Question

Case Scenario

Your favorite seventy-two-year-old Uncle Bob recently slipped on the ice and broke his left hip. After surgery and a four-day hospital stay, the hospital is ready to discharge him. His physician believes Uncle Bob would benefit from a stay at a skilled nursing facility where he would receive skilled nursing, physical therapy and occupational therapy. The physician writes the order. Your Uncle Bob has Medicare A and Medicare B.

Questions

1. Will Medicare cover his skilled nursing facility stay?Why or Why not? Be specific.

Because the social workers cannot recommend a facility, Uncle Bob asks you, the future healthcare administrator, for your advice. He wants to stay in within 10 miles of the State College area so family and friends can visit during his stay.

2. Using the data compiled in Nursing Home Compare (Links to an external site.)Links to an external site., which facility do you recommend and why?

Compare facility information to state and national standards, speaking specifically to (a) health inspections, (b) quality and (c) staffing in your response.

3. Based on your assessment of the facility data, is the Five-Star Quality Rating System helpful to potential residents and their families in making decisions about nursing home care?

Why or why not?

4. If a facility receives a five-star rating in one period and then is downgraded to a lower rating in a later period, does it face any financial consequences? Explain.

Answer 1

1. Will Medicare cover his skilled nursing facility stay?

Medicare should cover his skilled nursing facility stay.

Due to advanced health care infrastructure and facilities,people can't afford huge bills of hospital and skilled nursing facility. so they should be included in the medicare cover. Now a days people wants to stay at nursing facility where all the services will be provided as of hospital and they are close to home. so that near and dear one have a close access to them.

Medicare should not cover his skilled nursing facility stay

People have a tendency to misuse the services if they are at low cost/free.so skilled nursing facility stay sholud not be included in the medicare.

2. Some of the facilities recommended as follows:

Health care @ home, philips health care@ home and Portea Medical

https://hcah.in/, https://www.philips.co.in/healthcare/philipshealthcareathome, https://www.portea.com/

as claimed all these facilities are maintaining the quality benchmarks with adequate staffing pattern and complaince maintained with inspections/audits.

3. Five-Star Quality Rating System is helpful to potential residents and their families in making decisions about nursing home care

Five star rating system is very useful tool to rate the quality of services offrered by the nursing home care.

It can put a light on staffing, infrastructure, behavior, services and devices available. It can offer objectivity of responses and make it easier for local residents to make a decision.

Five-Star Quality Rating System is not helpful to potential residents and their families in making decisions about nursing home care

local residents cannot rely on Five star rating system because they don't have transparency on how it is measured and who have measured it. there are so many parameters to be considerd on the aspects of taking a decision for nursing home care.

4. If a facility receives a five-star rating in one period and then is downgraded to a lower rating in a later period, Yes, definitely it will face financial consequences.

Rating is directly propostional to business. rating is down and simultaneoulsy businees will also decrease. Rating is acting as BUSINESS MARKETING STRATEGY.

It creats a huge impact on public for taking a decision.