Reinventing The Nh

Reinventing the Nursing Home: Getting the Kind of Long-term Care We Want Robert L. Kane, MD University of Minnesota School of Public Health

What is the Problem? ,[object Object],[object Object],[object Object]

The Problems with Current Thinking about LTC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Types of LTC Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What determines who should be cared for where? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Building Blocks of LTC ,[object Object],[object Object],[object Object],[object Object],[object Object]

Personal Care . Housing Chronic Disease Care

Personal Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Housing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical Care ,[object Object],[object Object],[object Object],[object Object]

Prerequisites for Making Good Decisions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Goals Clarification ,[object Object],[object Object],[object Object]

A Lot Depends on Interpretation

Potential LTC Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Merging Medical and Social Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Developing Individualized Care Plans ,[object Object],[object Object],[object Object]

Role of Risk ,[object Object],[object Object],[object Object],[object Object]

Severity , i.e., cognition, function, prognosis. Preferences, i.e., safety, autonomy, privacy, culture, atmosphere, aesthetics Personal Care Needs Health/ Clinical/ Medical Care Needs Housing Needs

Measuring Success in LTC ,[object Object],[object Object],[object Object]

Evidence of Successful LTC Observed Expected Outcome Time

Housing issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Personal Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Information Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Glidepath ,[object Object],[object Object],[object Object],[object Object]

Clinical Glidepath Expected Course o o o X

How You Implement Is Important

Policy Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Reinventing The Nh