Health Information Management and Assessment

Running head: HEALTH INFORMATION MANAGEMENT AND ASSESSMENT
HEALTH INFORMATION MANAGEMENT AND ASSESSMENT
Name of the Student
Name of the University
Author Note

HEALTH INFORMATION MANAGEMENT AND ASSESSMENT
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To: New hires
From: Administrator
Date:
Subject: Identifying the state and the federal laws which help in governing long - term care
operation of organizations and to monitor accreditations and licensure of the organizations along
with an overview of data collection system in the health care organizations.
There are laws and Regulations governing healthcare organizations. The long term care
organizations and facilities are controlled by both federal as well as state Government and the
standards are developed by agencies paying for services, making rules to license staff and
monitor quality care to the patients.
Long term care refers to social, health and residential services that are provided to patients who
are chronically disabled over a prolonged period of time. Federal and state government are
playing important roles in financing these long term care. There is an increasing need for long
term care services which is determined by the occurrence and frequency of chronic diseases
affecting many lives. Health organizations need to adopt standardizations and retain information
compilation scheme to effectively execute improved performance in treatment. Nursing homes
are the most visible and common form of long term health care regulated by the federal and state
government. There are several funding services financing a wide range of medical services
including acute care and predominantly in the long term health care system. Nursing home
surveys are carried out to certify new facilities that are in compliance with standards that
maintains quality standards. Under the federal system, nursing home must have regulations

HEALTH INFORMATION MANAGEMENT AND ASSESSMENT
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ensuring sufficient nurse staffing, conducting an accurate and comprehensive assessment and
developing care plan for each resident. Long term care financing plans includes:
Medicare- Nursing services and home-health benefits facilitating Medicare financing are inclined
towards a requirement of skilled care. Only post-acute and short-term care is provided by
Medicare Skilled-nursing facilities benefit and is reimbursed based on a reasonable cost. The
services covered under the Medicare home-health benefit includes part time nursing care
provided under the supervision of a medical professional, or, in any physical or occupational
therapy, medical appliances and medical supplies.
Medicaid- The states have a very flexible coverage and reimbursement LTC plan. Medicaid
financing are predominantly for continued care of the older people. The states must cover
services for skilled nursing facilities for people above 21 years of age.
Other federal programs- Other federal programs also fund LTC services. The Veterans '
Administration (VA) is funding the treatment of senior employers and nursing homes. Patient
care is restricted to 6 months for non-military services. Most states provide additional revenue
safety subsidies to residents of home care facilities (long-term nonmedical care services).
Medicaid and Medicare grants are accessible only to organizations that fulfill federal
requirements for quality of care. Federal Government needs States to evaluate each year for
every member of Medicaid the value and appropriateness of treatment provided. Various
accrediting organizations and standards of healthcare provision in United States comprises the
Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National
Committee for Quality Assurance (NCQA), the American Medical Accreditation Program
(AMAP), the American Accreditation HealthCare Commission/Utilization Review Accreditation