Long-Term Care Services

These flashcards cover key vocabulary related to long-term care services, specifically focusing on different types of daily living activities.

how do people pay for long term care services 

out of pocket

what percentage of poeple aged 65 and older needes long term care services

in 2025 70% needed it

what ADLs do long term care facilities provide assistance with

Bathing, dressing, eating, going to bathroom

what are instrumental activities of daily living (IADLs) that LTC help with

housework, money mangement, taking meds, grocery and clothing shopping, pet care, using telephone 

history of long term care

1100s through 1400s: Most LTC were provided through monasteries & elderly shelters (~ 700 built in England).

1722: England: Enacted the ‘Poor Law’ to create institutions for the elderly.

1700s: U.S.: American colonies created Almshouses in cities (followed British model).

18TH & 19TH Century: Frequent epidemics – quarantine the sick.

The Philadelphia Almshouse (renamed many times). 1902: Philadelphia General Hospital

timeline for lTC service

1935: social security act (SSA)- Financial assistance to elders who had no savings to live on. Many amendments.

1965: SSA established Medicare & Medicaid programs.

1968: SSA Moss Amendment.

• Nursing Home Administrators should be licensed

⧫ 1974: SSA Amendment: Federal grants to support Adult Day Care.

⧫ 1975: SSA Amendment: Title XX: Assistance for Home- and community-based services.

◼ 1987: Nursing Home Reform Act: Standards.

◼ 1990: The Americans With Disabilities Act

impact of aca on long term care

2000: American act caregiver program 

2005: defecit redutcion act (focus on improving care coordination and enhancing access to services for older adults)

2010: provided states with funding via medicaid to improve LTC infrastucture 

2013: american taxpayer relief act: estblished a commision on LTC 

2015: CMS improves its 5 star quality rating syste for nurisng homes 

what are the types of long term care services

◼ Home Care: Short-term, skilled care. Hospice.

◼ Community Care: Includes adult day care centers, meal programs (Meals on Wheels), senior centers, transportation.

◼ Independent Living: <75 yrs. Do not need regular healthcare services.

◼ Congregate Care Facilities: > 55 yrs. No assistance.

◼ Assisted-living Facilities: 24 hr. supervision.

◼ Skilled Nursing Facilities: Can’t live independently

what are payment options for LTC services

Personal fund – expensive.

Medicare* & Medicaid. (medicare does not cover most LTC costs) 

Long-term care insurance.

Veterans administrations 

Criteria: 

Minimum of 3-day hospitalization.

Medicare-approved nursing facility within 30 days of prior hospital stay.

Need skilled care

long term care insurance 

Medicare does not cover (weird cuz this is the one meant for old people), medicare does cover it 

LTC covers: adls and organized living 

Cost: Varies; type & type & number of services selected, age at time of purchase, & health status