The continuing care retirement community: a significant option for long-term care?
Gespeichert in:
1. Verfasser: | |
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Format: | Buch |
Sprache: | Undetermined |
Veröffentlicht: |
New York, NY
Springer
1992
|
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XXIV, 206 S. graph. Darst. |
ISBN: | 0826178308 |
Internformat
MARC
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100 | 1 | |a Somers, Anne R. |e Verfasser |4 aut | |
245 | 1 | 0 | |a The continuing care retirement community |b a significant option for long-term care? |c Anne R. Somers ; Nancy L. Spears |
264 | 1 | |a New York, NY |b Springer |c 1992 | |
300 | |a XXIV, 206 S. |b graph. Darst. | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
700 | 1 | |a Spears, Nancy L. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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adam_text | Contents
Acknowledgments xiii
Prologue xv
Foreword by Rlsa Lavizzo-Mourey, MD, MBA and
John M. Eisenberg, MD, MBA xvii
Foreword by Bruce Vladeck, PhD. xxi
List of Abbreviations xxiii
1 Introduction—Long-Term Care: Tragic Vacuum in
US. Health Policy 1
Plan and Focus of the Book 4
Part I The CCRC Industry Today
2 Historical Development, Changing Concepts, and Definitions 9
3 Size, Sponsorship, Residents 13
Resident Profile 15
4 Contract Variations in LTC Coverage 17
Self-Insurance versus Outside Insurance 18
5 Costs, Fees, Operating Revenues 20
Entry and Monthly Fees 22
Operating Revenues 24
6 Toward Greater Financial Responsibility 27
The Continuing Care Accreditation Commission 28
State Regulation 28
AICPA Guidelines 30
vii
viii Contents
7 Health Care: Distinctive Features 32
Prevention for the Elderly 33
Pennswood Health Care Philosophy 34
8 Health Benefits and Services 36
Paying for Nursing Beds 38
9 Organization of Health Care 40
The Pennswood Model 40
Managed Care and the Health Care Team 42
The CCRC Physician 43
The Geriatric Nurse Practitioner 45
Other Nursing Staff 46
Special Problems of Caring for the Demented and
the Mentally 111 48
Private-Duty Personnel 50
10 Quality and Quality Controls 52
Voluntary Controls 53
State Regulation 54
Federal Regulations and the OBRA Revolution 55
11 Utilization of Health Care 59
12 Costs of Health Care 62
The Medical Deduction 66
Part II Major Issues for the Future
13 CCRCs and the Demographics of Aging 71
Challenges and Options 73
14 Affordability by the Elderly 76
Consumer Response 78
15 Rising Costs versus the Lifecare Commitment 81
Alternative Cost-Containment Strategies 83
Per Diem Residents: A Difficult Balancing Act 85
16 Multi-Facility Operation 87
17 For-Profit CCRCs 90
The Marriott Story 91
Mission versus Margin 93
Still an Open Question 94
18 Accreditation and Regulation 96
Historical Experience in Long-Term Care 96
Contents ix
Complementary or Duplicative in the Health Field? 98
General CCRC Regulation: Major Issues 100
19 Relation to Evolving US. Long-Term Care Policy 103
Promoting a Creative Public-Private Mix 104
CCRCs and the Medically Indigent 106
20 CCRC Management: An Extraordinary Challenge 109
CCRC Management Today 110
A Profession in Transition 112
21 Conclusion—CCRCs: An Idea Whose Time Has Come? 115
A Holographic Approach: The Challenge to Leadership 117
Appendix A The National Continuing Care Data Base: Strengths
and Limitations 119
Appendix B CCAC Accreditation Standards 1990 121
Appendix C Continuing Care Accreditation Commission Accredited
Facilities: January 1991 129
Appendix D Preventive Care for the Elderly 140
Appendix E Prevention Flow-Sheet for Older Patients 151
Appendix F Unique Features of CCRC Top Management 158
Appendix G A Consumer Guide for Prospective CCRC Residents 168
Notes 175
References 184
Index 195
List of Tables
Table 3.1 CCRC Average Operating Cost per Occupied Independent
Living Unit: 1987 14
Table 3.2 Number of CCRCs: Regional Location by Contract Type:
1988 16
Table 5.1 Revenues and Expenditures—Pennswood Village Fiscal
Year Ending March 31, 1990 22
Table 52 CCRC Average Entrance and Monthly Fees, One- and
Two-Bedroom Units, One Occupant, Median and Upper
and Lower Quartile Values: 1988 23
Table 53 Pennswood Village Balance Sheets: March 31,
1990 and 1989 25
Table 8.1 CCRC Health-Related Services Covered in Resident
Contract or Available for Extra Fee: 1988 37
Table 9.1 CCRC Nursing Care Staffing Levels: FTEs Per
Occupied Bed, Selected Industry Segments, 1988 47
Table 12.1 CCRC Nursing Costs Per Patient Day, Selected Industry
Segments, 1987 63
Table 122 Pennswood Village Woolman House (Nursing Facility)
Utilization and Cost Data, FY 1986-FY 1991 64
Table 123 Average Hourly Rates, Key Positions, Pennsylvania
Long-Term Care Facilities, 1988-1990 65
xi
xii List of Tables
Table 12.4 Resident Income Tax Medical Deduction, Selected
CCRCs, Delaware Valley, 1989 67
Table 18.1 Changes in State CCRC Regulatory Laws
Recommended by Oversight Personnel
in 23 States, 1988 101
|
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ctrlnum | (OCoLC)917706453 (DE-599)BVBBV026117468 |
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id | DE-604.BV026117468 |
illustrated | Illustrated |
indexdate | 2024-07-09T23:05:27Z |
institution | BVB |
isbn | 0826178308 |
language | Undetermined |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-021708729 |
oclc_num | 917706453 |
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owner | DE-188 |
owner_facet | DE-188 |
physical | XXIV, 206 S. graph. Darst. |
publishDate | 1992 |
publishDateSearch | 1992 |
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publisher | Springer |
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spelling | Somers, Anne R. Verfasser aut The continuing care retirement community a significant option for long-term care? Anne R. Somers ; Nancy L. Spears New York, NY Springer 1992 XXIV, 206 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Spears, Nancy L. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021708729&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Somers, Anne R. The continuing care retirement community a significant option for long-term care? |
title | The continuing care retirement community a significant option for long-term care? |
title_auth | The continuing care retirement community a significant option for long-term care? |
title_exact_search | The continuing care retirement community a significant option for long-term care? |
title_full | The continuing care retirement community a significant option for long-term care? Anne R. Somers ; Nancy L. Spears |
title_fullStr | The continuing care retirement community a significant option for long-term care? Anne R. Somers ; Nancy L. Spears |
title_full_unstemmed | The continuing care retirement community a significant option for long-term care? Anne R. Somers ; Nancy L. Spears |
title_short | The continuing care retirement community |
title_sort | the continuing care retirement community a significant option for long term care |
title_sub | a significant option for long-term care? |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021708729&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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