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I have an older friend, Fran, who needs assistance in order to continue living in her home. She broke her hip a few years ago and now has difficulty with
The best Medicaid policy would mainstream as many individuals andfamilies as possible into private coverage and encourageself-direction for those the Medicaid safety net was intended. Whenconsidering changes in the Medicaid program, federal and statepolicymakers should ensure fiscal control and improve the way thatlow-income individuals and families receive care.
Medicaid is in trouble. Budget shortfalls and the growing number ofbeneficiaries are forcing many states to reassess their Medicaidprograms. Congress and states should begin to look at ways toreform the Medicaid program in order to better service those inneed -- whether a low-income family or individuals who arephysically or mentally disabled.
In Florida, we have limited programs that will pay us to be caregivers to our family members. This column outlines some of the options.
Objectives: The aim of this study was to use the ADKAR model of organizational change to gain an understanding of why a training program designed to equip staff with the skills to provide a Consumer Directed Care (CDC) model in nursing homes produced little change in the outcome variables, including resident quality of life. Methods: We collected and analyzed various forms of site-specific data including CDC implementation plans developed by staff trained in 21 facilities, and their training facilitators’ records. Results: Staff trained in the principles of CDC produced well-developed, facil...