Long-Term Care An Analysis of Access, Cost, and Quality

by King, Laura Randa

• ISBN13: 9780761815570
• ISBN10: 0761815570
• Format: Hardcover
• Copyright: 2000-01-19
• Publisher: UPA

Summary

This reader-friendly and insightful work provides a broad definition of long-term care as it relates to the role of major players including, among others, nurses, physicians, and medical directors. Laura Randa King discusses the key long-term care customers such as consultant and provider pharmacists, and then presents the influences of everyone from buying groups to medical directors. Long-Term Care embarks upon a frank discussion of changing patient needs including geriatric concerns and rising expenditures, and poses an in-depth analysis of current legislation and policy issues of quality, cost, and accessibility as they impact the long-term market. It is a useful text for nursing and medical students, managed care organizations, and pharmaceutical companies among others.

Table of Contents

Preface	vii
Acknowledgments	ix
Long-Term Care Defined	1	(8)
Introduction to LTC	1	(1)
Definition - LTC	2	(1)
Components of LTC	2	(1)
Nursing Home Care	3	(4)
Other Forms of Care	7	(2)
Long-Term Care Customers	9	(8)
Consultant Pharmacist	9	(5)
Objectives	9	(2)
Consultant only	11	(1)
Provider only	12	(1)
Consultant/provider	13	(1)
Organizational Structure	14	(1)
Issues	14	(3)
Long-Term Care Overview	17	(10)
Objectives	17	(1)
Types of Patients	18	(1)
Demographics	18	(1)
The Elderly and Their Impact on LTC	19	(1)
Health Care Expenditures	20	(1)
Nursing Facilities-Growth Patterns	21	(1)
Omnibus Budget Reconciliation Act of 1987 (OBRA '87)	22	(1)
The Pryor Bill	23	(1)
The Health Insurance Portability and Accountability Act (HIPAA)	24	(1)
Balanced Budget Act of 1997 (BBA)	25	(2)
Long-Term Care Issues	27	(18)
Objectives	27	(1)
Formularies	28	(1)
Identification of Opportunities	28	(1)
Role of Insurance Companies	29	(7)
LTC and Devolution: Related Policy Issues	36	(8)
Challenges in LTC	44	(1)
Summary	45	(4)
Appendix	49	(12)
Glossary	61	(6)
References	67	(4)
Index	71	(8)
About the Author	79