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SPOR EA - Cost Accounting for Long-term Care Beds - Problem to be Addressed - 3/10

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  2023 05 07 - I was looking after Mom on average 525 hours a month. I developed an artistic practice that fit with my daily routine of caregiving - the works were small, I could finish them quickly, and they brought life from the neighbourhood into our caregiving space.  =================================================================== The topic of this series of short articles is looking at evidence-based cost accounting for long-term care beds. The goal of this work is to be able to compare the cost of operating long-term care beds in institutional and home-based settings. The objective of this work is to be able to answer the question, "At what cost, to whom?" PREAMBLE My family decided to bring Mom home when she was aging out of her mental health group home (paranoid schizophrenia). We were not comfortable with the idea of Mom moving to a new institutional setting where we were not sure of the level of care or risk management she would receive. She had lived forty year...

SPOR EA - Cost Accounting for Long-term Care Beds - Project Development - 2/10 - 2025 05 30

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  Our family caregiving operations started approximately six months before I started work to develop a research project to investigate cost accounting for operating long-term care beds in institutional and home-based settings. Mom, Tom and I play through "Caregiver Shanty", a song I wrote to bolster spirits and resilience for caregivers everywhere. The purpose of this work is to make visible the work that is erased from social and health cost accounting, the work of the family caregiver. We are invisible no more . INTRODUCTION This article describes the genesis of how this project developed its approach to understand cost accounting for operating long-term care beds in institutional and home-based settings. The article is organized in three sections: 1. Project development for the Scoping Review; 2. Project development for collecting and reporting first-hand cost accounting data from a single home-based caregiving operation (Family Caregiving); and 3. Discussion Notes arising...

SPOR EA - Cost Accounting for Long-term Care Beds - Context - 1/10

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  On Tuesday, May 13 we hosted an event to share our findings from a research literature scoping review to look at published research about cost accounting for operating a long-term care bed. We were looking for research that used evidence-based data to compare the cost of operating a long-term care bed in an institutional and a home-based (family caregiving) setting. This research project was funded by  Strategic Patient Oriented Research (SPOR) Evidence Alliance . The topic selected for funding was,  "Cost-effectiveness of home care versus assisted living facilities  for individuals requiring additional supports" This topic is of importance to individuals (and their families) who require home care or assisted living facilities.  The intervention was an economic evaluation of home care costs (impact on productivity, well-being, QoL, overall health care). The comparator was an economic evaluation of beds in clinical, institutional (long-term care, assisted livin...

SPOR EA - Cost Accounting for Long-term Care Beds - Table of Contents

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  SPOR EA - Cost Accounting for Long-term Care Beds funded by  Strategic Patient Oriented Research (SPOR) Evidence Alliance  Table of Contents Introductory - Follow up / Thank You - 0/10 Introduction - Context - 1/10 Introduction - Project Development - 2/10 Problem to be Addressed - 3/10

Long-term Care - At what cost, to whom? Understanding the Costs of Institutional vs. Home-based Long-term Care - 0/10

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We are taking this opportunity to say, "Thank You!" for your interest in our work researching evidence-based cost accounting in long-term care.  On Tuesday, May 13 we held a gathering to share what we learned from a year-long Scoping Review to answer the question, "How much does it cost to operate a long-term care bed in an institutional setting? How does this cost compare to the cost of operating a long-term care bed in a home-based setting?" We had seventeen attendees in-person and another thirty-five joined online through the Zoom platform. We are very grateful to all who attended. Below you will find the original powerpoint files in .pdf and a summary of the small group discussions. Our next step is to publish a series of ten short articles on this blog to share out the work presented on May 13 in more detail. Our goal is to continue fostering and facilitating conversations toward implementing evidence-based cost accounting to improve management and oversight o...