AARP: Governor's Proposal Would Ease Burden On Family Caregivers
AARP: Governorâs Proposal Would Ease Burden On Family Caregivers
HARTFORD â Policy experts presented at an informational hearing March 26 before the stateâs Aging Committee in support of Governor Dannel Malloyâs proposal to allow licensed nurses to delegate medication administration duties to home care workers.
The proposal to allow nurse delegation of medication administration âwhich has been successfully implemented in a number of states, including Washington and Oregon â would save Connecticut millions of dollars in Medicaid spending each year and allow more individuals to receive care at home, instead of in an institution.
According to Susan Reinhard, AARPâs vice president of public policy, who spoke at the forum, âNurse delegation is an important tool to help ease the burden on family caregivers, who must otherwise be available during the day to administer medication to their loved ones, or hire a licensed nurse to do it, which can be very costly.
âAllowing nurses to delegate this task to a professional home care worker â who may already be providing services in the home â saves money, provides a needed break for family members, and supports an individualâs choice to remain in their home as they age,â she added.
According to the governorâs office, the state spent more than $113 million on medication administration for approximately 8,650 Medicaid clients in 2011 â or roughly $56 per visit.
Anne Foley, undersecretary of the Office of Policy and Management, testified that the cost of medication administration is one of the primary cost drivers and one of the primary barriers to moving individuals from institutional settings into the community because of cost caps under the federal Money Follows the Person program.
The governorâs proposal is estimated to save about $28 million a year when fully annualized.
Connecticut is one of 44 states currently participating in Money Follows the Person. Over a recent six-month period, the state represented a third of the cases nationwide where the anticipated cost of caring for the individual at home prevented them from moving from an institutional setting back into the community.
Susan McDermott, RN, directed a pilot study of nurse delegation in the state of New Jersey that found the practice to be effective at assisting clients to stay in their homes and communities and improving quality of care.
âWeâve known for some time in the health care industry that our nation is experiencing a shortage of skilled nurses,â Ms McDermott said. âWith people living longer and the aging population expected to nearly double over the next two decades, we must find ways to be economically efficient, as well as ensure that care is delivered safely and effectively. One way to achieve this is to allow nurses to delegate and train home health aides to administer medication to clients in their homes.â
To access AARP information and resources for caregivers and their families, visit www.AARP.org/caregiving.