For the first time since 1988, Congress voted to create a Commission on Long-Term Care in January 2013. The Commission was tasked with developing “a plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high-quality system that ensures the availability of long-term services and supports for individuals in need of such services and supports”.
To this end, the Commission held four public hearings throughout summer of 2013, and on September 12, released its recommendations and call to action, which highlight the silos of care that older adults and their caregivers face:
Paid services and supports are highly fragmented and difficult for individuals and family caregivers to access; they lack the focus and coordination across agencies and providers necessary to ensure the best outcomes for the person and family, and they are provided in ways that can be expensive and inefficient.
To address this, the Commission recommends to “provide information and assistance to consumers and family caregivers in advance of transition from one setting to the next (for example, acute care patients at admission not just at discharge)” and “align incentives to improve the integration of long-term services and supports with health care services”.
The Commission’s full report will be released on September 18.