You are the nurse manager of a 15-bed step-down unit

1. Discuss the history of long-term services and supports for older adults and adults with disabilities in the United States. 2. Explain the impact of the Affordable Care Act on the delivery of LTSS to older adults and people with disabilities. 3. List and detail the key programs in the ACA that aim to support LTSS? 4. Describe the vulnerable LTSS populations of older adults and adults with disabilities, and explain how the ACA can improve access to services for them. 5. Discuss the meaning of “dually eligible” adult populations, and describe the reforms aimed at improving access to and delivery of LTSS services for them. 6. What are the key elements in the ACA’s effort to shift LTSS from institutional to community-based care? 7. Describe the Administration for Community Living and its role in reorganizing LTSS in the United States. 8. How does the Elder Justice Act fit into the reorganization of LTSS? 9. Discuss the impact of ACA changes in the provision of end-of-life care services to those needing LTSS. 10. How can LTSS efforts to reduce rehospitalization and overall Medicare expenses best be explained to the American public?

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