition under the law due to their role in our society” (p. 185). These organizations do not have owners but they are overseen by a board of community members that makes decisions on how the facility is operated. As it relates to financial assistance, monies are sponsored by various institutions...
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...Hospitals and Long-Term Care Facilities Hamza Abobaker DR / Jo-Rene Queensberry Health Service Organization February 7, .2012 Describe the differences between nonprofit and for-profit hospitals. The difference between nonprofit and for-profit hospitals is the bottom line. Nonprofit hospitals main goal is to produce the best quality of care for the patients while turning profits into more advanced equipment used within the hospital. The nonprofit hospitals have a higher standard in performance in treating common conditions where the for-profit hospitals are not as high. Nonprofit hospitals are hospitals that are controlled by the quality of care and is at a less out of pocket for their patients where the for-profit hospitals are more costly for their services and tend to cost more for the patients after insurance has paid their portion of the bill. For profit hospitals while they do care for the patients the hospitals usually generate higher cost of care to the patients and any profit is returned to investors instead of back into the hospital where more advances and services can be performed (Williams & Torrens, 2010). In today’s efforts to improve the quality of care for patients it has become necessary to sell off to for profit hospitals for some locations. Hospitals today that ran on nonprofit efforts are seeing a hardship on keeping up with new technology equipment and is left with the decision to sell off to a for profit investor to keep the hospital running...
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...Long Term Care Facility Study Outline Long Term Care Facility Study Outline I. Introduction Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these requirements may differ from other facilities because of the types of services provided. The presentation will touch on the differences between Emeritus at Harbour of Pointe Shores and other long-term care facilities, how public policy affects financing for the services offered, reimbursement for care, staffing needs and their roles, and how health care trends affect the operation of the facility. II. State and federal regulations A. Interview with the Administrator B. Review state regulations on Washington State Department of Health’s website. C. Review federal regulations on Washington State Department of Health’s website. III. Licensure and accreditation ...
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...Relational Care Lupanch Gupta - 86510 Coleman University Relational Care Several countries have diverse point of views when it comes on taking care of their family especially when they get old. People in several countries feel that taking care of their elders should be obliged. They choose to please themselves by letting an institutions or long-term facilities to take care of their loved ones. In the Philippines where I was born and grew up having too many children is acceptable, the mothers as well as the fathers believe that having many children will give them a chance not to end up staying in a interpersonal facilities or homecare when they get old. They think that their children will take good care of them once they get older. But in reality having many children will not guarantee the parents that when they get older their children will take care of them. Where will we go when we get old? This is one of the questions that some old people ask themselves when their kids start to leave them to start their own lives. In United States very few children will be taking of their parents when they grow old. There are a lot of reasons why they do not take care of their parents when they grow old and one of it is health condition. “The most widespread condition affecting those 65 and older is coronary heart disease, followed by stroke, cancer, pneumonia and the flu. Accidents, especially falls that result in hip fractures, are also unfortunately...
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...Long-term care can have a different definition for each individual. Before taking this course my understanding of Long-Term Care was a community that the elderly would live in when not being able to take care of themself or not have a caretaker. However, having been able to obtain more knowledge on the subject, Long-Term Care can vary from Adult Day Care to Assisted Living. There are different options to choose from when having to choose a Long-Term Care facility for you loved one. An Adult Day Care is similar to a child day care. It is a facility where one can drop off a loved one while they are at work and can then pick them up at the end of the day. These facilities offer the amenities to socialize with one another and do activities that can strengthen their minds and increase mobility on their motor skills. During my college years, I had to participate in one of these facilities for an assignment and it was a great experience. Members would play dominoes, sew, and do plenty of arts of crafts. Another form of Long-Term Care is an Assisted Living Facility, this consist of a facility that can be mostly associated with an apartment complex. It can offer services as a regular living community with medical attention for those who require it. When comfortable with your living settings and are able to be fully independent, residents are able to upgrade their living arrangements. Only those who are able to independent with their ADL’s are able to living in this type of facility...
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...When it comes to finding factors to drive competition in the long-term care market, one must stop and thing how far back this goes. The factors may not been looked at years ago and no competition for the long-term market needed to be looked at. Today, looking at long-term care we think about the rising cost of health care, who will provide the coverage, and if we must look at what type of care one is needing. “Although Medicare and Medicaid are still the most significant buyers of long-term care services they are no longer the only buyers. Managed care has become a buyer with considerable influence in all of health care” (Pratt, 2010). A few years ago one looked at long-term care facilities as being in nursing homes. Today facilities are opening up that is not a setting for nursing home though that is what others thinks. With the government involved today it has restraints with the pricing and the quantity of service one provides. When the government gets involved with making decision on health care they divert resources away from one provider and looks at another. “to be competitive, long-term care providers have to know where they stand in the market. That means that they need to know how they compare with their competitors and their relative strengths and weaknesses” (Pratt, 2010). Most providers does not look at the strength and weaknesses of other facilities since this was not a big factor before. One must do research to find out the pricing and check the competition...
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...Continuum of Care- Long-term Care Long-term care has and is continuing to become an important part of the continuum of care. Years ago Long-term care (LTC) was considered only to be for the elderly, but as time passes it is for anybody and everybody who needs it. Barton (2006) stated, “Regardless of the length of time (i.e., from weeks to years), long-term care is an array of services provided in a range of settings to individuals who have lost some capacity for independence due to injury, chronic illness, or condition” (p. 367). According to Barton (2006), it states that the services long-term care provides help the consumer with basic needs and shows the individuals how to do daily living activities, along with therapy and being able to manage their conditions. Today long-term care is serving consumers of all ages in home, community, and institutional settings (Barton, 2006). Long-term care has contributed to the continuum of care tremendously because it is offering an array of services for consumers in different places and not just focusing on one specific population. In the last few years long-term care has become more of a need for more than 12million people in the United States, and out of these 12 million people, five million of them are nearly disabled (Barton, 2006). Barton (2006) stated, “a significant proportion of people needing long-term care-nearly half –is younger than 65: 40 percent are working age adults and about 3 percent are children younger than age 18”...
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...Abstract This paper will explore the long term care system in the United States focusing on the elderly. Understanding aging and the effects it shall have on the long term care industry is important for our society, as the numbers of the elderly are increasing. This paper shall also identify problems in the current long term care system that can cause risk to the elderly such as financial burdens and inadequate care. It will address the long term care professions and job opportunities available as well as give information needed for long term planning. Changes and needs to the long term care delivery systems will be addressed. In conclusion this paper will educate on the elderly needs for long term care and the best way to plan for their future. Long Term Care Systems in the United States When one contemplates the long term care system in the United States, the first thing one must do is understand the importance of aging. In the not so distant past, it was not uncommon for infants to die due to poor nutrition and infectious diseases, nor was the life span as high as it is today. The increasing number of elderly in our society, due to the “baby boomers and longer life spans,” and the changing patterns of activity among them, have led to new assumptions on how their needs and wishes govern the organization of long term health care. When thinking about long term care we must evaluate our rate of growth of the elderly. Statistics show that the population of 80 years or older...
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...variety of health care services in the United States provides continuum of care for health services. The need for long-term care is growing as the average life span of Americans continues to lengthen. The Centers for Medicare and Medicaid services estimates that about nine million men and woman over the age of 65 in the United States will need long-term care. Long-term care is a range of medical and social services designed to help people who has disabilities or chronic care needs. Services may be short or long-term and may be in a personal home in the community or in a residential facility. Long-term care facilities such as nursing homes provide care for the elderly or people who are unable to take care of them selves. The important of this paper is to discuss the continuum care of long-term care and examine the future trends of long-term care. Long-Term Care In defining long-term care there are several points. Long-term care is low tech, although it has become more complicated because many elderly patients with complex medical needs are being discharge into long-term settings. The age groups that mostly require long-term care are those who are 85 and older. This age group will double by 2030 and double again by 2050. Long-term care facilities are facilities that provide 24- hour skilled nursing assistance with activities of daily living, health services, and a number of activities. Many people would prefer not to be placed in a long-term care facility. However, some elderly...
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...Funding Health Care Services Dr. Johnican HSA 500 Health Services Organization March 3rd, 2014 Funding Health Care Services Ambulatory services are the services offered to patients if they are to be accommodated within the compounds of the healthcare institution under professional nursing care because of the severity of their health or because of the recommendations of patients’ physician or surgeon (Williams, S. & Torrens, P. 2010). The patient is only there for a day and then is discharged for the facility. There are services that be provided in a day starting from registering the patient to providing them with medication. There many different kind of services that falls under ambulatory care such as outpatient clinics, urgent care centers, emergency rooms, ambulatory or same-day surgery centers, diagnostic and imaging centers, primary care centers, community health centers, occupational health centers, mental health clinics, and group practices. There has been an increase in the ambulatory care because it is inexpensive and more appropriate health care setting. It is hard for the health care personnel and patients to adjust because of the changing technology and complex reimbursement systems. There are spending costs involved in health care like money paid to health care providers in hospitals, outpatient centers, Veterans Affairs and other clinics, doctor and dentist practices, physical therapists, nursing homes, home health services and on-site care at places...
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...their concerns can be over looked. They have a voice and need to be heard. In this paper I will describe the a. Organization that interest me b. How this organization will help to contribute to my professional knowledge and ability c. How this knowledge and ability can affect my career successfully Organization In choosing an organization, Catholic Charities of Louisville came to my mind. My career choice is to become an ombudsman in a long-term care facility. Catholic Charities is the organization that supports the ombudsman and assigns the cases to the workers. Ombudsman is simply citizen’s representatives, who handles complaints, provide information and assistance for the aging (American Heritage Dictionary4). They also advocate for system and legislative changes. (NASUA April 26, 2005). They help aging citizens obtain the dignity they deserve. I have always believed I was the person to be the voice for the silent ones or those that get looked over. Contributing knowledge and ability Working in health care for over a period of thirteen years, has helped me come to realize where I want my work life...
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...require long-term services and supports. The CLASS program is effective on January 1, 2011. Working adults will be able to make voluntary premium contributions either through payroll deductions through their employer or directly Adults with multiple functional limitations, or cognitive impairments, will be eligible for benefits if they have paid monthly premiums for at least five years and have been em[ployeed for 3 of those 5 years Adults who meet eligibility criteria will receive a cash benefit that can be used to purchase non-medical services and supports necessary to maintain community residence; payments for institutional care are permitted. The amount of the cash benefit is based on the degree of impairment or disability, averaging no less than $50 per day CLASS is financed by voluntary premium contributions paid by working adults, either through payroll deductions or direct contributions • HOW DOES CLASS INTERACT WITH MEDICAID? CLASS will generally be the primary payer for individuals who are also eligible for Medicaid. The CLASS program gives working adults the opportunity to plan for future long-term care needs by providing a basic cash benefit to those who meet work requirements and have either functional or equivalent cognitive limitations. CLASS is designed to help individuals with functional and/or cognitive limitations remain in the community by purchasing non-medical services and supports such as home health care and adult day care. While...
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...consider the extent of this or how it will affect others such as what the changes will have on the aging population. Changes may include the effects of his or her medical benefits, employment options, retirement, social security, housing, and most important who will provide care for the aging family members. Since entering into the new millennium, The United States has been challenged with the meeting of many demands that our aging population requires. For example, the increase there has been in the health costs, financing and delivery of health care for the older population, and the worries about health care quality is a serious challenge for health care. Health care is researched, and this is needed to help the aging population benefit from the advances in clinical, biomedical, and behavioral research. Aging adults face the challenges of chronic diseases that contributes to the diminishment of life, disability, and the increase that is seen with the cost of long-term health care. The number of older individuals is expected to increase always over time because somewhere someone is aging, and this will affect the penalties for public health, delivery systems, health care financing, informal care giving, and pension systems. Furthermore, other Countries around the world have been known to pay much more attention to the aging population, and an extensive number of these individuals and growing amount of chronic disease will place tension on resources in countries where...
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...According to Barton (2010) Long-term Care “emphasized continuous care over a period of at least 90 days for a range of acute and chronic conditions. Regardless of the length of time (i.e., from weeks to years), LTC is an array of services provided in a range of settings to people who have lost some capacity for independence because of an injury, a chronic illness, or a condition” (pg. 349). This is the description of someone who may have been in a debilitating car accident, an elderly person with Alzheimer’s and dementia, a person diagnosed with chronic mental illness, and individuals who are developmentally delayed or “disabled.” People who are placed in these type of long-term care facilities are usually screened using two different measures, Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Those individuals have problems or concerns with completing their (ADLs), such as bathing, cooking, cleaning, and grooming. When we think about long-term care, we think that the elder population are the ones who would be more likely to need help with performing ADLs due to illnesses associated with old age. However, this could be further from the truth. There is a great portion of individuals who are in need of long-term care and over 40 percent of them are of working age, with 3 percent being children (Barton, 2010). This percentage of the population who requires LTC, are those who have mental illness or who have developmental disabilities. A lot of...
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...When it comes to long-term care, it is widely known as a field of work that has a very high worker turnover rate. Many studies have been done in addition to extensive research to seek out what is causing this phenomenon and what can be done to fix it. Taking history into consideration, closing the gap in worker turnover and aiming to get higher retention rates will be an upward battle and will take new tactics and strategies to change the minds of those already in this particular field of work as well as make it more appealing to those not yet in it. According to research, the turnover rate in long-term care is a substantial problem, with rates ranging from 55% to 75% for nurses and aides and sometimes over 100% for aides alone. There are numerous sources of statistics indicating that there are many costs connected with turnover, comprised of “increased hospital readmission rates, high employee replacement costs, loss of productivity, poorer quality of care, a decrease in staff and resident morale, increased work stress, job dissatisfaction, increased accident and absenteeism rates, increased overtime costs, and resident and family dissatisfaction” (Mcconnell, 2010). Although new strategies and programs will mainly value and benefit the workers as an aid in increasing employee retention, it is also a good thing for employers to do to increase overall employee satisfaction. This will work together to uphold a stable workforce by decreasing employee turnover through better benefits...
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