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Rethinking Nursing Homes and Care of Older Adults
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Rethinking Nursing Homes and Care of Older Adults
"Grow old along with me. The best is yet to be. The last of life for which the first was made." In 1864, as Robert Browning wrote those words, growing old was not regarded the same as it is today. Before nursing homes and assisted living facilities, older adults aged at home alongside their families. Today, most people still age in their communities; but for the aging population that becomes frail, they may need the support from these long-term care institutions. However, the current nursing homes and care parameters for older adults often stigmatize aging and overlooked what people want when they get older.
To counter this, we need a shift in mindset, one that sees older adults as persons with diverse needs, dreams, and aspirations about their future rather than just patients in need of care.
In this episode of This Is Getting Old, join Dr. Stuart Butler and me in rethinking nursing homes and care for older adults.
Part One of 'Rethinking Nursing Homes and Care of Older Adults'
The Convergence Report on Rethinking Care for Older Adults
History and Background
The Convergence Report on Rethinking Care for Older Adults is released at the end of November 2020. It was supported by the John A. Hartford Foundation, which funds a lot of work in the long-term care area on aging.
The convergence conversation aimed to bring together about 50 people from very different backgrounds and different points of view to see if there are common ground areas. They were asked to brainstorm about the issues impacting today’s nursing homes, what's going on there, and what could be done differently. They were also asked to explore other ways that people can age outside of nursing homes.
A crucial part of the conversation revolved around the workforce and the caregiving field, the workforce's nature and how to think about it differently in the future, and the financing of aging in American care and nursing homes.
The Findings Of The Convergence Report On Rethinking Care For Older Adults
The resulting main areas revolved around living outside nursing homes, the payment system, and the caregiving workforce.
Today's nursing home system is increasingly out of date and the product of the payment system.
The majority of older adults need not stay in nursing homes. There are ways of enabling them to live more successfully in their own homes and their communities. People and institutions can help older adults stay in their own homes, avoid isolation, and be safer.
Today, the caregiving workforce is predominantly low-paid, very heavily immigrant—It's a low-skilled, low-paid workforce.
"Only 5% of people over 65 ever end up in a nursing home, but they account for 50% of the state's budget." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN
Reimaging Nursing Homes and Other Care Institutions
Alternative Business Models & Payment Systems
The current payment system for long-term care forces many older adults to go into a care setting, which may not be the right one for them. It may not be ideal and indeed may not make them happy and may cut them off from their family. If a family asks, 'What's the next best thing for mom?' The first response right now will be, 'We need to talk about your finances to figure that answer out.'
Exploring The Financing And Workforce Elements
Medicare + Medicare
There's a lot of interest in revamping the rules and the regulations associated with, particularly Medicare and Medicaid, as to what they would cover. Medicare and Medicaid alternative services should be more open to covering home- and community-based services. However, exploring these options has the potential to save government spending on Medicaid and Medicare in the long term.
Role Of Private Health Insurance
One possible solution for people who do have some savings but are afraid of them being exhausted and then ending up on Medicaid, is providing a so-called “catastrophic backup” to long-term care insurance. The idea is to have legislation that would set this up to stabilize the long-term care insurance industry to make it more viable in the future. When this happens, then far fewer people would fall into this trap of being unable to pay.
Role Of Long-term Care Insurance
The long-term care insurance industry has declined very sharply in the last several years, in part because younger people don't think of having long-term care insurance. The other thing is people are living longer, and they live longer with sometimes costly illnesses that impact their ability to be independent. So long-term care insurers face these enormous potential costs; so this approach is not working.
READ THE FULL ARTICLE HERE - MELISSABPHD.COM
"Grow old along with me. The best is yet to be. The last of life for which the first was made." In 1864, as Robert Browning wrote those words, growing old was not regarded the same as it is today. Before nursing homes and assisted living facilities, older adults aged at home alongside their families. Today, most people still age in their communities; but for the aging population that becomes frail, they may need the support from these long-term care institutions. However, the current nursing homes and care parameters for older adults often stigmatize aging and overlooked what people want when they get older.
To counter this, we need a shift in mindset, one that sees older adults as persons with diverse needs, dreams, and aspirations about their future rather than just patients in need of care.
In this episode of This Is Getting Old, join Dr. Stuart Butler and me in rethinking nursing homes and care for older adults.
Part One of 'Rethinking Nursing Homes and Care of Older Adults'
The Convergence Report on Rethinking Care for Older Adults
History and Background
The Convergence Report on Rethinking Care for Older Adults is released at the end of November 2020. It was supported by the John A. Hartford Foundation, which funds a lot of work in the long-term care area on aging.
The convergence conversation aimed to bring together about 50 people from very different backgrounds and different points of view to see if there are common ground areas. They were asked to brainstorm about the issues impacting today’s nursing homes, what's going on there, and what could be done differently. They were also asked to explore other ways that people can age outside of nursing homes.
A crucial part of the conversation revolved around the workforce and the caregiving field, the workforce's nature and how to think about it differently in the future, and the financing of aging in American care and nursing homes.
The Findings Of The Convergence Report On Rethinking Care For Older Adults
The resulting main areas revolved around living outside nursing homes, the payment system, and the caregiving workforce.
Today's nursing home system is increasingly out of date and the product of the payment system.
The majority of older adults need not stay in nursing homes. There are ways of enabling them to live more successfully in their own homes and their communities. People and institutions can help older adults stay in their own homes, avoid isolation, and be safer.
Today, the caregiving workforce is predominantly low-paid, very heavily immigrant—It's a low-skilled, low-paid workforce.
"Only 5% of people over 65 ever end up in a nursing home, but they account for 50% of the state's budget." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN
Reimaging Nursing Homes and Other Care Institutions
Alternative Business Models & Payment Systems
The current payment system for long-term care forces many older adults to go into a care setting, which may not be the right one for them. It may not be ideal and indeed may not make them happy and may cut them off from their family. If a family asks, 'What's the next best thing for mom?' The first response right now will be, 'We need to talk about your finances to figure that answer out.'
Exploring The Financing And Workforce Elements
Medicare + Medicare
There's a lot of interest in revamping the rules and the regulations associated with, particularly Medicare and Medicaid, as to what they would cover. Medicare and Medicaid alternative services should be more open to covering home- and community-based services. However, exploring these options has the potential to save government spending on Medicaid and Medicare in the long term.
Role Of Private Health Insurance
One possible solution for people who do have some savings but are afraid of them being exhausted and then ending up on Medicaid, is providing a so-called “catastrophic backup” to long-term care insurance. The idea is to have legislation that would set this up to stabilize the long-term care insurance industry to make it more viable in the future. When this happens, then far fewer people would fall into this trap of being unable to pay.
Role Of Long-term Care Insurance
The long-term care insurance industry has declined very sharply in the last several years, in part because younger people don't think of having long-term care insurance. The other thing is people are living longer, and they live longer with sometimes costly illnesses that impact their ability to be independent. So long-term care insurers face these enormous potential costs; so this approach is not working.
READ THE FULL ARTICLE HERE - MELISSABPHD.COM
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