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The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Essay from the year 2010 in the subject Business economics - Business Management, Corporate Governance, grade: B, King`s College London, language: English, abstract: Risk management planning is undertaken to be able to identify the risks in a business, assess them, formulate strategies to mitigate the risks and monitor the resultant performance of the business. Preparing a risk management plan requires identification of potential risks to a business. This is done through understanding of the scope of possible risks which will be essential in developing a realistic, cost effective strategy for dealing with the risks. Assess the business need determine the risk. Risk assessment process is also essential and is done with proper knowledge on a business key services, staff, resources and major areas that could result to failure of the business. Risk management process will therefore involve systematic application of management policies, practices and procedures to all the tasks of establishing the context of business risks, identifying, analyzing, assessing, treating, monitoring and communicating (Culp, 2001). Each cycle in the process is vital since it contributes progressively to business improvement. This is through providing the management with greater insight into available risks and their impacts on operation of the business. To best analyze the risks and come up with the best strategies we got organized into a team having a good understanding of the tasks and objectives of the area of the business that needed to be analyzed. The marketing activities of the business bring both success and failure to a business if not carefully undertaken. Our risk management planning process was to determine the various risks associated with a business marketing activities and come up with best ways to help the business solve them. Understanding the internal environment of the company was our first stage in the process. It involved getting familiarized with the risk management philosophy of the business and various integrity and ethical values including the business commitments to competencies. Also we looked at the organizational structure with how authority and responsibilities are assigned and various marketing standards.
Chiefly reprints of articles originally published 1965-1983. Includes bibliographies and index.
Home & community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. This report reviews: (1) trends in states' use of Medicaid home & community-based service (HCBS) waivers, particularly for the elderly; (2) state quality assurance approaches, including available data on the quality of care provided to elderly individuals through waivers; & (3) the adequacy of federal oversight of state waivers. Charts & tables.