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

2.  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.

3.  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 1965.  Offers federal matching funds to states for costs incurred in paying health care providers.

4.  Federal Regulations: ◦ OBRA: Omnibus Budget Reconciliation Act of 1987 State Regulations: Ohio Administrative Code 3701-17

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

6.  “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?

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

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

9.  www.cms.hhs.gov www.cms.hhs.gov  jszilagyi@sjcme.edu jszilagyi@sjcme.edu  www.alz.org