The long view of long-term care

Article Abstract:

Some skilled nursing facilities are broadening their focus to provide services to all people with chronic illnesses and disabilities, not just to the elderly. The integration of home health care, community health services and subacute health care can achieve reduce medical costs and improve the delivery and quality of health care. Medicare spending for home care has increased 23% from 1992 to 1993, and skilled nursing facilities can save Medicare $9 bil/yr by providing subacute services up to 60% cheaper than hospitals.

Finance, Services, Forecasts and trends, Long-term care of the sick, Long term care, Home care services, Home care services industry

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Seeing green: the Rural Wisconsin Health Cooperative helps keep the state's rural hospitals from being put out to pasture

Article Abstract:

The Rural Wisconsin Health Cooperative, a group of 22 rural hospitals in central and southeastern Wisconsin, has been in existence since 1979. It provides its individual members with independence and safety. It provides information on rural health issues while managing as a shared services organization. The cooperative's members are financially stable during the 1990s, when several rural hospitals are facing economic difficulties.

Hospitals, Community Hospitals, Case studies, Wisconsin, Hospitals, Rural, Rural hospitals

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Certifiably helpless

Article Abstract:

The medical directors of nursing homes and hospitals' skilled-nursing units are not legally required to be certified in geriatrics, and if such a requirement were in place, there would be a shortage of certified directors. Hospital nursing units are advised to refer their current or prospective directors to the American Medical Directors Assn, to take part in that organization's certification program.

General Medical and Surgical Hospitals, General medical & surgical hospitals, Long-Term Care Hospitals, Standards, Officials and employees, Long term care facilities, Hospital administrators, Nursing home administrators

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