Miami University, Ohio
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Long term care in Ohio : balancing the system
Get PDFThis report is designed to identify the challenges facing long-term care in Ohio, and to develop recommendations to help Ohio achieve an effective, efficient consumer responsive system of long-term care.
The Ohio long-term care system faces several serious challenges. First, public expenditures do not match consumer demand. Second, consumers want to be able to design and shape the type of the assistance to be received. Third, financial pressures are substantial and will increase dramatically. Fourth, despite an interest in expanding community-based services, Ohio has a shortage of care workers. Fifth, long-term care in Ohio is fragmented and information on long-term care is difficult to access. Sixth, future demand for long-term care services is inevitable given demographic projections. Finally, although there is considerable agreement that the long-term care system in Ohio is broken, there is not a consensus on how to fix it
Real choices : a caregiver respite strategy for the state of Ohio
Get PDFThe purpose of Real Choices: A Caregiver Respite Strategy For The State of Ohio was to determine the feasibility of restructuring the PASSPORT program to achieve caregiver respite. We found the majority of PASSPORT consumers have at least one active caregiver. By sustaining caregiver activities and potentially keeping care at home, the cost difference between keeping the PASSPORT consumer enrolled in PASSPORT in comparison to the average cost of nursing facility care are significant. Any additional investment in Ohio s respite strategy will save the state money in the future.
Based on our findings we propose a four component family-based respite strategy. The four components of the proposed PASSPORT respite strategy are: (1) Defacto Respite; (2) Defacto Respite Plus; (3) Institutionalize Respite Strategy; and (4) Real Choices. Defacto respite has already been incorporated into PASSPORT. The three additional components introduce a family-based approach to service plan development, flexibility, and consumer direction culminating in Real Choices . As we see it, Real Choices is a modest, no-strings-attached cash benefit or voucher program that is grounded in a systematic assessment of the primary caregivers needs, similar to the flexibility built into the supplemental services part of the National Family Caregiver Support Program. Cash benefits to purchase goods and services will help offset the often higher cost of other services and/or for some enabling the caregiver to continue support of the care receiver