S. Jean Szilagyi, RN, MHSA St. Joseph’s College of Maine Alzheimer Europe Conference May 2009

 Health insurance  -for people 65 and older  -under 65 with certain disabilities  -persons at any age with end-stage renal disease, permanent kidney failure requiring dialysis or a kidney transplant.

 Federal-state entitlement health care program for low income citizens of the United States  Part of the Title XIX of the Social Security Act of  Offers federal matching funds to states for costs incurred in paying health care providers.

 Federal Regulations: ◦ OBRA: Omnibus Budget Reconciliation Act of 1987 State Regulations: Ohio Administrative Code

 No federal regulations  Varies by name: Rest home, assisted living, boarding home, personal care facility, private homes

 “Each facility must enable every resident to attain or maintain the highest practicable physical, mental and psychosocial well-being.”  This is a big job…How must they do it?

 Freedom from discrimination  Respect  Freedom from Abuse and Neglect  Freedom from Restraints  Information  Money  Privacy  Medical Care  Visitors

 Social Services  Complaints  Protection against Unfair Transfer or Discharge  Family and Friends

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