Term
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Definition
| health, mental health, residential or social support to a personwith functional disabilities over an extended period of time |
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Term
| What are the 7 main componenets to long term care? |
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Definition
1) variety of serivces
2)Individualized services
3)well coordinated services
4)promotion of functional indepndence
5)extended perod of care
6)Holistic care
7)quality of life |
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Term
| What is the definition of a dissability acording to the american disability act? |
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Definition
someone who:
1)has physical or mental impairment that substantially limits on or more major life activities
2)has a ecord of such impairment
3)is regarding as having such an impairment |
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Term
| What is the trend by age and sex for disability? |
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Definition
Disability increases with age
femails reported higher dissability than men |
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Term
| What are some of the top causes ofdissability? |
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Definition
1) Arthritis
2)back or spine problems
3)heart trouble
4)Mental or emotional
5)Lung or respiratory
6) diabetes ... |
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Term
| What is a persons functional ability? |
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Definition
| the ability to perform the basic activities of daily living |
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Term
| What are the activities of daily living (ADL)? |
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Definition
Eating
Toileting
Transferring
walking
dressing
bathing |
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Term
| What is the adult reported % of disability in the US? |
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Definition
21.8%
Persons reporting disability increasaed with age and was higher in women |
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Term
| What is an instrumental ADL? |
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Definition
(IADL) -
preparing meals
taking medications
light housework
shoping |
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Term
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Definition
-combo of formal and informal care
-may need many services to be independent
-the ideal contium of care is a cooridnated comprehensive system designed to meet the needs of individuals with complex ongoing problems... |
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Term
| How many americans need formal LTC? |
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Definition
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Term
| What are the risk factors for LTC? |
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Definition
-advancing age
-greater level of chronic disability
-deteriorating mental or physical abilities
-live alone with no social support
-female |
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Term
| What is the four fould objective for a communty based LTC service? |
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Definition
-economical and a least restrictive setting
-Supplemental informal care
respite care
delay or prevent institutionalization |
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Term
| What are the funding sources for LTC services? |
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Definition
Title III of the older americacn act 1965
home and community based waivers
Title XX social services block grants
Medicaid
Other private and public sources |
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Term
| What are some examples of home health care servces? |
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Definition
skilled nursing care
homeaker/personal care
high technoloy home theripy
durable medical equiptment
hospice care and end of life care |
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Term
| What are the more frequent elderly home care services? |
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Definition
1) skilled nursing homes
2) homaker services
3) physical therapy
4) scocial services
5) medications |
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Term
| What are some things that health care professionals can do to ensure high end of life quality? |
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Definition
ensure desired physical comfort and emotional support
promote shared decision making
treat the syin person with respect
Provide information and emotional sipport to family
coordinatr care across settings |
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Term
| what % of people recieve hospice care at death in 2009? |
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Definition
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Term
| What are some of the benefits of hospice? |
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Definition
family satisfaction
improve survival
prolong survival in cancer patients with poaliative care
saves medicare over 2,309 per patient |
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Term
| What is the majour souce of payment for home health? |
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Definition
medicare
state and local govts
medicaid -spemds more on home care than any other service
--most people enter NH as private payers and then medicaid after limits met |
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Term
| What are the 5 institutional LTC categories? |
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Definition
Retirement living centers
residential or pseonal care
assisted living
skilled nursing (SNF)
substance care facility |
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Term
| Top 10 deficiencies for SNF |
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Definition
accident environment 37% us 40% us
food sanitation
quality of care
professional standards
comprehensive care plans
housekeeoing... |
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Term
| By ownership, what are the majoprity of the SNF? |
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Definition
for profit 67%
non profit 27%
govt owned 4% |
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Term
| how much of the total national health expendatures was for home haelth and NH care? |
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Definition
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Term
| How much does home health and NH care cost in the US? |
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Definition
Home healh 70.2 billion
nursing home care 143.1 billion |
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Term
| How common are mental health disorders? |
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Definition
| 1 in 4 americans have a mental disorder in any given year |
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Term
| What is the largest payer for mental health? |
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Definition
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Term
| What are some important stats on mental health in the US? |
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Definition
1 in 4 american have a mental disorder
access and availability linked to financial status
leading cause of dissability in 15 to 44 year olds in US
major risk for suicide, cardio and cancer |
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Term
| What is the most common mental disorder? and what are the risk factors? |
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Definition
depression
female, postpartum, substance abuse, single,old age, stressful life events, lack of social support, hxof depression, poverty |
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Term
| how many americans are depressed? |
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Definition
1/20 (>12)
1/10 youth have a serious mental health problem impairing function at school/home
--many children/youth cannot access services |
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Term
| What are the trends with the use of mental health services inthe US? |
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Definition
US adults 2004 to 2008
trending upwards slowly |
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Term
| Regarding children and mental health, who is the largest provider of care? |
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Definition
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Term
| What are some of the MH trends? |
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Definition
recovery from mental illness is possinle
reintegrationinto community
consumer movement
emhasis on prevention
recognition of problematic and comorbidities |
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Term
| What are the financing trends for MH? |
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Definition
Unlike overall health, the majority of MH svs is publically funded.
govt role in growing in MH
spending on mental disorders incrased |
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Term
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Definition
MC has found it cost effective to carve out mental health care for administration by MBHO (managed behavioral health care org)
CARVE OUT delegates financial risk and responsibility to an external vendor |
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Term
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Definition
separate vendor for MH
ins plans subcontract with MBHOs so that the pts do not have to select separate coverage |
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Term
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Definition
The effort to treat mental health financing on the same basis as financing for genral health
a parity mandate requires all insurers to provide the same coverage equal tothe coverage for the coverage for other disorders (MH is not an added benefit) |
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Term
| How did the Health Parity Act of 1996 change MH svs? |
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Definition
this act focused on catastrophic benefits in mental health.
It prohibited the use of different lifetime ane annual limits on coverage for mental and somatic illnesses. |
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Term
| How did the Wellstone - Domenici PH Parity Act affect MH? |
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Definition
(2008)
increases MH benefits protectionso ver previous law, expanded to substance abuse disorders
some states have enacted stronger parity laws |
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Term
| What are some of the elements in the future of MH? |
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Definition
Build science basis
overcome stigma
improve public awareness
ensure supply of MH
state of the art treatment
tailro treatment to demographics
facilitate treatment
reduce financial barriers |
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Term
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Definition
| benefist in FY 2014 must include treatment for menal health etc |
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Term
| What are the at risk populations for poor health? |
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Definition
Uninsured children
women
rural area residents
homeless
mentally ill
chronically ill
disables
HIV/AIDS |
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