Best at Home Assuring Quality Long-Term Care in Home and Community-Based Settings (1996) / Chapter Skim
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1 INTRODUCTION AND BACKGROUND
1 INTRODUCTION AND BACKGROUND
Pages 7-12
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From page 7... ...
They feel it is the setting in which they can exercise the greatest amount of autonomy; it is the place where they will be treated with dignity and respect. Equally compelling to lawmakers and the general public eager to cut skyrocketing health care costs is the potential for home and community-based care to be a cost-effective alternative to institutional LTC.
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From page 8... ...
Within DHHS, these include the Health Care Financing Administration, the National Institute on Aging, the Bureau of Maternal and Child Health, the Administration for Developmental Disabilities, and the Of rice of the Assistant Secretary for Planning and Evaluation. Other departments include the Social Security Administration and the Department of Education (in particular, its Office of Special Education and Rehabilitative Services and the National Institute ' P.L.
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From page 9... ...
These involved a thorough review of the relevant literature; presentations given at the invitational workshop that included input from consumers, leading researchers, and state officials; and the actual deliberations of the committee and the discussion of members' expert opinions. DEFINITIONS AND CONCEPTS USED IN THIS REPORT Long-Term Care Long-term care, broadly defined, encompasses a constellation of health, personal care, and social services used by people with disabilities over a sustained period of time.
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From page 10... ...
Measuring ADLs for young children is especially difficult and disability may more reflect variations from nones of physical and mental development than from the ability to perform certain daily activities. Home Care Home care is consideredto be any kind of LTC service aimed at maintaining functionally impaired, disabled, or ill individuals in their home or other community-based setting (excluding a nursing facility)
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From page 11... ...
It refers to the hill range of services and settings available to both older and disabled consumers living either in their own homes or in residential care settings. Quality of Care For purposes of this work, the committee defined quality of care as "the degree to which health and social services for individuals and populations increase the likelihood of desired health and social outcomes and are consistent with current professional knowledge." This is a slightly revised version of the definition developed by the IOM in its study of Medicare quality assurance (IOM, 1990~; the differences from the original are intended solely to highlight the social services aspects of the LTC world.
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From page 12... ...
Chapter 4 details the study plan envisioned for a more comprehensive examination of the key issues and questions raised in the preceding chapters. Chapter 5 presents the committee's conclusion about why such an examination should be conducted and how the TOM is uniquely situated to carry it out.
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