Eastern HSA3223 Chapter 3 Discussion Latest 2019 September
HSA3223 Management of Long Term Care Facilities
Chapter 3 Discussion
Ladies and gentlemen ~
The problems related to finding the ideal long-term case solution is complex. I
believe we can agree on this. I would propose though, that you are the
generation that will have to tackle this problem. BEFORE starting this posting,
please view a TED talk by Futurist Ari Wallach Link (Links to an external
site.) that explores a way of thinking for the (very) longterm planning~ for
our purposes, think about LONGTERM CARE. He challenges us to determine what we
are working for ~ What is our desired end outcome? some say to goal is
“happy and healthy aging”, others want aging in place, others look
only at the bottom line, and the list goes on….
Choose either option 1
or option 2 to expound on.
Option1:
The “ideal”
long-term care system discussed in Chapter Three would base eligibility for
services on functional needs rather than financial needs. Find the criteria for
eligibility for Medicaid coverage for a nursing facility in your state (you can
get the eligibility standards directly from the state or from a nursing facility).
Do they measure
functional need vs. financial need?
How close do they come
to the “ideal” criteria?
How would you change
them if you could?
In your discussion,
you are free to be innovative and imaginative. Just be prepared to support any
arguments you make with citations. While your answer should relate to the
materials in the text, you do not have to agree with them. In fact, the more
thought you put into your response, the better the overall discussion will be.
Option 2:
It is highly likely that
you know someone, perhaps a family member, who has had reason to use some
portion of the long-term care system, or maybe you have been involved with the
system on someone’s behalf. If not, talk with someone who has. Based on that
experience, discuss the following two-part question:
What did you, or the
person needing the services, find to be most difficult about getting or using
those services? Possible answers might involve learning about available
services, determining financial eligibility, the impersonality of the system,
the lack of coordination, etc. You get the idea.
If you could improve
the long-term care system to remove the difficulty you discussed above, what
one thing would you change?

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