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Real People Real Problems An Evaluation of the Long-Term Care Ombudsman Programs of the Older Americans Act (1995) / Chapter Skim
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Closing Comments
Pages 231-236

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From page 231...
... As Chapter 7 states, should the LTC ombudsman program (or a somewhat similar ombudsman-like service) expand to provide services to elderly recipients of health care and LTC in settings beyond LTC facilities, further transformation will be needed for the program to operate efficiently and effectively in these new environments.
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From page 232...
... A large variety of LTC settings will emerge and, in all likelihood, receive public subsidy. These will include family homes, adult foster homes, and assisted living arrangements.
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From page 233...
... Further, under managed acute care (such as already exists in Medicare health maintenance organizations) , LTC allocations and individual allocations are more likely to be made by those responsible for managing the resources of comprehensive health care plans.
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From page 234...
... The need for ombudsman-type services in LTC may well increase in the future for two reasons: a newly evolving service system will have the same problems as the current one, and consumers will find the variety of complex policies hard to understand. The ombudsman role may take on the following emphases: helping clients learn about a broad range of rights; helping clients gain access to services or deal with denials of service; and · advocating at both the individual and system levels about such issues as advance directives, assisted suicide, managed care, and Medicaid eligibility.
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From page 235...
... CLOSING COMMENTS 235 of the prognostications in this chapter are a certainty; rather it believes that they provide a starting point for discussion and an example of the types of trends that ombudsman programs should document and report on annually. Thus, the current LTC ombudsman program should enhance its ability to act as an early-warning system to describe how broad social and health policies and programs affect the lives of individuals and to seek improvement on behalf of those individuals.
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Key Terms

  • ltc ombudsman
  • ombudsman programs
  • ltc facilities
  • americans act
  • advocacy mechanisms

  • beyond ltc
  • consumer advocacy
  • beyond nursing
  • complex conditions
  • care plans

  • individual allocations
  • elaborate technology
  • medicare health
  • operate efficiently
  • program beyond

  • living arrangements
  • facility population
  • vital public
  • aging network
  • ltc allocations

  • analyses draw
  • serve overlapping
  • accurate information
  • legal assistance
  • minimizing conflict

  • assisted living
  • program serves
  • increasing funding
  • program operates
  • services authorized


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