Orange County NC Website
Browse       Search
` I <br /> home health services, including homemaker/home health aide services, <br /> chore services, jpreparation and delivery of meals. adult day health. <br /> and the provision of home mobility aids. This waiver, referred to as <br /> the Home and Community Based Waiver, addresses the frequently <br /> identified "institutional bias" of current funding mechanisms for <br /> long—term care services. It supports the principle of providing care <br /> for older persons in the least restrictive environment possible. <br /> Unless federal legislation is enacted to extend its provisions, the <br /> Home and Community Based Waiver will expire on July 1, 1985. <br /> { <br /> BEGQOtlEbDBIt4N_FQB_IESUBING_ QIrI=EEEE&IIYE_HRYI&E_QELIYEBY <br /> Recommendation 10: Focus the provision of <br /> publicly funded <br /> services on the type and quantity of those services essential <br /> to the; support of older persons in the least restrictive <br /> appropriate environment and seek to enhance the role of the <br /> informal maintenance system. <br /> Recommendation 11: Institute, throughout the state, <br /> provisions for mandatory assessment of older persons <br /> determined to be financially eligible for public funding for <br /> some type of group care, taking into account the provisions <br /> of. and experience under, HB 405. <br /> Recommendation 12: Strengthen the educational program with <br /> regard! to adequate, but not excessive, supplemental health <br /> insurance coverage to Medicare. <br /> Recommendation 13: Develop a single, basic application form <br /> for all publicly: funded long—term care services. (Special <br /> requirements of individual programs can be handled through <br /> suppliients.) <br /> IbE-EBQYISIOL4EAUBLIII_CBBE: <br /> EEBSQNUEL <br /> dalIb_Ecalta sismalL_1Ad_Encongli miQ©gla <br /> In many instances, the training of physicians, nurses, and other <br /> caregivers does not adequately prepare them to meet the special needs <br /> of older persons. Particular needs include greater awareness of (1 ) <br /> the effects of social factors on the health status of older adults and <br /> (2) the availability of care options. <br /> Paraprofessionals provide beneficial services to older persons if <br /> properly trainedjand supervised. The supply of adequately trained <br /> providers is likely to lag behind demand unless efforts to provide <br /> special training and to develop incentives for trainees to enter these <br /> 12 <br />