S. Jean Szilagyi, RN, MHSASt. Joseph’s College of Maine

Alzheimer Europe ConferenceMay 2009

Health insurance

-for people 65 and older

-under 65 with certain disabilities

-persons at any age with end-stage renal disease, permanent kidney failure requiring dialysis or a kidney transplant.

Federal-state entitlement health care program for low income citizens of the United States

Part of the Title XIX of the Social Security Act of 1965.

Offers federal matching funds to states for costs incurred in paying health care providers.

Federal Regulations:◦ OBRA: Omnibus Budget Reconciliation Act of

1987

State Regulations:Ohio Administrative Code 3701-17

No federal regulations Varies by name: Rest home, assisted living,

boarding home, personal care facility, private homes

“Each facility must enable every resident to attain or maintain the highest practicable physical, mental and psychosocial well-being.”

This is a big job…How must they do it?

Freedom from discrimination Respect Freedom from Abuse and Neglect Freedom from Restraints Information Money Privacy Medical Care Visitors

Social Services Complaints Protection against Unfair Transfer or

Discharge Family and Friends

www.cms.hhs.gov jszilagyi@sjcme.edu www.alz.org