According to a 2010 AARP survey, nine out of 10 older Americans said they would rather be cared for in their homes than in a nursing home. People with mental and physical disabilities, and those who represent them, also have pushed for community-based long-term care options and the ability to live independently in their homes.
—Christine Vestal, “ACA Spurs State Shift in Long-Term Care”
Under the ACA, new funding strategies are now available to several states to remove existing barriers to providing long-term care in people’s homes and communities. While the provisions for long-term and home health care under the ACA are aimed at improving access of health services, how might these types of expansions affect health care organizations?
How do quality standards for long-term care and home health care vary in comparison to quality standards for other types of health care organizations?
Many health care organizations are part of a general network or group of health care facilities that may include urgent and acute care centers as well as long-term care or home health care centers. Within the context of health care delivery, the focus usually tends to fall on hospitals and acute care centers. However, with advances in health care organizational structures and strides taken with the Accountable Care Organization (ACO) model, most health care organizations are more a reflection of integrated health systems that offer services for urgent, acute care and long-term care and home health care services.