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A desperate need for:

A desperate need for:. Elder Care. A presentation for: Warner Pacific College Strategic Management in Healthcare Professor Christine Tokonitz. Presented by: Karleen Aichele February 4, 2014.

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A desperate need for:

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  1. A desperate need for: ElderCare A presentation for: Warner Pacific College Strategic Management in Healthcare Professor Christine Tokonitz Presented by: Karleen Aichele February 4, 2014 Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  2. A desperate need for: ElderCare QUALITY What are the Critical Issues? • Availability of facilities • Affordability • Lack of the quality care • Lack in quantity and quality of caregivers • Abundance of elderly Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  3. A desperate need for: ElderCare QUALITY Strategic Analysis • Political • Economic • Social • Technological Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.slidegeeks.com/powerpoint-slides/47236-pest_analysis_business_model_cycle_process_chart_powerpoint_templates/

  4. A desperate need for: ElderCare QUALITY Political… Percent of Total Population Over the age 65 1900-2000 (Millions) • Population imbalance • Population growth U.S. • Population elderly • Population global? Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.census.gov/prod/2002pubs/censr-4.pdf (p59)

  5. A desperate need for: ElderCare QUALITY Percent of Total Population Over the age 65 1900-2000 • Population imbalance • Population growth U.S. • Population elderly • Population global Source: United Nations Population Division, World Population Prospects: The 2004 Revision (New York: United Nations, 2005) How did we get here? Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.prb.org/ Publications/Articles/2006/ ACriticalWindowforPolicymakingonPopulationAginginDevelopingCountries.aspx

  6. A desperate need for: ElderCare QUALITY Political Theory… Percent of Total Population Increase1900-2000 • Population interference • China/Mao Zedong (Tse-Tung) • Strengthen the population • Liability for the country • China %vs. U.S. % • The U.S. Healthcare/ACA • More interference? Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.census.gov/prod/2002pubs/censr-4.pdf & http://www.diplomaticourier.com/news/regions/brics/1938-china-s-eldercare-predicament. f

  7. A desperate need for: ElderCare QUALITY Fertility Rates United States 1925-2009 Political/Social Impact • Fertility rates • 2.1 birth/woman (2.1:1) • > 2.1=Extinction Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://rossdawsonblog.com/weblog/archives/2013/04/ critical-issue-will-the-fertility-rate-in-the-developed-world-continue-to-increase.html

  8. A desperate need for: ElderCare QUALITY Economic… Government Expansion Medicaid Burden 2014-2022 • Who funds the elder cost? • A depleting youth? • Swelling government? • Taxation… • Everyone… $1,000,000,000,000 Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.cbpp.org/cms/?fa=view&id=3801

  9. A desperate need for: ElderCare QUALITY Social… • Family caregivers • Culturally expected • China’s new laws • ACA? Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://newoldage.blogs.nytimes.com/2012/07/05/ new-numbers-on-elder-care/?_php=true&_type=blogs&_r=0

  10. A desperate need for: ElderCare QUALITY Economic… • Simply stated…. • “Informal” and “Donated” words of our CBO Source: AARP Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.aarp.org/relationships/caregiving/info-07-2011/caregivers-save-us-health-care-system-money.html

  11. A desperate need for: ElderCare QUALITY Strategic Analysis • Technological • Social • Economic • Political Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.slidegeeks.com/powerpoint-slides/47236-pest_analysis_business_model_cycle_process_chart_powerpoint_templates/

  12. A desperate need for: ElderCare QUALITY What are the Critical Issues? • Availability of facilities • Affordability • Lack of the quality care • Lack in quantity and quality of caregivers • Abundance of elderly Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  13. A desperate need for: ElderCare QUALITY Technology & Economics… • Top 30 jobs by 2020 • The need is known • Future workforce Source: Boston University Medical Center Study (2010) Top 30 fastest-growing jobs by 2020 From http://www.bumc.bu.edu/gms/files/2012/02/Top-30-fastest.pdf Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  14. A desperate need for: ElderCare QUALITY Social Concerns… 1800s Accident Insurance • Lack of caregivers • Imbalance of population • Dependence on insurance? Medicare & Medicaid 1965 1700s Life Insurance Medical Insurance 1929 Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.census.gov/prod/2002pubs/censr-4.pdf (p59)

  15. A desperate need for: ElderCare QUALITY Political… • Title V Health Care Workforce • Title VII • Title VIII Improving Access to Innovative Medical Therapies Community Living Assistance Services and Supports Act “CLASS Act” Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  16. A desperate need for: ElderCare QUALITY Political… Community Living Assistance Services and Supports Act “CLASS Act” • Title VIII • Establishment of a National Voluntary Insurance Program for Purchasing community Living Assistance Services and Supports in order to: • Provide individuals who have functional limitations the tools which will allow them to maintain their personal and financial independence and life in the community • Provide infrastructure that will help address the nation's community living assistance services and supports needs • Alleviate burdens on family caregivers • Address institutional bias by providing financing mechanism that supports personal change and independence to live in the community Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  17. A desperate need for: ElderCare QUALITY Political… Improving Access to Innovative Medical Therapies • Title VII • Additional facilities to include in the Public Health Service Act (as amended by Title VII of the ACA): • Children’s hospital excluded from the Medicare payment system • Freestanding cancer hospital excluded from Medicare • Entity that is critical access hospital • Sole community hospital Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  18. A desperate need for: ElderCare QUALITY Political… Health Care Workforce • Title V • Improve access, delivery to individuals by: • gathering and accessing comprehensive data…including research on supply, demand, distribution, diversity, and skills needs of the health care workforce • increasing the supply of a qualified health care workforce • enhancing health care workforce education and training • providing support to the existing health care workforce Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  19. A desperate need for: ElderCare QUALITY Political… Geriatric Components (financial assistance) • Geriatric Components • Grant funding opportunities (fellowships) - Short-term incentive focusing on geriatrics, chronic care management and long term care. • Must offer 2 courses each year (minimal/no cost) to family caregivers and direct care providers instruction on management psychological and behavioral aspects of dementia… OR • Develop and include material on depression and other mental disorder common among older adults, medication safety issues for older adults, and management of psychological and behavioral aspects of dementia and communication techniques • $150,000/24 facilities for FFY 2011 to 2014 = $6250 Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  20. A desperate need for: ElderCare QUALITY Political… Geriatric Components (financial assistance) • Geriatric Components • Geriatric Career Incentive Awards - Monies offered to individuals who foster greater interest among a variety of health professionals in the field of geriatric, long-term cares, and chronic care management • Teach or practice the above for a minimum of 5 years • Board certified/eligible in : internal medicine, family practice, psychiatry, dentistry …(or anything the Secretary deeps acceptable and approves. • Have completed the fellowship • Have a junior (no-tenured) faculty appointment at an accredited school of medicine, osteopathic medicine… • $10 Billion for the FFY 2010 to 2013 Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/

  21. A desperate need for: ElderCare QUALITY Moving Forward • Dismal future? AVAILABILTY • Two titles still remain AFFORDABILITY • Title VIII not completely dead • Private possibilities QUALITY QUANTITY Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.wvahc.org/

  22. A desperate need for: ElderCare QUALITY Conclusion • Problem solving WHY DEVISE PLAN • Two helpful pieces? We are half way there… MONITOR PLAN IMPLIMENT PLAN The future… depends Image credited to: http://blogs.cdc.gov/publichealthmatters/2012/09/emergencies-and-the-elderly/ & http://www.paying-for-eldercare.com/ & http://www.clker.com/clipart-puzzle-pieces-2.html

  23. A desperate need for: ElderCare QUALITY References… • Association of American Medical Colleges (psin the United States. Retrieved January 24, 20AAMS) (2014). Title VII and Title VIII Reauthorization. Retrieved January 24, 2014 from: https://www.aamc.org/advocacy/ budget/healthprof/150298/t7reauthorization.html • Baylor Health Care Systems. (2011). Timeline. Retrieved January 15, 2014, from http://www.baylorhealth.com/About/Pages/Timeline.aspx • Boston University Medical Center (2010). Top 30 fastest-growing jobs by 2020. Retrieved January 17, 2014 from: http://www.bumc.bu.edu/gms/files/2012/02/Top-30-fastest.pdf • Centers of Disease Control and Prevention, Department of Health and Human Services (2011, March). NCHS Data Brief. Retrieved January 11, 2014 from: http://www.cdc.gov/nchs/data/databriefs/db60.htm • CNN U.S (2014). Baby Boomer Generation Fast Facts. Retrieved January 11, 2014, from http://www.cnn.com/2013/11/06/us/baby-boomer-generation-fast-facts/

  24. A desperate need for: ElderCare QUALITY References… • Congressional Budget Office. Nonpartisan Analysis for the U.S. Congress (2013). Rising Demand for Long-Term Services and Supports for Elderly People. Retrieved January10, 2014 from http://www.cbo.gov/publication/44363 • Cultural China: History and Literature (2010). Classic of Filial Piety. Retrieved January 19, 2014 from:http://www.cultural-china.com/chinaWH/html/en/37History864.html • Eldercare Workforce Alliance (2014). Eldercare: How America’s Solution to the job Crisis Can Lead to Better Care for Older Adults. Retrieved January 17, 2014, from: http://www.eldercareworkforce.org/research/issue-briefs/research:america-solution-jobs-crisis-better-care-for-older-adults/ • Gleckman, Howard, Fiscal Cliff Deal Repeals CLASS Act, Created Long-Term Care Commission. Forbes. (2013) Retrieved January 27, 2014 from: http://www.forbes.com/ sites/howardgleckman/2013/01/01/fiscal-cliff-deal-repeals-class-act-creates-long-term-care-commission/

  25. A desperate need for: ElderCare QUALITY References… • Indiana University of Pennsylvania (2013). The Eight Largest Faith Grou14, from: http://www.iup.edu/page.aspx?id=11805 • Kaneda, Toshiko. (2006, January). A Critical Window for Policymaking on Population Aging in Developing Countries. Retrieved January 10, 2014, from http://www.prb.org/ Publications/Articles/2006/ACriticalWindowforPolicymakingonPopulationAginginDevelopingCountries.aspx • Kurtz, Annalyn (2013, September).Baby bust: U.S. births at record low. CNN Money. Retrieved January 19, 2014, from: http://money.cnn.com/2013/09/06/news/economy/birth-rate-low/ • Long Term Care Options (2014). Elder Care Services. Retrieved January 9, 2014, from: http://www.ltcoptions.com/elder-care-services/ • Martich, Dawn (2012). Affordable Care Act: Titles VII and VII. MCN learning. Retrieved January 17, 2014, from: http://www.mcnlearning.com/news/affordable-care-act-titles-vii-and-viii/

  26. A desperate need for: ElderCare QUALITY References… • Nash, Paul (2013, December). China’s Eldercare Predicament. Diplomatic Courier. Retrieved January 16, 2014, from: http://www.diplomaticourier.com/news/regions/brics/1938-china-s-eldercare-predicament. • Patient Protection and Affordable Care Act of 2010, Title V U.S.C. § 5001 et seq. (2010). Retrieved January 17, 2013 from: Retrieved January 17, 2013 from: http://www.hhs.gov/healthcare/rights/law/title/v-healthcare-workforce.pdf • Patient Protection and Affordable Care Act of 2010, Title VII U.S.C. § 7001 et seq. (2010). Retrieved January 17, 2013 from: http://www.hhs.gov/healthcare/rights/law/title/vii-improving-access-to-innovative.pdf • Patient Protection and Affordable Care Act of 2010, Title VIII U.S.C. § 8001 et seq. (2010). Retrieved January 17, 2013 from: http://www.hhs.gov/healthcare/rights/law/title/viii-class-act.pdf • Ramnarace, Cynthia (2011), AARP Bulletin: Cost of Taking Care of Mom and Dad. Retrieved January 15, 2014 from http://www.aarp.org/relationships/caregiving/info-07-2011/caregivers-save-us-health-care-system-money.html

  27. A desperate need for: ElderCare QUALITY References… • Seeking Alpha (2009, September). Nu Skin: Rapid Aging of World Population Portends Strong Future Growth. Retrieved January 6, 2016 from: http://seekingalpha.com/article/ 162906-nu-skin-rapid-aging-of-world-population-portends-strong-future-growth?source=cc • Static Brain. (2014) Health Care Industry Statistics. Retrieved January 9, 2014 from: http://www.statisticbrain.com/health-care-industry-statistics/ • The Silver Book (2014). The Growing Older Population. Retrieved on January 19, 2014 from: http://www.silverbook.org/category/3?pageNum=5 • The Theosophical Quarterly, Volume 11 (1915, July). The Sacred Books of China. Retrieved January 18, 2014 from: https://archive.org/details/theosophicalquar11theouoft • The World Bank: Working for a World Free of Poverty (2013) Retrieved January 19, 2014 from: http://data.worldbank.org/

  28. A desperate need for: ElderCare QUALITY References… • United Nations Department of Economic and Social Affairs, Population Division (2013). Ageing[sp]. Retrieved January 6, 2014, from http://www.bls.gov/oes/ current/ oes399021.htm#nat • University of California, Irvine (2012) Fact Sheet. Retrieved January 21, 2014, from: http://www.in.gov/isdh/files/Abuse_of_Residents_of_Long_Term_Care_Facilities.pdf • USA.GOV. (2014). Diseases, Conditions, and Injuries Affecting Seniors. Retrieved January 6, 2014, from: http://www.usa.gov/Topics/Seniors/Health/Diseases.shtml • U.S. Department of Commerce, United Stated Census Bureau, Occupational Employment Statistics. (2012). Employment by Industry. Retrieved January 6, 2014, from http://www.census.gov/compendia/statab/2012/tables/12s0620.pdf • U.S. Department of Labor, Bureau of Labor Statistics (2012). Employment Projections: 2012-2022 Summary. Retrieved January 6, 2014, from: http://bls.gov/news.release/ ecopro.nr0.htm

  29. A desperate need for: ElderCare QUALITY References… • U.S. Department of Health and Human Services, National Institute on Aging. (2013, October). Growing Older in America: The Health and Retirement Study. Retrieved January 6, 2014, from: http://www.nia.nih.gov/health/publication/growing-older-america-health-and-retirement-study/chapter-1-health • U.S. Department of Health and Human Services, (1994). The Economic Impact of Long-Term Care on Individuals. Retrieved January 13, 2014, from: http://aspe.hhs.gov/daltcp/reports/ecoimpes.htm#secVI • U.S. Department of Health and Human Services, (1999). A National Study of Assisted Living for the Frail Elderly: Results of a National Survey of Facilities. Retrieved January 21, 2014 from: http://aspe.hhs.gov/daltcp/reports/facres.htm • U.S. Department of Labor, Bureau of Labor Statistics, (2012). Occupational Employment and Wages, May 2012 (Ref No. 39-9021 Personal Care Aides). Retrieved January 6, 2014, from http://www.bls.gov/oes/current/oes399021.htm#nat • Yale Journal of Medicine & Law: An Undergraduate Publication. (2009, November). The History of Medical Insurance in the United States. Retrieved January 6, 2014) from http://www.yalemedlaw.com/2009/11/the-history-of-medical-insurance-in-the-united-states/

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