17 Aug In Part 1 of the Alternative Living Environments assignment (see attached), you selected a living facility in your community and presented an overview of that facility. In this part of
In Part 1 of the Alternative Living Environments assignment (see attached), you selected a living facility in your community and presented an overview of that facility. In this part of the assignment, you will do a deeper dive into facility operations.
Conduct an interview with an administrator from your chosen facility. You can use the following, or similar, questions for the interview:
- Is there a waiting list for your facility?
- How are new demographics affecting your facility?
- What marketing methods do you use to promote your facility?
- Who is the primary payer source—out-of-pocket or private pay, insurance coverage, Medicare, or Medicaid?
- Are there any personal or nursing care services available in your living environment?
- What is the staff or organizational structure that supports the services available in your facility?
- Are there any special amenities, such as a barber, beauty shop, or ice cream parlor?
- If there are no special services on site, is transportation provided to nearby service facilities?
- What recreational opportunities are available? Provide a list of opportunities.
- What technological issues or challenges are present at the facility?
- How do you anticipate health care reform will affect your facility?
- How will medicine and health-related services that increase the longevity of the aging population have an impact on your facility?
- What improvements would you, the administrator, like to make to the facility in the future?
- Is there any current research in the field or study of gerontology that might affect the future planning for your facility, perhaps related to demographic data, health, and well-being?
Create a 15- to 20-slide Microsoft® PowerPoint® presentation in which you outline the major takeaways from your interview.
Speaker notes are to be 75 – 250 words per slide.
Include a copy of your questions and responses with your presentation. These can be included in the speaker notes, or in a separate document.
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Alternative Living Environments Facilities Selection Paper, Part 1
Name
University of Phoenix
GHA/548
Dr. S. Seward
August 7, 2023
Alternative Living Environments Facilities Selection Paper, Part 1
Intermediate Care Facility (ICF) offers long-term support and services for people with intellectual disabilities or related conditions. Therefore, one of the demographics of the community is adults with intellectual and developmental disabilities (Morantz & Ross, 2022). The second demographic is people with mental health problems who also suffer from chronic health conditions and need assistance to remain functional and safe (Lambert, 2022). The final demographic is older adults who have chronic or neurological conditions such as Parkinson’s disease and who need assistance with mobility, bathing, and dressing. These facilities are confused with nursing homes or skilled nursing facilities. They do more for rehabilitated living and do not focus on the medical portion of the patients care. The ICF houses adults who are mentally disable and need assistance and monitoring on a daily basis. There are different types of ICF’s in the state of Florida. There are 38 six-bed homes that are located in a residential neighborhood. These homes are set up similar to group homes and the residents are involved in the community activities. There are 27 cluster facilities which are three homes located close to each other but with separate living units. Each home has private and semi-private rooms. Clusters provide extensive medical and rehabilitation services to people who are medically fragile. There are 6 campuses called the 64 Bed Campus that has 4 separate living units that have private and semi-private rooms, with a total of 64 available beds (Association of Rehabilitation Facilities, 2023).
Reason(s) for Selecting IFC including Family and Provider Roles
We selected ICF because we want to know more about it in terms of the care it provides and the populations that it serves. Most people are unaware of this facility and if they do, they confuse it with skilled nursing facilities hence the need to research it and understand it. We also chose it to explain the role of nurses in providing optimum holistic care to the demographics listed above so that the facility can be properly understood. It felt that all the other alternative living options have been adequately discussed in the literature and people understand them.
The care of individuals in ICF is under the direction of a physician. They provide basic care related to activities of daily living such as administering medications and helping individuals to return to an independent environment. Medication administration and management are important aspects of care for patients in ICF (White, 2022). Providers have an important role to play since they typically work directly with the patients at ICF and oversee any nursing or medical care. They ensure that the care is provided competently. The providers observe, assess and treat individuals and they focus on maintenance rather than rehabilitation. The family provides emotional support, assists in decision-making and any other activities that are important to the well-being of the ICF residents. Florida Mentor offers individuals and their families services and support that will lead to growth and independence of the patient no matter what the physical, intellectual or behavioral challenges that individual may have. Their ICF facilities offer patient personalized support through community-based ICFs or group homes as most commonly referred to. There they help the adults become more independent along with the ability to grow and thrive in their community (Florida Mentor, n.d.).
Available Resources for Patient, Family, and Provider
There are several resources available for patients, families, and providers. The patients have access to medical care, recreational activities, personal care services, and social support. They may also have access to specialized training programs that help with training programs for developing skills to help them live independently. There are also resources for families such as the National Institute on Aging which provides information to families on how they can find ICF and how to pay for them. It also provides information on what families can expect when their loved ones are in an ICF. Some of the resources that are offered through Florida Mentor’s ICF’s are expert clinical support and compassion from the team of professionals. They will have personalized services and around the clock emergency medical support in a place they call home. Some of the services offered are life skills assistance such as cooking, activities of daily living pertaining to hygiene, cooking and cleaning. Social skills are implemented including participation in community events and other structured activities. The program offers coordination of medical and professional services that include medication management and transportation service (Florida Mentor, n.d.).
Organizational/Corporate and Leadership Structure
The organizational structure of ICFs varies depending on the type of facility and services that they provide. However, most ICFs are hierarchical with an administrator or a director at the top. The director is then assisted by department heads, then supervisors, and physicians. The corporate structure in ICFs is one that holds directors or administrators accountable for staff and processes and continuously improving operations to benefit their residents. Usually, a board of directors oversees all aspects of the corporate culture. Effective leadership is crucial in delivering services in ICF and is therefore needed at operational and senior levels. The leadership at these facilities consists of clinical coordinators working hand in hand with nurses, registered and LPN’s, program directors, human resources, occupational and speech therapist and life skills training supervisors (Florida Mentor, n.d.).
Location and Other Types of Living Environments Available in the Community. ICFs are found in every state as an alternative to home and community-based services for the aforementioned demographics. The demographics found in an ICF are not a representation of the community since there are only a few elderly people who need assistance to do daily activities, a few people with mental illnesses, and a few people with intellectual disabilities. These facilities are sometimes located next to skilled nursing facilities and an assisted living community so that residents get to live in a community of their peers. They can also access 24/7 medical care from the medical facilities around them. Transportation is available in the facilities, and this eases the burden on families when they have to transport their loved ones to the facility. It also makes the work of caregivers easy since they can effectively cater to their needs.
One available living environment in the community is assisted living facility (ALF) which provides care and support to the elderly who require assistance with daily activities (June et al., 2022). Although they may offer similar services, especially when it comes to attending to the elderly, they are very different. While ICF provides facilities and intensive services that are restorative, preventive, and supportive, ALF’s are for those who are getting older and these facilities have minimal nursing care but help residents with daily activities. They provide a more home-like environment for the elderly who need help with daily activities such as dressing, and medication management. ICFs are for people who cannot take care of themselves due to mental or physical disabilities without custodial or nursing care and are typically in a house or cluster of houses. The demographic population of these group homes are younger than the population that live in ALF’s.
Marketing. To market the facility, one factor that is considered is the target audience which in this case includes the elderly who need medical care, people with mental retardation, and those with intellectual disabilities. ICF markets itself by advertising in local newspapers, or social media platforms such as Twitter and Facebook. It also reaches out to local healthcare facilities and doctors’ offices to let them know about the services offered and to encourage them to refer patients who may need their services there. It also markets itself by offering tours to potential residents and their families.
References
Association of Rehabilitation Facilities. (2023). Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs): Community Residential Living. https://www.floridaarf.org/category/62/ICF-IID-Info.html
Florida Mentor. (n.d.). Intermediate Care Facilities. https://flmentor.com/adult-services/intermediate-care-facilities/
June, J. W., Dobbs, D., Molinari, V., Meng, H., Bowblis, J. R., & Hyer, K. (2022). Factors associated with assisted living facility closure. The Gerontologist, 62(2), 181-189.
Lambery, A. (2022). What’s an intermediate care facility? Pros, cons + costs.
https://www.joincake.com/blog/intermediate-care-facility/#h_3304481122316371142738
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Morantz, A., & Ross, L. (2022). Intermediate care facilities for individuals with intellectual disabilities: Does ownership type affect quality of care? Intellectual and Developmental Disabilities, 60(3), 212-225.
White, A. (2022). The nurse’s role in an intermediate care facility (ICF). Nursing Central. https://nursingcecentral.com/intermediate-care-facility
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