what is the key factor in determining the need for long term care course hero

What are the determinants of personal health care?

1 ) Individual : The individual human who is 16 years of age or older and past the acute stage of long - term illness focuses on nursing care in Hall ’s work . The source of energy and motivation for healing is the individual care recipient , not the health care provider .

Is there a model to illustrate the determinants of Health?

A) Refer the patient for long-term psychotherapy. B) Determine the patients risk of psychosis. C) Determine if anyone in the patients family has had depression. D) Ask the patient if he is thinking about killing himself. 7. The nurse is providing a presentation for a …

What are the major drivers of health care costs?

Feb 21, 2022 · Short- and long-term goals each have a distinct purpose in helping the board achieve its stated mission. In determining goals for both categories, the board of directors must make a determination of where they currently are and where they want to be in three to 10 years. Developing long-range planning requires extensive analysis on the board’s part so that they can …

What are the factors that affect health?

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What determines the need for long-term care?

People often need long-term care when they have a serious, ongoing health condition or disability. The need for long-term care can arise suddenly, such as after a heart attack or stroke. Most often, however, it develops gradually, as people get older and frailer or as an illness or disability gets worse.

What are four objectives for community based long-term care services?

Community-based long-term care has a four-fold objective: (1) To deliver LTC in the most economical and least restrictive setting whenever appropriate, (2) to supplement informal caregiving when advanced services are needed or to substitute informal services when a person lacks a social network to receive informal care ...

What is meant by quality of life briefly discuss the five main features of this multifaceted concept?

What is meant by "Quality of Life?" What are the five main features of this multifaceted concept? Quality of life means to have a sense of satisfaction, fulfillment, and self worth. In LTC Quality of Life is a multifaceted concept that recognizes at least five factors.

What are the components of accessibility to long-term care services?

The long-term care system should be easily accessible. Accessibility to services depends on several components, including availability of those services, financial coverage, physical logistics (location, style, etc.), and the degree of complexity of the consumer's needs.

What are the components of long-term care?

The core components of any long term care insurance policy include: daily benefit amount, benefit period, elimination period, and inflation protection. These four components are what will determine your rates and any increase or reduction in premium.

What determines quality of life?

People's evaluations of their quality of life are made within horizons of possibilities that they see for themselves and therefore are a fundamental component of their identity. These horizons are determined by factors such as social class, age, sex, ethnic group, sexuality, disability, and personal biography.

Why is quality of life necessary?

Quality of life plays a very important role in the social development. An individual is the part of the family. Quality of life is effective for each of the individuals of the family. If all the members of the family will have good quality of life then the family can live happy and prosperous life.

What are quality of life factors?

Standard indicators of the quality of life include wealth, employment, the environment, physical and mental health, education, recreation and leisure time, social belonging, religious beliefs, safety, security and freedom.

What are the characteristics of a place?

The characteristics of place include the social and economic environments, as well as the natural environment (e.g., air, water) and the built environment, which may include transportation, buildings, green spaces, roads, and other infrastructure (IOM, 2001b).

Is obesity a priority?

Chronic disease has often been less of a priority for public health and health care organizations, but the evidence of escalating obesity in the United States is alarming and should motivate widespread action to contain and reverse the effects of this silent epidemic.

Is health care a personal issue?

For most people, thinking about health and health care is a very personal issue. Assuring the health of the public, however, goes beyond focusing on the health status of individuals; it requires a population health approach. As noted in Chapter 1, America's health status does not match the nation's substantial health investments.

What is the first step in developing a communication plan?

The first step in developing a communication plan is to determine the goals of your effort to promote CVH policy and environmental change. The object is to accomplish the following preliminary work:

What is CDCynergy 2001?

As you develop your communication plan,be sure to use and cite CDCynergy 2001, a comprehensive communication planningtool based on CDC’s best communication practices . The tool, an interactive CD-ROM,provides a host of resources, including the following:

What is formative research?

Formative research entails collecting the front-end information that is needed to shape your communication effort. It includes a needs assessment that defines the scope of the problem you are aiming to address; a target audience analysis; an environmental scan of existing materials; and pretesting to assess the strengths and weaknesses of your communication strategies, messages, and materials prior to implementation. Conducted during the program planning and development phases, formative research will help you identify concerns and make any necessary revisions before launching your CVH policy and environmental change effort, maximizing its likelihood of success.

What is process evaluation?

Conducted during implementation, process evaluation is used to monitor the status and effectiveness of your effort’s execution, including media and community-based outreach, development of allies, and activities to disseminate messages. Process evaluation will demonstrate the extent to which each activity and product is occurring and penetrating its intended media market; the degree to which each target audience is exposed to key messages; and the level at which media gatekeepers, intermediaries, and other channels are receiving and using your information and materials. It also will allow you to track your progress and will provide feedback on how well activities are advancing.

How does cost sharing affect health care?

Studies by RAND demonstrated that modest cost-sharing can reduce the totalamount of health care spending per adult (including both insurance and out-of-pocket payments) with little impact on health outcomes. However, cost-sharingreduces both appropriate as well as inappropriate use (58). While increasedcost-sharing can help deter patients from excessive and unnecessary use of services,it can also create a financial burden and a barrier to obtaining needed healthcare services. Increased cost-sharing also raises out-of-pocket costs more forpeople in poor health, those with chronic conditions, and those requiring hospitalization (59). High cost-sharing requirements and high-deductible healthinsurance policies also create financial burdens that especially impact low-income people. Cost considerations also may cause patients to skip preventivehealth care services that could prevent more serious health problems and whichultimately would be more cost-effective. Consequently, cost-sharing provisionmust be judiciously applied.

What was the purpose of the National Health Planning and Resource Development Act of 1974?

The National Health Planning and Resource Development Act of 1974 (P.L.93-641) created a national health planning program to replace previous over-lapping and duplicative health planning programs that had been created sincethe Hill-Burton Act of 1946. The 1970s national program involved local,regional, state, and federal planning agencies in a regulatory process to improvethe accessibility and quality of health care. It sought to ensure the appropriateallocation of health resources at the state and local levels by development andadherence to plans reflecting state and local health care needs. Cost controlswere sought by reducing duplication of health care resources, restricting con-struction of new hospitals and other health care facilities, and limiting capitalequipment expenditures. Medicare and Medicaid funding for services provid-ed at health care facilities was contingent on obtaining a Certificate of Need(CON), reflecting review and approval from state and local planning agencies.The national program was controversial. Proponents claimed that the programwas needed to efficiently allocate scarce health care resources to improve accessand quality of health care and to help constrain upwardly spiraling health carecosts. The Institute of Medicine found,

What is technology in healthcare?

Technology is broadly defined to include the drugs, devices, and medical andsurgical procedures used in health care, as well as measures for prevention andrehabilitation of disease (13). According to an analysis by the Kaiser FamilyFoundation, at least half of the growth in medical spending in recent years isattributable to technological change (14). Technological progress has been seenas accounting for as much as 75% of the increase in U.S. health care expendi-tures over time (15). A recent review by the Congressional Budget Office alsofound that "The general consensus among health economists is that the largeincrease in health care spending over the past several decades was principally theresult of the emergence of new medical technologies and services and theiradoption and widespread diffusion by the U.S. health care system."(16) Themyriad benefits of technological innovation in health care have includedincreased life expectancy, reduced disability among the elderly, and reductionsin mortality from many diseases, including heart attacks, strokes and breastcancer. These health care improvements, and their associated indirect savingsin reducing potential lost economic output, more than offset their direct costs.However, the high costs of many new technologies make it imperative thatthese resources be used wisely (17).

How much does a doctor pay for medical malpractice?

To protect themselves from such lawsuits, physicians purchase professional liabilityinsurance. U.S. doctors currently pay an average of $27,500 per year for medical malpractice insurance coverage (111).

How does tort reform affect malpractice?

Tort reform could reduce the amount of defensive medicine, malpractice litigationcosts, and subsequently the cost of medical professional liability insurance.Re ductions in malpractice insurance costs could, in turn, lead to lower chargesfor health care services and procedures, prompting further savings from lowerrates for health insurance premiums.

Does insurance pay for acute care?

Health insurance plans and governmental programs in the United States generally pay for episodic, acute care health care services on a fee-for-servicebasis. This creates incentives for physicians to generate more visits and to perform more diagnostic tests and procedures to increase income. Servicesinvolving new technology are highly reimbursed and highly profitable, whileservices where payment is predominantly for the physician's time (evaluation andmanagement) are poorly reimbursed. Services provided by primary care physi-cians are systematically undervalued in terms of their work, practice expenses,and value to patients. While increasing the volume of services is encouraged,there are few incentives for efficiency or accountability. Lack of awareness byboth patients and physicians of the spending implications of clinical decisionsfurther contributes to increasing health care utilization and rising costs (70).Payment and reimbursement do not reflect the increasing shift in healthcare delivery from acute to chronic care. Coordinated care management, proactiveor planned care, cross-discipline management, and even some preventive careservices are often not covered by insurance or are poorly reimbursed.By paying more for the time and expertise required to provide proceduresdelivered by specialists compared with the same level of time and expertise forevaluation and management services by primary care physicians, payment systems foster distortions in the specialty mix of physicians. These payment disparities produce huge inequities in earnings that favor procedural specialistsover primary care physicians. Primary care physicians on average earn sub-stantially less than other medical specialists (71). These earnings disparities actas a strong disincentive for younger physicians, who typically have student debtof $140,000 or more, to choose primary care. The economics of primary carepractices are so adverse that many established primary care physician practicesare struggling to remain open.

Why is cash flow important in healthcare?

Excellent cash flow management is critical to operational success in the health care industry. Long billing cycles means reimbursement from medicare, medicaid, government programs, non-profit coverage programs and insurance companies requires long wait times. Cash flow ratios are also important for meeting monthly payments to lenders while meeting operational and overhead costs. A temporary line of credit can factor into cash flow ratios as an emergency line for shortfalls but calculating the ratio of cash available against the operational costs will ensure that daily needs are being met, despite long billing cycles. One method of tracking this ratio is against the number of days of cash on hand. This is the number of days an organization can run effectively with the immediate cash on hand.

Why is margin ratio important?

Margin ratios are used to analyze the profit generated from each product and procedure. Profitability is necessary to survive and grow the total market share for an organization. Zach Lazzari is a freelance writer and manages marketing initiatives for multiple small businesses.

Who is Zach Lazzari?

Zach Lazzari is a freelance writer and manages marketing initiatives for multiple small businesses. His business experience ranges from startups to corporate with a focus on digital advertising, content marketing, sales lead generation and audience acquisitions.