By Regina A. Shih, Thomas W. Concannon, Jodi L. Liu, Esther M. Friedman
In 2010, 15 percentage of usa citizens older than age 70 had dementia. via 2050, the variety of new dementia situations between these sixty five and older is anticipated to double. This blueprint outlines coverage strategies to aid decisionmakers enhance dementia long term prone and helps (LTSS) by means of selling prior detection, bettering entry to LTSS, selling individual- and caregiver-centered care, helping caregivers, and lowering dementia LTSS expenditures.
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Additional info for Improving Dementia Long-Term Care: A Policy Blueprint
7 Encourage the use of quality measurement to ensure consistent use of assessment tools for persons with dementia and their family caregivers. 8 Establish new and expand existing HCBS. 9 Expand financial incentives for bundled home, community, and institutional services. 10 Establish Centers of Excellence models for dementia residential care through the end of life. 11 Encourage providers’ use of cognitive assessment tools for early dementia detection and recognition. 12 Increase funding for and expand the National Family Caregiver Support Program.
Appendix C presents detailed methods for identifying and evaluating the policy options. 2 RAND Evaluation Criteria Dimension Impact Access Quality Criterion Description Awareness Patient and caregiver knowledge of needs and available services Availability Capacity of local services and resources Utilization Use of services and resources Effectiveness Delivery of services that improve patient and caregiver outcomes Safety Avoidance of injuries Coordination of care Care integration across dementia stages and settings Patient and caregiver satisfaction Alignment with patient and caregiver choice, preferences, and values Equity Equity Equity Low variation in access and quality by sociodemographic characteristics Feasibility Cost Efficiency Cost per unit of improvement Financing Viability and sustainability of funding Legal feasibility Feasibility under current laws or regulations or support for new legislation or regulations Political feasibility Support from stakeholder groups Operational feasibility Ease of and capacity for implementation Time frame Speed of implementation Implementation that may not be compatible with others.
Introduction 11 Organization of the Report This report contains three chapters. Chapter Two presents the dementia LTSS policy options that we identified through our stakeholder engagement process, and our mapping of these policy options against existing action steps recommended by national plans and reports on either dementia or LTSS. Chapter Three reports on RAND’s evaluation of those policy options and prioritization of policy options by impact, feasibility, stage of dementia, and stakeholder group.
Improving Dementia Long-Term Care: A Policy Blueprint by Regina A. Shih, Thomas W. Concannon, Jodi L. Liu, Esther M. Friedman