Recommendations Pertaining to Adult Daycare, Home Services, and Domiciliary Care for the Elderly

摘要

Recommendations for Federal and State activities are offered in the categories of funding, program administration, information sharing, service integration, and monitoring and quality assurance in the areas of adult daycare, home services, and domiciliary care for the elderly. Recommendations for funding deal with Medicare (Title XVIII), Supplemental Security Income (Title XVI), medicaid (Title XIX), and Social Services (Title XX). Program administration recommendations speak to the need to upgrade the administrative skill of program managers. Specifically, suggestions are offered for training in integration of management information and compliance requirements, training in general management skills, implementation of ongoing management review, and procedures for cost accounting in service funding. Information sharing recommendations deal with the need to fill information gaps through the coordination and compilation of existing data and the generation of new data through the development of quality demonstration programs designed to fill gaps in existing knowledge. Recommendations regarding service integration concern the fragmented character of service provided to the elderly due largely to unrelated categorical funding programs. Recommendations for monitoring and quality assurance involve the establishment of service needs assessment techniques, the development and enforcement of standards for home are, day care, and domiciliary care, and the development and implementation of effective monitoring procedures.