Chapter19.pptx

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    Chapter 19

    Into the Future:Trends To Watch

    Learning Objectives

    Understand the forces that have brought the long-term care system to its current state

    Identify ways in which the challenges have been met and to what degree

    Identify challenges that have not been met

    Learning Objectives (continued)

    4.Identify changes that have been brought on by the solutions to earlier challenges

    5.Identify the trends that will affect the long-term care system in the future

    Challenges Met

    Consumer desire for higher quality of life has led to new, innovative forms of care

    Integration has improved effectiveness and efficiency of care

    Consumers now have much more say in their care

    Culture change movement has grown

    New Challenges Created by Old Solutions

    Desire for cost-effectiveness helped create managed care with improved efficiency, but it created quality and service complaints

    Integration improved services and efficiency; some providers haven’t survived

    New, consumer-friendly services have created additional demand

    Challenges Not Met

    System is still reimbursement-driven

    Accessibility is not universal

    System is highly fragmented and “user-unfriendly”

    The number of elderly is growing faster than the system’s ability to meet their needs

    Trends to Watch

    Changing consumer demographics

    The aging of society

    Increase in chronic conditions

    Greater cultural and ethnic diversity

    A consumer-driven system

    Focus on quality and outcomes

    Quality of care

    Patient safety

    Quality of life

    More Trends to Watch

    Changes in the workforce

    Growth in demand

    Aging of the workforce

    Staff shortages

    Blending of professional roles

    Changes in organization and delivery

    Toward a seamless system of care

    Consumer-directed care

    Technological advances

    Even More Trends to Watch

    More and better clinical applications

    Innovative delivery methods

    Special care units

    Informal caregivers

    New organizational relationships

    Among providers

    Between providers and payers

    Institutional to noninstitutional care

    Efficiency

    Still More Trends to Watch

    Changes in financing and reimbursement

    Increase in overall healthcare spending

    Decrease in employer-sponsored insurance

    Public payers continue to struggle

    Providers continue to struggle

    Innovative financing

    Public/private partnerships

    Still More Trends to Watch

    Ethical dilemmas

    Life-and-death issues

    Allocation of resources

    Regulation

    Health system reform

    Summary

    The long-term care system is constantly changing, and each change – even if in one small segment – is soon felt throughout the system. These changes will continue and will present both challenges and opportunities for all involved.

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