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Long-Term Care Policy Report

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ALTERNATIVES: Florida has demonstrated leadership and innovation in aging services and should be commended for constructing an intricate grid of programs and policies to address fall related osteoporotic hip fractures in the elderly. Created in 1991, the Florida Department of Elder Affairs (DOEA) is authorized by the Older Americans Act (OAA- 1965) and constitutionally designated by Florida voters to “serve as the primary state agency responsible for administering human services programs for the elderly” Fla. Stat. § 430.03 (2014). Furthermore, Florida has two specific statewide laws directed towards Osteoporosis. Fla. Stat. § 381.87 (1996) created the Osteoporosis Prevention and Education Program to promote public awareness of the causes …show more content…
The program conducts assessments, establishes the appropriate level of care (medical eligibility for nursing facility care/Medicaid waivers), and recommends the least restrictive, most appropriate placement. The DEOA furthermore currently serves as the primary agency for health and wellness promotion in osteoporosis and fall prevention screening. The department’s Florida Injury Prevention Program for Seniors (FLIPS) is another service aimed at preventing injuries from …show more content…
Doing so will not only expand purview of the current law, mandating insurance companies to reimburse on high-risk osteoporotic patient care, but also lead to behavioral incentives for screening and preventative treatment of all the elderly at risk of osteoporosis. In 2009, CMS, under the auspices of the Physician Quality Reporting Initiative, implemented a pay-for-performance program on five osteoporosis metrics as “voluntary measures” for hospitals across the country. This was the first step in linking geriatric and orthopaedic management of osteoporosis to reimbursement. That same year, the Joint Commission asked hospitals to volunteer to “alpha test” six osteoporosis measures, including appropriate labs, DEXA scanning, and osteoporotic medications. 97 hospitals across the United States volunteered to adopt the measures. Though these measures might very well become standards of accreditation in the future, we would like to propose implementation of these measures in all health care institutions in Florida at this

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