Prof quiz 3 hints, part 4

Question 1

Demographics of those who use LTC

Answer 1

37% under the age of 65

Question 2

Numbers of those who need LTC

Answer 2

An estimate 9 million (22%) of elderly Americans
Likely to rise to 12 million (21%) by 2020

Question 3

Who is likely to have a greater need for LTC services?

Answer 3

Growing nonwhite elderly pop in poorer health

Question 4

What percentage of the pop is using LTC in nursing homes?

Answer 4

15.4%

Question 5

What percentage of older Americans will eventually need LTC? In what setting will they get it?

Answer 5

70%, most in their own homes

Question 6

What are preferred by most older people and more rapidly grown than institutional svcs?

Answer 6

Community-based svcs

Question 7

Financing in LTC

Answer 7

Generally not covered by regular health insurance
Private LTC insurance has made limited headway
2/3 of total LTC spending paid by Medicaid

Question 8

Nature of LTC

Answer 8

Variety of svcs
Individualized svcs
Well-coordinated total care
Maintenance is residual function
Extended period of care
Holistic care
Quality of life
Use of current tech
Use of evidence-based practices

Question 9

What are the LTC svcs?

Answer 9

Medical care, nursing, and rehab
Mental health svcs and dementia care
Social support
Preventive and therapeutic LTC
Informal and formal care
Respite care
Community based and institutional svcs
Housing
End of life care

Question 10

Levels of care continuum in LTC

Answer 10

Personal care: basic ADL assistance
Custodial care: nonmedical care to maintain function and prevent decline
Restorative care: help regain or improve function; by professional therapies
Skilled nursing care: clinical care provided by licensed nurses under the direction of a physician
Subacute care: post-acute, technically complex svcs

Question 11

Unmet need in home and community-based svcs

Answer 11

Inadequate svcs for some acute health problems and mental health issues
Inadequate workforce
Transportation barriers
Limited supportive housing
Inconsistency across states and geographic areas within states

Question 12

Types of home and community-based LTC svcs

Answer 12

Home health care
Adult day care
Adult foster care
Senior centers
Home-delivered and congregate meals
Homemakers svcs
Continuing care at home
Case management

Question 13

Who is the single largest payer for home health care svcs? Who is the 2nd largest payer?

Answer 13

Medicare
Medicaid

Question 14

What is the most common svc provided to home health care pts?

Answer 14

Skilled nursing care

Question 15

Settings of institutional LTC

Answer 15

Residential and personal care facilities
ALF
SNF
Subacute care facilities

Question 16

What is the fastest growing institution with LTC?

Answer 16

ALFs

Question 17

What type of spending is rising for nursing home care?

Answer 17

Medicare

Question 18

Why is there a slow growth of private LTC insurance?

Answer 18

Affordability issue
Too many options can be confusing
Many mistakenly think that Medicare will pay for LTC
Few public policy incentives