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LONG TERM CARE

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LONG TERM CARE The Aging of America Assisted Living - Nursing Homes PHYSICAL ACTIVITIES PHYSICAL ACTIVITY PROGRAMS OFFER MIXTURES OF EXERCISE AND HEALTH EDUCATION ... – PowerPoint PPT presentation

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Title: LONG TERM CARE


1
LONG TERM CARE
  • The Aging of America
  • Assisted Living - Nursing Homes

2
  • The Aging of America

3
  • ELDERLY AMERICANS ARE JUST ABOUT THE ONLY GROUP
    OF U.S. CITIZENS WHOSE HEALTH CARE IS UNIVERSALLY
    INSURED AS AN ENTITLEMENT.

4
  • HOWEVER, ELDERS WHO NEED LONG-TERM CARE HAVE MUCH
    LESS PROTECTION.

5
  • MEDICARE, THE FEDERAL PROGRAM FOR THE ELDERLY AND
    DISABLED, COVERS MANY OF THE COSTS OF ACUTE
    MEDICAL CARE BUT ONLY TANGENTIALLY COVERS SOME
    LONG CARE SERVICES.

6
  • MEDICAID, THE FEDERAL/STATE HEALTH PROGRAM,
    COVERS LONG-TERM CARE BUT ONLY FOR PEOPLE WHO ARE
    POOR OR WHO BECOME POOR PAYING FOR LONG-TERM CARE
    OF MEDICAL CARE.

7
  • MORE THAN TWELVE MILLION PEOPLE IN THE UNITED
    STATES, ABOUT HALF OVER AND HALF UNDER AGE 65,
    NEED SOME KIND OF LONG TERM CARE. ABOUT A THIRD
    OF THESE PEOPLE HAVE CARE NEEDS THAT ARE
    SUBSTANTIAL.

8
  • SUPPORT FOR CARE FALLS LARGELY OUTSIDE
    MEDICARES SCOPE. MOST LONG-TERM CARE IS
    PROVIDED BY FAMILIES AND FRIENDS IN THE COMMUNITY.

9
  • MEDICAID IS A DIFFERENT STORY.
  • 7 Medicaid Beneficiaries utilize 52 of all
    Medicaid spending.

10
  • One half are elderly
  • One third are disabled and under age 65
  • The rest are adults or children not classified as
    disabled

11
  • PEOPLE WHO NEED LONG-TERM CARE OFTEN DO NOT GET
    THE CARE THEY NEED OR PREFER, AND FAMILIES
    CAREGIVING AND FINANCIAL BURDENS ARE OFTEN HEAVY.

12
  • CHANGING DEMOGRAPHICS POSE A FURTHER CHALLENGE.
    CURRENT ESTIMATES SUGGEST THAT THE DEMAND FOR
    LONG-TERM CARE AMONG THE ELDERLY WILL MORE THAN
    DOUBLE IN THE NEXT THIRTY YEARS.

13
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14
  • AGING DEMOGRAPHICS

15
Projection of U.S. Population, by age, 1995-2050
16
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17
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18
  • GENERAL PROFILE
  • CURRENTLY, THERE ARE 34 MILLION AMERICANS AGED 65
    AND OVER, ALMOST 13 OF TOTAL POPULATION.
  • BY 2030, THIS NUMBER WILL GROW TO 69 MILLION
    WHICH WILL REPRESENT 20 OF THE POPULATION.
  • BY 2050, THERE WILL BE 80 MILLION AMERICANS 65
    AND OLDER.

19
  • GRAYING OF AMERICA

20
  • THE ELDERLY POPULATION INCREASED 11-FOLD FROM
    1900-1994.
  • THE NON-ELDERLY POPULATION INCREASED 3-FOLD.
  • FROM 1995 TO 2030 THE AMERICAN POPULATION WILL
    INCREASE BY 50.

21
  • IN THE SAME TIME PERIOD, THE 65 AGE GROUP WILL
    INCREASE BY 135.
  • PEOPLE OVER 85 WILL BE THE MOST LIKELY TO HAVE
    CHRONIC NEEDS.
  • THERE ARE CURRENTLY 3 MILLION AMERICANS OVER 85.

22
  • THIS NUMBER IS EXPECTED TO REACH 8 MILLION BY
    2030.
  • BY 2050 THE NUMBER OF AMERICANS OVER 85 IS
    EXPECTED TO BE 28 MILLION.

23
  • SOME 75 MILLION AMERICANS WERE BORN IN THE YEARS
    1946-1964.
  • FROM 2010 TO 2030 THE POPULATION OF ELDERLY AGED
    65 TO 84 IS EXPECTED TO GROW 80.

24
  • THE POPULATION OVER AGED 85 WILL GROW 48.
  • THE POPULATION UNDER AGE 65 WILL INCREASE ONLY
    7.

25
  • WHERE DO OLDER AMERICANS LIVE?

26
Living Arrangements of Older Men and Women
27
  • 67 OF ALL OLDER NON-INSTITUTIONALIZED PERSONS
    LIVE IN A FAMILY SETTING.
  • ABOUT 9.9 MILLION AMERICANS LIVE ALONE. 70 OF
    THOSE ARE WOMEN.

28
  • 21 MILLION AMERICAN HOUSEHOLDS ARE HEADED BY
    OLDER AMERICANS, USUALLY WOMEN (78).
  • 78 OWN THEIR HOMES AND 22 PAID RENT.
  • 1.6 ELDERLY AMERICANS LIVE IN NURSING HOMES.

29
  • FINANCIAL STATUS
  • IN 2004, SOCIAL SECURITY WAS THE MAJOR SOURCE OF
    INCOME FOR 89 OF OLDER COUPLES AND INDIVIDUALS.
  • PROVIDED 40 OF TOTAL HOUSEHOLD INCOME.

30
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31
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32
  • FOR 63, SOCIAL SECURITY PROVIDED AT LEAST HALF
    OF HOUSEHOLD INCOME.
  • FOR 26, SOCIAL SECURITY PROVIDED ALMOST ALL OF
    THE INCOME.

33
  • FOR 14, SOCIAL SECURITY WAS THE ONLY SOURCE OF
    INCOME.
  • IN 2006, MEDIAN INCOME WAS 21,784 FOR MEN AND
    12,495 FOR WOMEN. MEDIAN INCOME FOR FAMILIES
    HEADED BY AN OLDER PERSON WAS 37,765.

34
  • ABOUT 3.4 MILLION ELDERLY PERSONS ARE BELOW THE
    POVERTY LEVEL.
  • ANOTHER 2.4 MILLION ARE CONSIDERED NEAR-POOR.

35
  • 9.4 OF ELDERLY WHITES ARE POOR.
  • 25.3 OF ELDERLY AFRICAN-AMERICANS ARE POOR.
  • 24.4 OF ELDERLY HISPANICS ARE POOR.

36
  • OBSERVATION
  • THE OLDEST BABY BOOMERS ARE NOW IN THEIR SIXTIES,
    AND THE ABILITY OF OUR PUBLIC AND PRIVATE INCOME
    SECURITY AND HEALTH PROGRAMS TO MEET THEIR
    EVENTUAL RETIREMENT NEEDS IS DRAWING INCREASED
    ATTENTION.

37
WASHINGTON The baby boomers' stampede for
Social Security benefits has begun.
38
  • The nation's "first" baby boomer, a retired
    teacher from New Jersey, applied for Social
    Security benefits Monday, signaling the start of
    an expected avalanche of applications from the
    post-World War II generation.
  • Social Security Commissioner Michael Astrue
    called it "America's silver tsunami."

39
  • An estimated 10,000 people a day will become
    eligible for Social Security benefits over the
    next two decades.
  • The Social Security trust fund, if left alone, is
    projected to go broke in 2041.

40
  • THE COMING DECADES ARE LIKELY TO SEE A
    SIGNIFICANT INCREASE IN THE DEMAND FOR LONG TERM
    CARE SERVICES, PARTICULARLY AT THE FIRST BOOMERS
    REACH 85 IN 2030!

41
  • WHO NEEDS LONG-TERM CARE?
  • DEFINITION
  • LONG-TERM CARE REFERS TO A BROAD SET OF PAID AND
    UNPAID SERVICES FOR PERSONS WHO NEED ASSISTANCE
    BECAUSE OF A CHRONIC ILLNESS OR PHYSICAL OR
    MENTAL DISABILITY.

42
  • ADL PERSONAL ASSISTANCE WITH THE ACTIVITIES OF
    DAILY LIVING.
  • EATING, BATHING, DRESSING, GETTING INTO AND OUT
    OF BED OR CHAIR, AND USING THE TOILET.

43
  • IADL - INSTRUMENTAL ACTIVITIES OF DAILY LIVING.
  • ADDITIONAL ACTIVITIES NECESSARY FOR INDEPENDENCE
    SUCH AS PREPARING MEALS, MANAGING MEDICATIONS,
    AND SHOPPING FOR GROCERIES.

44
  • ASSISTED LIVING
  • THE AMERICAN ASSOCIATION OF HOMES AND SERVICES
    FOR THE AGING DEFINES ASSISTED LIVING AS A
    PROGRAM THAT PROVIDES AND/OR ARRANGES FOR THE
    PROVISION OF DAILY MEALS, PERSONAL AND OTHER
    SUPPORTIVE SERVICES, HEALTH CARE AND 24-HOUR
    OVERSIGHT TO PERSONS RESIDING IN A GROUP
    RESIDENTIAL FACILITY WHO NEED ASSISTANCE WITH
    ACTIVITIES OF DAILY LIVING.

45
  • MORE THAN ONE MILLION SENIORS LIVE IN ASSISTED
    LIVING RESIDENCES.
  • ASSISTED LIVING RESIDENCES MOSTLY SERVE RESIDENTS
    WHO ARE IN THEIR MID-EIGHTIES AND REQUIRE
    ASSISTANCE WITH THREE ACTIVITIES OF DAILY
    LIVINGDRESSING, EATING, OR BATHING.

46
  • THE RESIDENT IS AN 83 YEAR-OLD WOMAN WHO IS
    WIDOWED OR SINGLE.

47
  • TYPES OF SERVICES
  • PROVISION OF MEALS, HOUSEKEEPING, MEDICATION
    ASSISTANCE, INCONTINENCE CARE, AND LIMITED
    NURSING SERVICES.

48
  • THE INDUSTRY
  • IN 1998 THERE ARE CLOSE TO 11,800 ASSISTED LIVING
    FACILITIES IN THE UNITED STATES.
  • THE ASSISTED LIVING INDUSTRY IS THE FASTEST
    GROWING SEGMENT OF THE SENIOR HOUSING INDUSTRY.

49
  • OF ALL NEW SENIOR HOUSING, 75 IS DEVOTED TO
    ASSISTED LIVING FACILITIES.

50
  • THE VALUES OF ASSISTED LIVING
  • ALLOWS INDIVIDUALS TO REMAIN AS INDEPENDENT AS
    THEY PREFER AND STILL RECEIVE NECESSARY SERVICES.
  • SENIORS ARE ABLE TO AGE WITH MORE DIGNITY.

51
  • COST-EFFICIENT, CONSUMER-DRIVEN, AND FLEXIBLE
    WHICH ACCOMODATES MANY TYPES OF RESIDENTS.
  • RESIDENTS ABLE TO RECEIVE INDIVIDUAL ATTENTION.

52
  • WHAT IS THE COST OF ASSISTED LIVING?
  • RATES RANGE FROM UNDER SEVERAL HUNDRED DOLLARS A
    MONTH TO MORE THAN 3,000 A MONTH.

53
  • FOUR BASIC MODELS
  • ALL-INCLUSIVE RATE MODEL ALL SERVICES ARE
    INCLUDED IN A FLAT MONTHLY FEE. THE RESIDENT
    PAYS THE SAME RATE REGARDLESS OF THE AMOUNT OF
    SERVICES USED.

54
  • BASIC/ENHANCED A CORE SET OF SERVICES IS
    OFFERED FOR A FLAT MONTHLY FEE.
  • A LA CARTE/FEE-FOR-SERVICE ALL SERVICES ARE
    PRICED AND CHARGED SEPARATELY. IN THIS MODEL,
    THE RESIDENT PAYS FOR ONLY THOSE SERVICES RECEIVED

55
  • SERVICE LEVELS RESIDENTS ARE ASSESSED ACCORDING
    TO A NUMERICAL RATING SYSTEM AND ASSIGNED TO ONE
    OF SEVERAL LEVELS OF CARE.
  • EACH LEVEL OF CARE REPRESENTS MORE INTENSE
    SERVICE NEEDS WITH A HIGHER FEE ATTACHED.

56
  • OTHER SOCIAL SERVICES AVAILABLE COMMUNITY BASED
    ORGANIZATIONS

57
  • PROGRAMS OF INTEREST
  • SOCIAL SUPPORT (IN HOME SERVICES, CASE
    MANAGEMENT)
  • CAREGIVING (EDUCATION, RESOURCE AND SUPPORT,
    RESPITE

58
  • CHRONIC DISEASE SELF MANAGEMENT (INFORMATION,
    CLASSES, SUPPORT GROUPS. MANAGE CHRONIC DISEASES)
  • PHYSICAL ACTIVITY

59
  • PROGRAM TYPE

60
  • SOCIAL SUPPORT SERVICES

61
  • SOCIAL SUPPORT PROGRAMS GENERALLY SERVE FRAIL OR
    VULNERABLE OLDER ADULTS, OFTEN IN THE HOME OR IN
    AN ADULT DAY CENTER.

62
  • CAREGIVING SERVICES

63
  • CAREGIVING PROGRAMS ARE TARGETED TOWARD A FAMILY
    MEMBER OR OTHER INFORMAL CAREGIVER.
  • ADDRESSES THE ISSUE OF DEMENTIA AND TAKING CARE
    OF THE VERY FRAIL.

64
  • DISEASE SELF-MANAGMENT

65
  • HEALTH PROMOTION PROGRAMS WORK WITH OLDER ADULTS
    TO PROMOTE HEALTH LIFE STYLES AND SELF-CARE
    SKILLS.

66
  • PHYSICAL ACTIVITIES

67
  • PHYSICAL ACTIVITY PROGRAMS OFFER MIXTURES OF
    EXERCISE AND HEALTH EDUCATION TARGETED AT
    IMPROVING BALANCE, FLEXIBILITY, STRENGTH, AS WELL
    AS OVERALL HEALTH.

68
  • QUALITY OF ACCESS

69
  • IMPROVING QUALITY OF LIFE

70
  • TYPES OF ORGANIZATIONAL PARTNERS

71
  • BARRIERS TO EXPANSION

72
End
  • End of Lecture for October 27th
  • 2010, 6th period.
  • Questions?

73
  • Assisted Living Nursing Homes

74
  • NURSING HOMES
  • ALMOST 1.5 MILLION PEOPLE CURENTLY LIVE IN
    NURSING HOMES.
  • A 65-YEAR-OLD HAS A 43 CHANGE OF ENTERING A
    NURSING HOME AT SOME TIME IN HIS OR HER LIFE.

75
  • OVER 52 OF ELDERLY WOMEN AND 33 OF ELDERLY MEN
    WILL USE A NURSING HOME BEFORE THEY DIE.

76
  • HOW MANY NURSING HOMES ARE IN THE UNITED STATES?

77
  • ACCORDING TO RECENT STATISTICS, THERE ARE OVER 17
    THOUSAND NURSING HOMES WITH MORE THAN 1.8 MILLION
    BEDS.

78
  • GOVERNMENT 7
  • NONPROFIT 28
  • FOR PROFIT 65

79
  • WHO ARE NURSING HOMES FOR?

80
  • AN OLDER PERSON IS MORE LIKELY TO NEED NURSING
    HOME CARE IF THE FOLLOWING FACTORS EXIST

81
  • ADVANCED AGE
  • CHRONIC DISABILITY
  • DETERIORATING MENTAL AND PHYSICAL CAPACITIES

82
  • LIVING ALONE, OR LACK OF FAMILY MEMBERS TO
    PROVIDE HELP.
  • TIME SPENT IN A HOSPITAL OR OTHER HEALTH
    FACILITY.

83
  • 76 NEED HELP IN USING THE TOILET
  • 71 NEED HELP WHEN MOVING FROM BED TO CHAIR
  • 46 NEED HELP WHEN EATING.

84
  • HOW MUCH DOES IT COST?
  • CMS DATA SHOWS THAT THE COST OF CARE IN
    FREE-STANDING NURSING FACILITIES AVERAGE 127 PER
    DAY OR OVER 46,000 A YEAR.
  • JACKSONVILLE 63,875
  • ORLANDO 68,620
  • MIAMI 82,125

85
  • AVERAGE LENGTH OF STAY
  • 65 AND OVER IS 838 DAYS
  • 65-74 IS 1,064 DAYS
  • 75-84 IS 864 DAYS
  • 85 IS 713 DAYS

86
  • NURSING HOME FUNDING
  • MEDICARE 9
  • PRIVATE INSURANCE 3
  • MEDICAID 50
  • INDIVIDUALS OR FAMILIES 38

87
  • NURSING HOME EXPENDITURES

88
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89
  • WHO PAYS?

90
  • WHAT IS THE FUTURE FOR NURSING HOMES?

91
  • NURSING HOMES AND PERSONAL CARE FACILITIES EMPLOY
    ABOUT 1.6 MILLION WORKERS AT 21,000 SITES.
  • BY 2005, EMPLOYMENT LEVELS WILL RISE TO AN
    ESTIMATED 2.4 MILLION WORKERS.

92
  • CENSUS BUREAU PREDICTS THAT THE NUMBER OF NURSING
    HOME RESIDENTS WILL INCREASE TO 2.2 MILLION BY
    THE YEAR 2000, 2.6 MILLION BY 2010, AND 3 MILLION
    BY 2020.

93
  • End of Lecture for 7th Period, October 27th,
    2010
  • Questions?
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