Steering Ltc Toward An Ideal System

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First Draft of my LTC leadership class. This is used to get students discussing issues in LTC management.

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Steering Ltc Toward An Ideal System

  1. 1. Steering LTC toward an Ideal System Text: John R Pratt Presented by: Dr. Kendall Brune
  2. 2. Toward an Ideal System-Criteria 1 <ul><li>The LTC system should be based on recognition of the needs, rights, and responsibilities of individuals </li></ul><ul><ul><li>LTC system should be: </li></ul></ul><ul><ul><ul><li>consumer driven~! </li></ul></ul></ul><ul><ul><ul><li>meet all the needs of the consumers~! </li></ul></ul></ul><ul><ul><ul><li>Should focus on the individual, recognizing that individuals have unique needs~! </li></ul></ul></ul>
  3. 3. Toward an Ideal System-Criteria 1 <ul><li>The LTC system should be based on recognition of the needs, rights, and responsibilities of individuals (cont.) </li></ul><ul><ul><li>LTC system should be: </li></ul></ul><ul><ul><ul><li>Respectful of different cultures & cultural values~! </li></ul></ul></ul><ul><ul><ul><li>Promoting quality, dignity, and self-improvement for consumers~! </li></ul></ul></ul><ul><ul><ul><li>Balancing consumer rights and responsibilities~! </li></ul></ul></ul><ul><ul><ul><li>Offering consumers a choice of services & delivery modalities~! </li></ul></ul></ul>
  4. 4. Toward an Ideal System-Criteria 2 <ul><li>The LTC system should be easily accessible </li></ul><ul><ul><li>LTC system should be: </li></ul></ul><ul><ul><ul><li>Universally Accessible~! </li></ul></ul></ul><ul><ul><ul><li>User-friendly~! </li></ul></ul></ul><ul><ul><ul><li>Providing care in the least Restrictive Environment~! </li></ul></ul></ul><ul><ul><ul><li>Encouraging Single-site care availability~! </li></ul></ul></ul>
  5. 5. Toward an Ideal System-Criteria 3 <ul><li>The LTC system should coordinate professional, consumer, family, and other informal caregiver resources </li></ul><ul><ul><li>LTC system should be: </li></ul></ul><ul><ul><ul><li>Integrating Professional, Community, Family, and other Informal Caregiver efforts~! </li></ul></ul></ul><ul><ul><ul><li>Evolving from the current Medical Model to a Holistic Model of Service Delivery~! </li></ul></ul></ul><ul><ul><ul><li>Evolving Families in Case-Management and Care Delivery~! </li></ul></ul></ul>
  6. 6. Toward an Ideal System-Criteria 4 <ul><li>The LTC system should be an Integral part of the Health &” Social system, to promote integration, efficiency, and cost-effectiveness </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Include a Full continuum of Services~! </li></ul></ul></ul><ul><ul><ul><li>Include a Full & Uniform Assessment (initial and ongoing) of the Consumer’s Needs~! </li></ul></ul></ul><ul><ul><ul><ul><li>Mind, Body, & Spirit </li></ul></ul></ul></ul>
  7. 7. Toward an Ideal System-Criteria 4 <ul><li>The LTC system should be an Integral part of the Health &” Social system, to promote integration, efficiency, and cost-effectiveness (cont. ) </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Provide emphasis on, and Reimbursement for, Illness Prevention efforts as an Integral part of the overall process~! </li></ul></ul></ul><ul><ul><ul><li>Plan and coordinate Efforts to Reduce Facility Fragmentation and Inefficiencies~! </li></ul></ul></ul><ul><ul><ul><li>Be Accountable for Operational Outcomes~! </li></ul></ul></ul>
  8. 8. Toward an Ideal System-Criteria 5 <ul><li>The LTC system should be adequately and fairly Financed </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Use Public and Private (consumer) Resources to ensure Universal Access to Services~! </li></ul></ul></ul><ul><ul><ul><li>Provide Incentives for Consumers to use Services in an Appropriate and Cost-Effective manner~! </li></ul></ul></ul><ul><ul><ul><li>Provide Incentives for Consumers to Self-Finance their care~! </li></ul></ul></ul>
  9. 9. Toward an Ideal System-Criteria 5 <ul><li>The LTC system should be adequately and fairly Financed (Cont.) </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Avoid causing Impoverishment of Consumers and Families~! </li></ul></ul></ul><ul><ul><ul><li>Provide Incentives for Providers to Develop Cost-Effective Measures~! </li></ul></ul></ul><ul><ul><ul><li>Develop Payment Mechanisms that allow Efficient Providers to adequately Compensate Staff~! </li></ul></ul></ul><ul><ul><ul><ul><li>Must have a Margin & ROI </li></ul></ul></ul></ul>
  10. 10. Toward an Ideal System-Criteria 5 <ul><li>The LTC system should be adequately and fairly Financed (Cont.) </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Operate within the Limits of a Well-Conceived Budgets~! </li></ul></ul></ul><ul><ul><ul><li>Provide Significant Flexibility to enable Consumers to meet LTC needs as each consumer Defines those needs~! </li></ul></ul></ul><ul><ul><ul><li>Be based on Uniform Financial Eligibility Criteria~! </li></ul></ul></ul>
  11. 11. Toward an Ideal System-Criteria 6 <ul><li>The LTC system should include an Education component to Create Informed Consumers, Providers, Payors, and Regulators </li></ul><ul><ul><li>LTC system should: </li></ul></ul><ul><ul><ul><li>Include Community Education Models~! </li></ul></ul></ul><ul><ul><ul><li>Include Education for Providers~! </li></ul></ul></ul><ul><ul><ul><li>Educate Young Healthy persons to better Prepare them to Cope with Chronic Illness~! </li></ul></ul></ul>
  12. 12. Toward an Ideal System-Conclusions <ul><li>The LTC Ideal Models of Care </li></ul><ul><ul><li>Will be Driven by Consumer girth and demands: </li></ul></ul><ul><ul><ul><li>combination of Increasing physical needs </li></ul></ul></ul><ul><ul><ul><li>Require new models of delivery that are effective and efficient </li></ul></ul></ul><ul><ul><ul><li>Increased consumer Knowledge and Understanding (Internet Support) </li></ul></ul></ul><ul><ul><ul><li>Increased demand for Quality~! </li></ul></ul></ul><ul><ul><ul><li>Increased Demand for Wanted Services~! </li></ul></ul></ul><ul><ul><ul><li>Prepare Programs to Educate Younger Consumers~! </li></ul></ul></ul>

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