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Real people, real problems : an evaluation of the long-term care ombudsman programs of the Older Americans Act /

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor Corporativo: Institute of Medicine (U.S.). Division of Health Care Services
Otros Autores: Harris-Wehling, Jo, 1941-, Feasley, Jill C., 1965-, Estes, Carroll L.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington, D.C. : Division of Health Care Services, Institute of Medicine, 1995.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Real People Real Problems
  • Copyright
  • Preface
  • Acknowledgments
  • Contents
  • Summary
  • ORIGINS OF THE STUDY AND REPORT
  • THE LONG-TERM CARE OMBUDSMAN PROGRAM
  • STATE COMPLIANCE WITH PROGRAM MANDATES
  • Findings
  • Recommendations on Compliance
  • CONFLICTS OF INTEREST
  • Legislative and Conceptual Aspects
  • Recommendations on Conflicts of Interest
  • EFFECTIVENESS OF THE OMBUDSMAN PROGRAM
  • Continuance of the Ombudsman Program
  • Exemplary Practices and Performance
  • Data and Information Systems
  • Research Imperatives
  • Adequate Management of VolunteersADEQUACY OF RESOURCES
  • Financial Resources and Program Performance
  • Formula for Allocating Federal Funds and Level of State Contributions
  • MANAGEMENT OF FISCAL RESOURCES
  • Unmet Need and Unfunded Responsibilities
  • NEED FOR AND FEASIBILITY OF EXPANDING THE OMBUDSMAN PROGRAM
  • CLOSING COMMENTS
  • 1 Advocating for Quality of Care and Quality of Life for Residents of Long-Term Care Facilities
  • INTRODUCTION
  • WHAT IS LONG TERM CARE?
  • WHO USES LONG TERM CARE?
  • Nursing Facility Residents
  • Residents of Board and Care Homes and Other Residential SettingsLONG-TERM CARE EXPENDITURES AND SOURCES OF FUNDS: WHO PAYS?
  • QUALITY OF CARE AND QUALITY OF LIFE
  • Quality of Care
  • Quality of Life
  • ASSURING, ASSESSING, AND IMPROVING QUALITY
  • THE INSTITUTE OF MEDICINE STUDY
  • ORGANIZATION OF THIS REPORT
  • 2 Overview of the Older Americans Act Long-Term Care Ombudsman Program
  • EVOLUTION OF THE LONG-TERM CARE OMBUDSMAN PROGRAM
  • Ombudsman Theory and Practice
  • History of the Long-Term Care Ombudsman Program
  • STATUS OF THE CURRENT PROGRAM
  • Organizational PlacementOperation
  • Target Population
  • Human Resources
  • Paid Staff
  • Volunteers
  • Funding
  • FUNCTIONS OF THE LONG-TERM CARE OMBUDSMAN PROGRAM
  • Resident-Level Advocacy
  • Ensuring that Residents Have Regular and Timely Access to the Program
  • Investigating and Resolving Complaints
  • Working Cooperatively with Other Agencies
  • Providing Technical Assistance and Training to Representatives of the Program
  • Systems-Level Advocacy
  • Evaluating Laws and Regulations
  • Providing Education to the Public and Facility Staff
  • Disseminating Program DataPromoting the Development of Citizen Organizations and Resident and Family Councils
  • SUMMARY
  • 3 State Compliance in Carrying Out Long-Term Care Ombudsman Programs
  • INTRODUCTION
  • COMPLIANCE WITH MANDATED FEDERAL PROVISIONS
  • EXTENT OF COMPLIANCE
  • Direct Individual Advocacy Services
  • Regular and Timely Access (Accessibility)
  • Timely Responses (Availability)
  • Unmet Need
  • Systemic Advocacy
  • FACTORS THAT ENHANCE OR IMPEDE COMPLIANCE WITH THE PROGRAMâ€?S FEDERAL MANDATES
  • Leadership Within the Organizational Framework