Online Program

Health care reform and the changing training needs for those who care for the elderly

Monday, November 4, 2013

Terry Fulmer, PhD, RN, FAAN, Bouve College of Health Sciences, Northeastern University, Boston, MA
Terry Fulmer, PhD, RN, FAAN, Bouve College of Health Sciences, Northeastern University, Boston, MA
The Affordable Care Act will alter the way that health care and public health serve the elderly. Expanded insurance and care options will increase demand for providers to function at the top of their training level and in multi-disciplinary office and community-based teams. Care for the elderly will increasingly prioritize wellness, independence and patient-control with innovative approaches to expand the primary care medical home and to use global reimbursement to pay for previously uncovered services. I will highlight what we have learned about the likely changes from examining the experience of Massachusetts as it implemented health care reform. We have seen changes in areas that disproportionately affect the elderly - such as the reduction of preventable hospitalizations and proliferation of new service options in the home, including visits by community health workers and the use of adapted technology and communication advices. The scope of practice and training needs for some professions such as nursing and pharmacists are changing fast in order to keep up with these new conditions. Northeastern University has analyzed these changes and the impact they have on its nursing, physician assistant, pharmacist and public health programs. We have begun to adapt our training so our graduates will be prepared to care for the elderly. As a geriatric expert I have insured that particular attention is paid to the training needs associated with the aging population. As part of a health reform panel, I will highlight the lessons about training programs for the elderly in this new environment.

Learning Areas:

Clinical medicine applied in public health
Other professions or practice related to public health
Provision of health care to the public
Public health or related nursing
Public health or related public policy

Learning Objectives:
Describe how health care reform may affect the care and health of the elderly Discuss the ways that training programs may need to change and adapt to meet these new condtions Identify how to link the public health and prevention approaches to clinical care in work with the elderly Analyze innovative and evidence-based approaches for work with elderly people that are currently being used

Keyword(s): Elderly, Health Care Reform

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Dean of the Bouve College of Health Sciences at Northeastern University which includes nursing, pharmacy and public health programs. We focus on increasing interprofessional and patient-centered care with a recognition of the importance of the social determinants of health. I am geriatric nurse with many years of patient care experience in multiple settings, a member of the Institute of Medicine,the American Academy of Nursing and the Gerontological Society of America.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.