[Name of the institute]Implications of Independence at Home Act
Introduction
Old adults are the part of the society that is increasingly requiring more provisions of care and safety with the passage of time. The government has passed an exclusive act that is known as Independence at Home Act (IHA). The act aims to bend and manage the cost curve through making effective policies. The legislations imply on the chronic condition of the patient that includes the demand of immediate action. This paper aims to explore the various implications of the act and define the impact on elderly population. The persistent conditions of the elder patients must be met at home where they are comfortable enough to respond to treatment. This includes dysfunction of irreversible organ system, the progressive attitude against the prevalence of stability, areas of medical interventions like physiological, palliative and daily activities. In the end, it should address disabling or terminal moments for the elder patients as well.
Discussion
Health Care for Elderly
According to DeJonge et al. (2009), the current condition of the health care system development elevates several ethical concerns regarding the accessibility of health care to all the American population. Sufficient availability of health care has achieved the interest of the United States government, specialized institutions and health care sources alike. The American Nurses' Association (ANA) recommends for transformation assuring that all the American individuals will have accessibility to excellent health care system. Several specialized health care institutions believe that at present accessibility to health care is a principle concern, specially for the senior citizens (age 65 and above) (American Nurses Association 2008). There are fears that the American senior citizens may face hardships regarding the lack of accessibility of health care which are caused by the slumping reimbursement rates of the U.S. Medicare together with previously little reimbursements of the U.S. Medicaid.
Legislation
Independence at Home Act is the section 3024 listed on the “Accountable Care Act” that aims to develop the provision of independence within home for the elderly people. The demonstration of this legislation lists around 10,000 homes Medicare beneficiaries along with multiple persistent conditions. This requires for longitudinal principal care and harmonization among the services via teams of consultants and physicians including nurse practitioners that should be the mandatory part of the care giver team. The co-ordination among the various implications of care comes at as comprehensive social services that should meet the medial requirements. Under the legislation, practices utilize electronic generation of health records along with other diagnostic and other monitoring methodologies. The practices within the demonstration are accountable to include and meet quality and satisfaction measures with cost saving measure as well. The elders under this demonstration are eligible for a variety of saving shares in order to receive assistance to manage financial incremental costs.
Key Components
Target Carefully Targeted Elders-the ones who have chronic condition and are utmost costly with 5-10% of Medicare beneficiaries.
Define the Most Appropriate Organization-mentioning the abilities that can best render care to the selected ...