The Older Americans Act: Access to and Utilization of the Ombudsman Program : Report to the Chairman, Subcommittee on Aging, Committee on Labor and Human Resources, U.S. Senate

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The Office, 1992 - 23 pages

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Page 6 - I am pleased to be here today to discuss the preliminary results of our work on the role of pension plans in leveraged buy-outs (LBOs).
Page 7 - In 1972 and 1973, seven ombudsman demonstration projects were initiated. The success of these early demonstration projects in resolving complaints led to the development of a national ombudsman program in 1975, with the Administration on Aging (AOA) as the federal agency responsible for the implementation of the program. At that time, every state was given the opportunity to voluntarily establish an ombudsman program. In 1978, title III of the Older Americans Act was amended, mandating that all states...
Page 7 - ... neglect and abuse can lead to premature death, permanent injury, increased disability, and unnecessary fear and suffering on the part of residents. When the nursing home is viewed as a permanent and final living situation, these problems become even more unacceptable. The ombudsman program responded to a growing public awareness of such problems and the need for stronger consumer-protection activities in nursing homes to reinforce government regulations.
Page 7 - Some residents who reside in nursing homes lack close family members to act as their advocates. Even when they have family, there are limited opportunities to transfer to another home when they are dissatisfied with the care they receive, due to factors such as high occupancy rates and shortages of personal finances.
Page 14 - ... residents. We studied this question by examining (1) legislative limitations on ombudsman access to residents, (2) limitations on ombudsmen that exist when residents are unable to give legal consent to complaint investigations, and (3) difficulties ombudsmen have, if any, in gaining access to board and care residents. To accomplish this, we interviewed 37 state ombudsmen concerning their state laws and how they provide services to residents who are unable to consent to a complaint investigation.
Page 11 - Taking into account the differing numbers of nursing home beds and full-time paid ombudsmen across states did not fully explain this variation. Currently, AOA does not collect the information necessary to gauge the level of utilization of the ombudsman program, including the total number of complaints by the type of facility and the number of nursing home and board and care residents in each state.
Page 8 - June 13, 1991 and resolve complaints made by or on behalf of residents, monitor laws concerning facility-based elderly, and provide information on long-term care options. Over the years, a number of statutory actions have been taken to strengthen the role of the ombudsman. In 1981 , the act was broadened to include the category of board and care facilities. AOA, through its 10 regional offices, oversees and distributes funds authorized for state ombudsman programs.
Page 10 - Rico to 431 for each 1,000 beds in the District of Columbia. This variation suggests that ombudsman programs may operate quite differently across states.
Page 14 - Long-Term Care Ombudsman Program: Report on a Survey of State and Local Programs (Washington, DC: American Association of Retired Persons, 1990).
Page 6 - Schoenborn and M. Marano, Current Estimates From The National Health Interview Survey: United States, 1987 (Washington, DC: US Government Printing Office, 1988).

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