Question 1.

Prepare a 3page, double-spaced paper (not including title page and references section) that addresses the following scenario.

Scenario: Your state is attempting to integrate services for people needing long-term care. Using an organization chart or list, research your state's Department of Health & Human Services and Department of Aging (exact department names may vary from state to state):

• Identify and decribe all the programs run by these two departments that potentially are related to long-term care and thus should be involved in the integration effort.
• Describe how the services of these departments are currently integrated with each other and with any other related state departments.
• Choose one program offered by one of the departments and explain how it could be improved to better meet the needs of the continuum (for example: choose Medicare Home Health Care and describe how adding payment for custodial long-term care in the home might benefit clients, providers, etc.).

Question 2

Instructions:

• Visit the Department of Veterans Affairs at http://www.va.gov/.
• Once on the website, select Veterans Health Administration.
• From the map, locate Veterans Health Administration for your region of the country.
• Then, explore the facilities located in your region.
• What services are available to veterans? For example, a search focusing on Colorado revealed that there are Vet Centers in Boulder, Colorado Springs, Ft.Collins, Pueblo, and 2 in Denver.
• In addition, the VA Eastern Colorado Health care System is located in Denver and provides an extensive list of all services provide (e.g., respite, hospice, geriatric rehabilitation, etc.).

Once you have visited the site(s), please write a 2 page, doublespaced paper addressing the following:

From your search and possible visit, what Veterans Health Administration site is available in your area?
What services are available to veterans?
What services are not available and how far would they need to travel?
How can the lack of service affect veterans and families? Give examples.
If service is available, is it adequate? Give examples of what adequate might mean.
Add any additional insights, surprises, findings to your paper.
Cite any references,

Question 3.

Instructions:

• Prepare a 3 page, double-spaced paper (not including title page and references section) that addresses the following scenario.

Scenario: You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With health care costs continuing to soar and the Medicare Modernization Act (MMA) rollout in progress, you are confronted with potential increases in payments for the Medicare and Medicaid programs. Meanwhile, the director of the Administration on Aging continues to send you data about the portending rise in the number of older people and those with disabilities and the needs of such persons for comprehensive care, not just acute care.

• What policy and regulatory measures can you take,
• and what additional long-term strategies can you pursue, to make national resources meet the nation's need for chronic care?

question 4.

In 2 double-spaced pages, describe the range of services potentially needed by children with special health care needs and their families.
Then, identify major federal programs designed to help with the needs you have identified.
Include a brief analysis of the pros and cons of each program.

question 5. Final Project PowerPoint and Paper

• • This Final Course Project deliverable requires you to prepare a 7 - 10 slide presentation where you will highlight what you believe are the most important issues and trends in continuum of care from your assignments, readings, and course discussions.
  • You may select the audience for your presentation (e.g., patients, professionals, family members, etc.)
• Remember to cite references, include a cover page