A Supervised Diversionary Program for People with Psychiatric Disabilities

A Supervised Diversionary Program for People with Psychiatric Disabilities Presented by: Brian Coco

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What You Will Learn • Long-term care is heavily regulated because the government is a major payer and the recipients of services are among the most vulnerable. • The Nursing Home Reform Act continues to play a major role in regulatory oversight by enforcing substantial compliance with the Requirements of Participation through the survey and enforcement process. • Interpretive Guidelines clarify and explain each standard in detail. Although the guidelines provide directions to personnel conducting surveys, they also assist nursing home personnel in understanding what practices they must implement to comply with each standard. • The traditional survey is being phased out and replaced with the computer-based Quality Indicator Survey. • The seriousness of each deficiency is indicated by its severity and scope. Remedies, such as civil monetary penalties, are based on the seriousness of the deficiencies. • An acceptable plan of correction must address five elements for each deficiency cited. • Compliance with the Requirements of Participation incorporates compliance with the Life Safety Code®. Administrators must become thoroughly familiar with the Requirements of Participation and the main requirements of the Life Safety Code®. • Nursing homes are required to comply with the accessibility standards for the disabled under the Americans with Disabilities Act. • Under the Occupational Safety and Health Act of 1970, OSHA is responsible for ensuring the safety and health of nursing home employees. Nursing homes are legally required to comply with OSHA standards and recordkeeping rules. Introduction The health care sector has been the object of numerous regulations, for two main reasons: (1) The government is a major payer for individuals receiving health care services under Medicare, Medicaid, and other public programs. By committing a significant amount of tax dollars to the delivery of health care, the government retains a vested interest in how the money is spent by private organizations that deliver health care. (2) Health care in general, and long-term care in particular, provide services to the frailest and most vulnerable individuals in society. Many of them are physically and/or mentally incapacitated and have no one else to act on their behalf. The regulatory system is deemed obligated to protect vulnerable populations against negligence and abuse, to ensure that they receive needed services for which they are eligible, and to ensure that the services provided meet at least certain defined minimum standards of quality. Administrative agencies have the power to enforce the rules and regulations that they formulate. The most important federal agency regulating nursing facilities certified as skilled nursing facilities (SNF) or nursing facilities (NF) is the Centers for Medicare and Medicaid Services (CMS), an administrative agency under the U.S. Department of Health and Human Services (DHHS). The U.S. Department of Justice enforces comp.

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To support your work, use scholarly sources and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Regulations in Long-Term Care There are many federal and state regulations when it comes to long-term care. Using scholarly sources and the Internet research any four specific regulations related to long-term care and summarize them. Based on the regulations you identified, respond to the following questions: · What are the benefits and shortcomings of your identified regulations? Which of these shortcomings have an effect on the quality and the cost of health care services? How? · Do you believe there is a link between regulations and better care? Why or why not? · Why do you think long-term care services are subjected to so much external control by government agencies? Provide a rationale for your responses. · How is quality measured in long-term care? Is there only one, or are there several approaches to measure quality? What are they? Who should be given the responsibility to measure quality? Notes from class The increasing need for long-term care has caused several public and private agencies to participate in its managing process. These public and private agencies are increasingly attempting to control costs, providing protection to consumers considered unable to protect themselves. Public controls are nonvoluntary and are imposed by government agencies through the implementation of laws and regulations. Private controls are provided by nongovernment agencies and organizations, and compliance is voluntary. Public Control Public control on long-term care is imposed by federal, state, or local (including county and municipal) government units. These units set laws, regulations, and standards to be followed by long-term facilities in order to: · Give better care facilities to the poor, who are unable to take care of themselves, by making them formal or informal wards of the state. · Provide quality health care facilities to consumers. · Create awareness in consumers regarding the types of services provided in the facilities and let the consumers themselves judge the quality of the services. · Set the minimum level of staffing, cleanliness, and safety, ensuring consumers needing long-term care are treated properly and receive the necessary services. · Follow all long-term care regulations to provide quality care. Private Control Besides government agencies, several private organizations are involved in managing long-term care. Both public and private control focus on long-term care organizations as well as the individuals in those organizations. The only difference is public control can maintain both the cost and the quality of care, while private care can focus only on measuring, evaluating, and ensuring the quality of care. Private control agencies focusing on the quality of care of long-term organizations are known as accreditation bodies, while those ...

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