Options for long-term care: The “Money Follows the Person” Rebalancing Demonstration Program (MFP) US

dianagosalvez Diana Gosálvez Prados — 1/10/2012

Otra organización

This initiative is an attempt by the US Federal government to help individual States reduce their
reliance on institutional settings for patients requiring long-term care. The programme is federally
funded, and started in 2007. The aim of the demonstration programme is to develop services
for people requiring long-term care, and to expand the options for the elderly and those with
disabilities to receive care in the community. Through two sub-programmes, the initiative also
aims at removing the barriers to a desirable use of Medicaid funds – namely, helping people to
get out of residential settings and into the care setting of their choice.


Fragilidad, pluripatología o polipatología y/o enfermedades crónicas complejas

Tratamiento
Desarrolla los elementos básicos para un sistema de salud integrado , Fortalece grupos colaborativos locales para proveer servicios integrales , Mejora el acceso a los servicios de salud a través de todo el espectro, desde la prevención hasta el tratamiento , Asegura la calidad óptima de los servicios sanitarios , Promueve el uso apropiado de medicamentos , Facilita la gestión por procesos
Objetivos de autogestión
Reorienta al sistema sanitario para apoyar la autogestión , Mejora los servicios de apoyo con énfasis en ayuda entre pares, discapacitados y cuidadores , Permite cuidados a domicilio , Permite el apoyo a distancia a pacientes y sus cuidadores por parte de profesionales sanitarios

One of these sub-programmes, the Transition Program, focuses on people institutionalised
in nursing homes, hospitals, intermediate care centres for those with learning difficulties and
institutions for those with mental disease. Participants have been in long-term care for at least
90 days. On the day the participants are transitioned, they receive a package of services based
on home care and community care. They can hire their own caregivers, and can purchase
support that enables them to live at home.


The other sub-programme, the Rebalancing Program, funds individual States to shift local
long-term care requirements away from institutions; for example, through financing the costs
of closing beds or facilities, expanding home- and community-based services, and providing
affordable housing.


Programme evaluation shows that there has been a steady increase in participants. Despite
some early setbacks, there is a powerful incentive to shift from a care model based on
institutions to one based on people staying in the community.


1/04/2008

31/12/2010

ESTADOS UNIDOS

Maryland

Baltimore

7500 Security Boulevard

21244-1850
Mapa de Prácticas

Comentarios


 Sin comentarios todavía. Añada un comentario en el formulario a continuación.