Long – Term Care Hospitals: Review

Managed care is comprised of long term programs aimed at providing medical services to individuals who are challenged either mentally, physically or in terms of development. Managed care plays varying roles in ensuring that patient attain expected health results within duration of time. It focuses on supporting and working together with other health agencies in ensuring safety of the patient and minimizing medical errors. Evidenced based practice research is part of their role in efforts to come up with appropriate intervention for patient better management ( Pratt, 2006).

Managed care has impact on long term care reimbursement. Revenue has increased same time it has translated to improvement in better post acute health service provision. Reimbursement has led easy access to health management care hence greater advancement in health provision. Reimbursement has contributed to increased admission and discharges in comparison to decreased duration patient go for managed care. It has led to provision of quality health service to the patients due improvement in services, use of advanced technology in addition to increased personnel and decrease in their turn over. Reimbursement has led to increase in wages and benefits for the health providers. Also Cost on medical facilities has tremendously decreased due to the reimbursement (Christianson, 1998).

Nature of management has a single structure which takes care of management through environment and level of care demand. There is investigation on patients’ needs and services required in accordance with cost and benefits. Innovative management structures and incentives financially are part of management structure to motivate health providers to quality service. It also includes comprehensive information system handling between all the integrated key sectors. There is a system to evaluate capacity in terms of management, behavior of clients and physicians, services quality and d resource utilization. Other features include, guide lines to ensure quality management, how to adopt leadership, planning, financing, and ownership structures.

Financing for long term care sector is from Medicare, managed care plan, patients who can afford to pay for their care and med cal. Quality of long term care is geared towards improving efficacy and health care service quality to the clients. Proper timing in provision of services is of great significance. Responsibility of the medical practitioners in providing service to the patient is also of significant in creating trust and client satisfaction. Screening and review is of quality to enable proper diagnosis and accurate interventions. It also helps in preventing further disease complication related to poor quality screening and review.

Concepts of quality improvement are; quality assurance system, reliability management system, customer support system, and environmental quality support system. They help in maintaining standard and recommended health service provision. In long term care hospital this concept can be portrayed by the quality treatment to patients. Quality assurance system is the policies put in place to guide in health care service provision. Reliability management system is one which client depends on to provide accurate and trust worth outcome. Use of modern technology machine in long term hospital has rendered them reliable and efficient. Customer support system comprise of long term hospital program which improve and make it easier to handle patient like insurance systems. Environmental quality supports involve maintaining health hygiene, provision of required facilities and services to ensure better patient management (Kohn, Corrigan, & Donaldson, 2000).

Discuss the legal and ethical implication of end of life issues in long term care hospitals.

These ethical issues pertains the following area; Leadership, personnel Relationships Community, staff relationship patient and their family, relationships-Board, and Relationship clinicians. This legal and ethical ensure consistent and right management actions to overcome barriers to attain health care mission. They advocates for maintaining of better therapeutic relationship between the clinicians and the patients. Legal and Ethical ensures that access to health care is on basis of medical demands of patients. Ethical ensure that health care policies are adhered to by clinicians during patient management (Christianson, 1998).


Christianson, J. (1998). Potential effects of managed care organizations. Journal of Rural Health, 14 (3), 169-179.

Kohn, L., Corrigan. J., & Donaldson, M. (2000). Building a safer health system. New York, NY: Elsevier Churchill Livingstone.

Pratt, R. J. (2006). Long Term Care: Managing Across the Continuum (3rd Ed). Jones and Bartlett Publishers. Sudbury, MA.

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