05410nam 2200685Ia 450 991081902850332120200520144314.0(CKB)1000000000450733(EBL)3377550(SSID)ssj0000233331(PQKBManifestationID)11187990(PQKBTitleCode)TC0000233331(PQKBWorkID)10220128(PQKB)11096950(OCoLC)58567979(MiAaPQ)EBC3377550(EXLCZ)99100000000045073319941024d1995 uy 0engur|n|---|||||txtccrReal people, real problems an evaluation of the long-term care ombudsman programs of the Older Americans Act /Jo Harris-Wehling, Jill C. Feasley, and Carroll L. Estes, editors1st ed.Washington, D.C. Division of Health Care Services, Institute of Medicine19951 online resource (309 p.)Description based upon print version of record.0-309-57158-8 Includes bibliographical references.""Real People Real Problems""; ""Copyright""; ""Preface""; ""Acknowledgments""; ""Contents""; ""Summary""; ""ORIGINS OF THE STUDY AND REPORT""; ""THE LONG-TERM CARE OMBUDSMAN PROGRAM""; ""STATE COMPLIANCE WITH PROGRAM MANDATES""; ""Findings""; ""Recommendations on Compliance""; ""CONFLICTS OF INTEREST""; ""Legislative and Conceptual Aspects""; ""Recommendations on Conflicts of Interest""; ""EFFECTIVENESS OF THE OMBUDSMAN PROGRAM""; ""Continuance of the Ombudsman Program""; ""Exemplary Practices and Performance""; ""Data and Information Systems""; ""Research Imperatives""""Adequate Management of Volunteers""""ADEQUACY OF RESOURCES""; ""Financial Resources and Program Performance""; ""Formula for Allocating Federal Funds and Level of State Contributions""; ""MANAGEMENT OF FISCAL RESOURCES""; ""Unmet Need and Unfunded Responsibilities""; ""NEED FOR AND FEASIBILITY OF EXPANDING THE OMBUDSMAN PROGRAM""; ""CLOSING COMMENTS""; ""1 Advocating for Quality of Care and Quality of Life for Residents of Long-Term Care Facilities""; ""INTRODUCTION""; ""WHAT IS LONG TERM CARE?""; ""WHO USES LONG TERM CARE?""; ""Nursing Facility Residents""""Residents of Board and Care Homes and Other Residential Settings""""LONG-TERM CARE EXPENDITURES AND SOURCES OF FUNDS: WHO PAYS?""; ""QUALITY OF CARE AND QUALITY OF LIFE""; ""Quality of Care""; ""Quality of Life""; ""ASSURING, ASSESSING, AND IMPROVING QUALITY""; ""THE INSTITUTE OF MEDICINE STUDY""; ""ORGANIZATION OF THIS REPORT""; ""2 Overview of the Older Americans Act Long-Term Care Ombudsman Program""; ""EVOLUTION OF THE LONG-TERM CARE OMBUDSMAN PROGRAM""; ""Ombudsman Theory and Practice""; ""History of the Long-Term Care Ombudsman Program""; ""STATUS OF THE CURRENT PROGRAM""""Organizational Placement""""Operation""; ""Target Population""; ""Human Resources""; ""Paid Staff""; ""Volunteers""; ""Funding""; ""FUNCTIONS OF THE LONG-TERM CARE OMBUDSMAN PROGRAM""; ""Resident-Level Advocacy""; ""Ensuring that Residents Have Regular and Timely Access to the Program""; ""Investigating and Resolving Complaints""; ""Working Cooperatively with Other Agencies""; ""Providing Technical Assistance and Training to Representatives of the Program""; ""Systems-Level Advocacy""; ""Evaluating Laws and Regulations""; ""Providing Education to the Public and Facility Staff""""Disseminating Program Data""""Promoting the Development of Citizen Organizations and Resident and Family Councils""; ""SUMMARY""; ""3 State Compliance in Carrying Out Long-Term Care Ombudsman Programs""; ""INTRODUCTION""; ""COMPLIANCE WITH MANDATED FEDERAL PROVISIONS""; ""EXTENT OF COMPLIANCE""; ""Direct Individual Advocacy Services""; ""Regular and Timely Access (Accessibility)""; ""Timely Responses (Availability)""; ""Unmet Need""; ""Systemic Advocacy""; ""FACTORS THAT ENHANCE OR IMPEDE COMPLIANCE WITH THE PROGRAM�S FEDERAL MANDATES""; ""Leadership Within the Organizational Framework""""Leadership from the Administration on Aging""Nursing homesPatient representative servicesUnited StatesLong-term care facilitiesPatient representative servicesUnited StatesNursing homesComplaints againstUnited StatesNursing homesLaw and legislationUnited StatesNursing home patientsLegal status, laws, etcUnited StatesNursing homesStandardsUnited StatesNursing homesPatient representative servicesLong-term care facilitiesPatient representative servicesNursing homesComplaints againstNursing homesLaw and legislationNursing home patientsLegal status, laws, etc.Nursing homesStandards362.1/6/0973Harris-Wehling Jo1941-1641550Feasley Jill C.1965-1641521Estes Carroll L560428Institute of Medicine (U.S.).Division of Health Care Services.MiAaPQMiAaPQMiAaPQBOOK9910819028503321Real people, real problems3985778UNINA