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Assisted Living Facility Reformation

Assisted Living Facility Reformation. LaToya Thomas, RN, BSN Nova Southeastern University. Florida Life Care Residents Association. N on -profit association of residents Comprised of over 13,000 retirement community residents. How can Florida improve the quality of care in ALF ’ s?.

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Assisted Living Facility Reformation

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  1. Assisted Living Facility Reformation LaToya Thomas, RN, BSN Nova Southeastern University

  2. Florida Life Care Residents Association • Non-profit association of residents • Comprised of over 13,000 retirement community residents

  3. How can Florida improve the quality of care in ALF’s? • The nation’s elderly population is projected to increase (Stevenson & Grabowski, 2010) • Florida ranked amongst the highest for the ten most commonly cited ALF deficiencies • Investigative reports confirmed that Florida’s current ALF system is broken (S. Rep. No. 2012-28, 2011)

  4. Options for Reform: Government Oversight • National standards regarding laws that govern ALF’s (Street, Burge, & Quadagno, 2009) • Hasher penalties for violations • Improvement of the current inspection process (S. Rep. No. 2012-28, 2011)

  5. Options for Reform: Staff Competence • Higher education requirements for ALF administrators (Hassan & Arnetz, 2008) • Population specific training for all ALF staff (Alzheimer's, COPD, Diabetes, etc.) • Research has shown a correlation between staffing levels and abuse (Hassan & Arnetz, 2008)

  6. Options for Reform: Funding • Increased coverage of Medicaid and/or Medicare long-term care services for ALF residents (S. Rep. No. 2012-28, 2011) • Creation of state loan or grant programs to fund access to ALF’s

  7. Summary • Key stakeholders • Implementation of quality improvement measures related to oversight, funding and staff education • Advocacy and support bills that mandate reform

  8. References Hassan, H., & Arnetz, J. (2008). Nursing staff competence, work strain, stress and satisfaction in elderly care: A comparison of home- based care and nursing homes. Journal Of Clinical Nursing, 17(4), 468-481. S. Rep. No. 2012-28,(2011). Stevenson, D., & Grabowski, D. (2010). Sizing up the market of assisted living. Health Affairs, 29(1), 35-43. Street, D., Burge, S., & Quadagno, J. (2009). The effect of licensure type on the policies, practices, and resident composition of Florida assisted living facilities. The Gerontologist, 49(2), 211-223.

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