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Explaining American Standards of Care in Geriatric Settings. S. Jean Szilagyi, RN, MHSA St. Joseph’s College of Maine Alzheimer Europe Conference May 2009. What is Medicare?. Health insurance -for people 65 and older -under 65 with certain disabilities - PowerPoint PPT Presentation
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S. Jean Szilagyi, RN, MHSASt. Joseph’s College of Maine
Alzheimer Europe ConferenceMay 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 1965.
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 3701-17
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
www.cms.hhs.gov [email protected] www.alz.org