Alaska s continuum of care a skilled nursing facility perspective dennis murray ashnha
Download
1 / 23

Alaska’s Continuum of Care A Skilled Nursing Facility Perspective—Dennis Murray, ASHNHA - PowerPoint PPT Presentation


  • 138 Views
  • Uploaded on

Alaska’s Continuum of Care A Skilled Nursing Facility Perspective—Dennis Murray, ASHNHA. There are 17 skilled nursing facilities in Alaska. Most of them are co-located in a community with a hospital. Only 2 are free-standing. New SNF’s and Additions.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Alaska’s Continuum of Care A Skilled Nursing Facility Perspective—Dennis Murray, ASHNHA' - carter


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Alaska s continuum of care a skilled nursing facility perspective dennis murray ashnha

Alaska’s Continuum of CareA Skilled Nursing Facility Perspective—Dennis Murray, ASHNHA

There are 17 skilled nursing facilities in Alaska. Most of them are co-located in a community with a hospital. Only 2 are free-standing


New SNF’s and Additions

96 Beds-8 Cottages: Providence Extended Care Center




SNF---18 Beds: Part of mid-year, 2014Maniilaq in Kotzebue



Hospital readmissions
Hospital Readmissions mid-year, 2014



Federal legislation
Federal Legislation mid-year, 2014


  • What is mid-year, 2014Gero Prep?

  • A 10-module learning program that prepares your RNs to pass the gerontological certification exam by the American Nurses Credentialing Center.

  • An important new member benefit for the challenging road ahead.

  • WHAT: AHCA/NCAL Gerontological Nurse Certification Prep Course.

  • WHY: Solving pressing challenges today yields big all-in dividends tomorrow.

  • HOW: Proven certification training - online, self-paced and on-demand 24/7.

  • Course Preview.

  • How Gero Prep began.

  • Good news spreads fast and far.

  • Meet your gerontological nursing education provider: UNMC College of Nursing.

http://app1.unmc.edu/geronurseprep


Dhss strategic planning ltc recommendations to dhss from stakeholder group
DHSS Strategic Planning mid-year, 2014LTC Recommendations to DHSS from Stakeholder Group

  • Recommendation 1| Educate the public.

  • Recommendation 2| Develop additional levels of care along the continuum of long-term services and supports; and, incentivize movement towards the lower end through increased coordination at both the individual and systems level.

  • Recommendation 3| Reduce costs, diversify payers and increase private investment.

  • Recommendation 4| Improve quality and encourage innovation.

  • Recommendation 5| Develop in-state capacity for populations with specific needs.

  • Recommendation 6| Develop workforce and support caregivers.

  • Recommendation 7| Determine the appropriate number, type and location of skilled nursing and assisted living beds.



Recent research on long term services and supports users

Recent Research on Long Term Services and Supports Users mid-year, 2014

Septembe 22, 2013

Provided by the American Health Care Association (AHCA)


Overall Spending in the Community is Roughly the Same as Nursing Center Care for Dual Older Adults

Overall Spending in the Community is Roughly the Same as Nursing Center Care for Dual Older Adults

Spending is Roughly the Same in Total (e.g., Medicare and Medicaid)

Kane, R., Wysocki, A., Parashuram S., Shippee, T., Lum, T. Effective of Long-term Care Use on Medicare and Medicaid Expenditures for Dual Eligible and Non-dual Eligible Elderly Beneficiaries. Medicare & Medicaid Research Review 2013: Volume 3, Number 3.


Executive summary of research findings
Executive Summary of Nursing Center Care for Dual Older AdultsResearch Findings

  • Recent research indicates that Medicare spending is higher for people using home and community-based services (HCBS)) than nursing center residents

  • Certain demographic trends could exacerbate medical care challenges for people using HCBS

  • Such findings have notable implications for state and federal efforts to integrate Medicare and Medicaid for people who are dually eligible

  • Questions still linger about HCBS cost effectiveness and the new research raises further questions about outcomes for people enrolled in HCBS

  • Traditional managed care does not appear to be the solution


Higher acute care costs in the community
Higher Acute Care Costs in the Community Nursing Center Care for Dual Older Adults

  • Some studies point to higher rates of avoidable hospitalization and emergency room use among HCBS participants

  • Historically, states have focused only on Medicaid outlays

  • Increased Medicare spending for expanding HCBS programs was not considered or not a primary concern for states

  • Low Medicaid reimbursement correlates with high Medicare spending

R. Tamara Konetzka, Sarita L. Karon, and D.E.B. Potter. Users Of Medicaid Home And Community-Based Services Are Especially Vulnerable To Costly Avoidable Hospital Admissions. Health Affairs, 31, NO. 6 (2012): 1167–1175;

Kane, R., Wysocki, A., Parashuram S., Shippee, T., Lum, T. Effective of Long-term Care Use on Medicare and Medicaid Expenditures for Dual Eligible and Non-dual Eligible Elderly Beneficiaries. Medicare & Medicaid Research Review 2013: Volume 3, Number 3.


Focus on duals could be a game changer
Focus on Duals Could be a Game Changer Nursing Center Care for Dual Older Adults

  • Financial Alignment Demonstration

    • Federal and State motivation to keep Medicaid and Medicare spending down

    • Memoranda of Understanding have Medicare and Medicaid savings targets

    • Plan metric to reduce hospitalizations related to quality withhold

  • Fully Integrated Dual Eligible (FIDE) Special Needs Plans

    • Plan interest in coordinating both Medicare and Medicaid in hopes of broader control and margin

    • Plans have a strong incentive to manage down costs in both programs


Caregiver capacity could exacerbate medical care challenges
Caregiver Capacity Could Exacerbate Medical Care Challenges Nursing Center Care for Dual Older Adults

Caregiver Support Ratio, United States

Boomers turn 45

Boomers turn 65

Boomers turn 80

Redfoot, D., et. al. The Aging of the Baby Boom and Growing Care Gap: A Look at Future Declines in the Availability of Family Caregivers. AARP Public Policy Institute. Insight on the Issues 85, August 2013.


ad