Estate recovery needs to be reviewed to determine if the current process is appropriate. Need a registry of available providers. Make nursing homes a better place to be for those who wish to stay there. There is nothing in place which would allow a person to be released from the hospital and sent home with a PCA rather than the nursing home. Involve family members more in care and decision making.
Money needs to follow the person from the institution to the community.
Need to improve the image of the personal care worker. Need to empower the personal care worker so they feel more accountable for their work and pride in their work will improve services and decrease staff turnover. Provide training for individual needs. Pay family members to provide care. Coordinate care between Medicaid and Medicare.