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NCJ Number: 64579 Add to Shopping cart Find in a Library
Title: AUDITING OF NURSING HOMES AND ALTERNATIVES TO INSTITUTIONALIZATION - HEARINGS BEFORE THE HOUSE SUBCOMMITTEE ON HEALTH AND LONG-TERM CARE, 94TH CONGRESS, 1ST SESSION, HELD IN PROVIDENCE, RI, JUNE 12, 1975
Author(s): ANON
Corporate Author: US Congress
House Subcommittee on Health
United States of America
Date Published: 1975
Page Count: 112
Sponsoring Agency: National Institute of Justice/
Rockville, MD 20849
Superintendent of Documents, GPO
Washington, DC 20402
US Congress
Washington, DC 20515
Sale Source: Superintendent of Documents, GPO
Washington, DC 20402
United States of America

National Institute of Justice/
NCJRS paper reproduction
Box 6000, Dept F
Rockville, MD 20849
United States of America
Document: PDF
Type: Legislative/Regulatory Material
Language: English
Country: United States of America
Annotation: HEARINGS WERE HELD TO INVESTIGATE AUDITING PROCEDURES FOR NURSING HOMES AND DETERMINE THE EXTENT, AUTHORITY, AND FINANCIAL RESPONSIBILITY OF SUCH AUDITS, AS WELL AS TO CONSIDER HOME CARE POSSIBILITIES FOR THE ELDERLY.
Abstract: THE ISSUE OF AUDITING NURSING HOMES IS PART OF PENDING LEGISLATION REQUIRING THE NURSING HOMES SUBMIT TO STATE AUDITING PROCEDURES WHICH WOULD BE FINANCED BY THE FEDERAL GOVERNMENT. THE ESTIMATD COST OF SUCH AN AUDITING PROGRAM MAY BE AS HIGH AS $45 MILLION A YEAR. THE SECOND ISSUE UNDER CONSIDERATION IS HOME CARE FOR THE ELDERLY, PROVIDING SUPPORT SERVICES TO ENABLE ELDERLY PEOPLE TO RECEIVE NURSING, HOMEMAKER, AND MESSENGER ASSISTANCE; DELIVERY OF MEALS; AND OTHER HOME SERVICES SO THAT THEY CAN CONTINUE TO LIVE AT HOME. MOREOVER, THE HEARINGS ADDRESSED THE QUESTION OF COSTS FOR SUCH HOME CARE PROGRAMS, ESTIMATING THAT SUBSTANTIAL SAVINGS MIGHT BE REALIZED IN ADDITION TO CONTRIBUTING TO THE HEALTH AND HAPPINESS OF OLDER CITIZENS. ELEVEN TESTIMONIES WERE HEARD AND THREE OTHERS SUBMITTED IN WRITTEN FORM. THE WITNESSES WERE REPRESENTATIVES OF HEALTH AND SOCIAL SERVICE AGENCIES FROM RHODE ISLAND, AND OFFICERS OF SENIOR CITIZENS ORGANIZATIONS IN THE STATE. AMONG THE PROBLEMS DISCUSSED IS THE RELUCTANCE OF STATE AGENCIES TO UNDERTAKE THE INCREASED MONITORING WORKLOAD BY ALREADY UNDERSTAFFED UNITS. IN ADDITION, AUDITING PREREQUISITES FOR AGENCIES RECEIVING FEDERAL SUPPORT FUNDS WERE NOTED. THE NEED FOR COORDINATED CENTRALIZATION OF HOME CARE PROGRAMS WAS ALSO EMPHASIZED. WITNESSES DESCRIBED CRUEL, SUBSTANDARD CONDITIONS IN EXISTING NURSING HOMES, AND SUCCESS WITH DIRECT SERVICE OPERATIONS, SUCH AS 'MEALS ON WHEELS.' EDUCATION FOR RECIPIENTS IS AN IMPORTANT ASPECT OF HOME SERVICE, SINCE THE ELDERLY ARE ISOLATED AND UNNIFORMED ABOUT ASSISTANCE AVAILABILITY. TRAINING FOR THOSE PERFORMING THESE SERVICES IS ALSO IMPORTANT. CONDITIONS IN RHODE ISLAND ARE IN MANY RESPECTS BETTER THAN THOSE ELSWHERE IN THE COUNTRY. SUPPORTING STATEMENTS ARE APPENDED. (MRK)
Index Term(s): Food services; Medical and dental services; Mental health services; Older Adults (65+); Programs; Rhode Island; Social service agencies; Transportation services; Welfare services
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