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Quality Improvement in Community-Based, Long-Term Care: Theory and Reality

Published online by Cambridge University Press:  24 February 2021

Eleanor D. Kinney ,
Jay A. Freedman  and
Cynthia A. Loveland Cook
Eleanor D. Kinney
Affiliation:
Duke University; University of Chicago (Modern European History); Duke University School of Law; University of North Carolina at Chapel Hill. Indiana University School of Law—Indianapolis
Jay A. Freedman
Affiliation:
Pennsylvania State University;University of Michigan; University of Chicago. Health Services Research and Development, Department of Veterans Affairs, Medical Center, Indianapolis, Indiana. Department of Medicine, Indiana University
Cynthia A. Loveland Cook
Affiliation:
University of Arizona; University of Washington; University of Michigan. Department of Veterans Affairs, Medical Center, Indianapolis, Indiana
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Extract

Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.

An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.

Type
Articles
Information
American Journal of Law & Medicine , Volume 20 , Issue 1-2: Quality of Care and Health Reform: Complementary or Conflicting , 1994 , pp. 59 - 77
Copyright
Copyright © American Society of Law, Medicine and Ethics and Boston University 1994

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References

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102 Id. at 133.

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105 Id. at 132.

106 Id. at 133.

107 Id.

108 Ind. Code Ann. § 12-10-9 (West 1994).

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