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Reinventing the Nursing Home: Getting the Kind of Long-term Care We Want Robert L. Kane, MD University of Minnesota  School of Public Health
What is the Problem? ,[object Object],[object Object],[object Object]
 
The Problems with Current Thinking about LTC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of LTC Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What determines who should be cared for where? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Building Blocks of LTC ,[object Object],[object Object],[object Object],[object Object],[object Object]
Personal Care . Housing  Chronic Disease Care
Can’t Rely on a Name
Personal Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Housing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Care ,[object Object],[object Object],[object Object],[object Object]
Prerequisites  for  Making Good Decisions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limited Treatment Options
Goals Clarification ,[object Object],[object Object],[object Object]
A Lot Depends on Interpretation
Potential LTC Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Merging Medical and  Social Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Developing Individualized Care Plans ,[object Object],[object Object],[object Object]
Role of Risk ,[object Object],[object Object],[object Object],[object Object]
Severity ,  i.e., cognition, function, prognosis. Preferences,  i.e., safety, autonomy, privacy, culture, atmosphere, aesthetics Personal Care Needs Health/ Clinical/ Medical Care Needs Housing Needs
Measuring Success in LTC ,[object Object],[object Object],[object Object]
Evidence of Successful LTC Observed Expected Outcome Time
Housing issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Personal Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Need Relevant Information
Information Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Glidepath ,[object Object],[object Object],[object Object],[object Object]
Clinical Glidepath Expected Course o o o X
How You Implement Is Important
Policy Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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