1. Team B: Dina Falah, Vickie Eastham, Sarah Emrich, Ronald Haduca, and Lance Nickles HCS 430 April 3 rd, 2011 Brenda Young

2. Long Term Care

3.  What are LTCs? Services it provides Who is it for?  Medicare and Long-Term Care Custodial care  Medicaid and Long-Term Care Long Term Care

4. LTC and Medicare Connection LTCMedicare

5. What does JCAHO have to do with it? Long Term Care The Joint Commission Medicare

6. The OBRA 87  Nursing Homes History  The Role of The Congress  The OBRA 87  Some of Its Requirements

7. Medicare Regulation to Pay Who is Eligible  People age 65 or older,  People under age 65 with certain disabilities, and,  People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant

8. Criteria for Standards  Meet the minimum standards to ensure the safety  Certified as a Medicare approved facility  Primary care physician must determine medical necessity of your condition

9. History of JCAHO 1917 ACS was formed 1952 ACS changed named JCAH 1986 JCAH a non profit organization 1987 JCAHO was made

10. History of Accrediting LTCs 1966 accreditation begins 1900 rest homes and convalescent emerge 1964 the first program for nursing was made.

11. Issues non government surveys

12. Negative affects of JCAHO regulations on health care staffing agencies JCAHO’s over reaching and burdensome procedures Regulation from any entity will always require plenty of paperwork.

13. Harmful costs associated with JCAHO regulations on health care staffing agencies The consumer will be the ones footing most of the costs associated with staffing firms accreditation. The size of the agency needs to be taken into account when attributing costs associated with accreditation.

14. In conclusion… LTCs : What They do, Who They Serve? How the JCAHO is Involved Federal Nursing Home Regulations Some Negative Effects of the JCAHO

15. References Fremgen, Bonnie F. (2009). Medical Law and Ethics, Third Edition. Pearson Education, Inc Health and Human Services. (n.d.). Center for Medicaid and Medicare Services. Retrieved from http://www.hhs.gov Lehning, Amanda J., Austin, Michael J. (2010) Long Term Care in the United States. Retrieved from the University of Phoenix Website Library http://ehis.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=c273d47b- 0bc1-43f9-b467-061189208360%40sessionmgr115&vid=4&hid=114 http://ehis.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=c273d47b- 0bc1-43f9-b467-061189208360%40sessionmgr115&vid=4&hid=114 Medicare Credo Reference. (2011). In the Reader’s Companion to American History. Retrieved from the University of Phoenix website library http://140.234.1.9:8080/EPSessionID=809395948cdd1a63382e51f699937 fe/EPHost=credoreference.com/EPPath/entry/rcah/medicare http://140.234.1.9:8080/EPSessionID=809395948cdd1a63382e51f699937 fe/EPHost=credoreference.com/EPPath/entry/rcah/medicare

16. References cont. Nursing Home Abuse Resource (2002). History of Nursing Homes. Retrieved on March 2, 2010 form http://www.nursing-home-abuse- resource.com/nursing_home_abuse/history.html http://www.nursing-home-abuse- resource.com/nursing_home_abuse/history.html Stacchini, J. (2005). Does your staffing agency have JCAHO's stamp of approval?. Nursing Management, 36(4), 65-67. Retrieved from EBSCOhost Tamara Heater, JCAHO, seeks to devour any healthcare related business, September 7, 2009, retrieved from http://tamaraheater.wordpress.com/2009/09/07/jcaho -the-joint-commission-preditor/ http://tamaraheater.wordpress.com/2009/09/07/jcaho -the-joint-commission-preditor/

17. references http://www.journeyheals.com/wp- content/uploads/2011/02/GOLDSEAL.png. http://www.journeyheals.com/wp- content/uploads/2011/02/GOLDSEAL.png (4/2/2011). "A Brief History Of Long-term care - Brief Article".., ". Nursing Homes. FindArticles.com. 02 Apr, 2011. http://findarticles.com/p/articles/mi_m3830/is_12_48/ ai_58572867/ http://findarticles.com/p/articles/mi_m3830/is_12_48/ ai_58572867/ http://makemoneyideas.in/images/paid-surveys.jpg