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Long Term Care Services Business Design and Creation

Long Term Care Services Business Design and Creation. A Vision to Create Innovative Relevant and Sustainable Industry at Oakwood University. Status of Current Industry. Staggering Demographic Statistics.

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Long Term Care Services Business Design and Creation

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  1. Long Term Care Services Business Design and Creation A Vision to Create Innovative Relevant and Sustainable Industry at Oakwood University

  2. Status of Current Industry Staggering Demographic Statistics • On January 1, 2011, baby boomers began to celebrate their 65th birthdays and 10,000 people will turn 65 every day for the next 20 years. • Nationwide numbers total 10,480,000 in the last 2 years 10 months and 13 days. Alliance for Aging Research. "Alliance for Aging Research Home Page".

  3. Growth of Senior Population

  4. Growth Continued

  5. Status of Senior Health • The 2002 State of Aging & Health in America, as well as other sources, indicates older adults use more health care services than any other age group. • Today, those aged 65 and older represent 13% of the population (14.2% in Huntsville, Alabama) • Seniors account for half of physicians' visits and half of all hospital stays. • The average 75-year-old has been diagnosed with three chronic conditions and uses five prescription drugs.

  6. Compounding Crisis There is a crisis of health status in the senior population. This problem is serious but it may be exceeded by the crisis of capacity for senior services providers.

  7. Lack of Specialized Care • There is a gap between aging patients and health care providers. • Of the 650,000 practicing physicians in the U.S., less than 9,000 are geriatricians or 2.5 geriatricians per 10,000 elderly patients. • Sadly, that number is expected to fall to about 6,000 in the near future.Read more:http://www.super-solutions.com/BabyBoomersTurnGray.asp#ixzz1HcnPCm7FUnder Creative Commons License:Attribution

  8. Opportunity • The compounding crisis presents unique opportunity to develop businesses within the LTCS • The focus of these businesses should be • Improving health status of seniors • Maintaining independence of seniors • Improving the quality of life for seniors • Delaying institutionalization of seniors • Accomplishing these goals and outcomes creates sustainability and market dominance

  9. Overview of the LTCS Sector

  10. Home and Community Based Service (HBCS) • Community Based Services • Intended to delay or avoid Long Term Care institutionalization • Adult Day Services/Senior Health Maintenance Programs • Community Based Residential Alternatives • Home Based Services • Intended to maintain the person in their home through provision of supportive non-medical services. • Collective known as Home and Community Based Services (HCBS)

  11. Adult Day Services • Adult Day Services (ADS) are non-residential services at a community based facility providing activities for elderly and/or disabled individuals. • Most centers operate 10-12 hours per day and provide meals, social/recreational outings, and general supervision. • Adult daycare centers operate under a social model and/or a medical model. • Social model curriculum is designed to provide social stimulation and recreation which may improve or maintain physical and cognitive function as well as assist in avoiding depression. • Medical model provides same services as social model but with clinical oversight and services. • Adult day care centers provide respite care, enabling caregivers to work or to have a break from their care giving responsibilities. • Attendance often prevents re-hospitalizations and may delay admission to residential long term care. • Daily fees for services are usually less than a home health visit and less than half the cost of a typical nursing facility.

  12. Personal Support Services •  Services provided to assist with activities of daily living, and related essential household tasks, and other activities that enable a person to remain in the home, as an alternative to Nursing Facility care, including the following: • Assistance with activities of daily living (e.g., bathing, grooming, personal hygiene, toileting, feeding, dressing, ambulation, and med reminders), including errands, grocery shopping, and health care appointments; • Assistance with cleaning that is an integral part of personal care and is essential to the health and welfare of the enrollee, and • Assistance with maintenance of a clean and safe environment.

  13. Interaction between LTC , Home Health and Private Duty Nursing Services • LTC are non-medical supportive services and can be stand-alone or used in conjunction with HH and PDN • Supportive Services are distinguished from medical services in that supportive services assist with ADLs while HH and PDN provide skilled/licensable service (e.g. wound care, catheter care, vent services) • HH Aide services are most like LTC supportive services but at a higher cost. • HH agency may provide a skilled service for 1 hour in the day and then continue to provide HH Aide services which look substantially similar to LTC supportive services but at a much higher cost. • When the skilled service is no longer medically necessary the HH Aide may be discontinued.

  14. Financing LTC Services • Long Term Care Insurance • Reimbursement model up to policy threshold • Member purchases services and is reimbursed after the service has been provided. • Veteran’s Administration • Full range of benefits accessed the VA clinical assessment and referral • Medicare • Limited Benefits • Medicaid (TennCare) • Claims based reimbursement model • Non traditional Medicaid eligibility standards • Services established based on Medical Need with H&P or other clinical documentation serving as indicator of ADL deficiency • Private or Self Pay

  15. Integrating Business Into Academics • foreFront envisions the newly developed LTCS Business Model as fully integrated into several academic areas within the institution • Students would gain practical useful real world experience in one of the fastest growing and sustainable business sectors in the nation.

  16. Examples of Integration • Social Work • Performance of Needs Assessment • Business/Finance/Accounting • Financial Operations of the Business • Nursing • Provision of Direct Care • Clinical • Non Clinical • Communications • Marketing • Psychology • Mental Health Assessment • Counseling • Allied Health • Physical Occupational, and Speech Therapies • Computer Science • Software Development

  17. Relationship Model

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