Texas State Health Plan: 1993-94 Page: 15
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TABLE 1
EXECUTIVE SUMMARY OF RECOMMENDATIONSChapter 6
Special Populations
Minority Health. ...................................
1. Increase the number of minorities receiving services in the health care system by:
" Establishing a comprehensive, community-based social family services program using a cross-cultural approach.
" Expanding the number of counties, local health departments, hospital distncts, and public clinics using the Community
Onented Primary Care (COPC) model.
" Creatively developing and implementing methods of taking primary and preventive health care services into minority and
underserved communities.
" Increasing the minority populations' knowledge and use of publicly funded health and human services programs.
2. Reduce the incidence of preventable morbidity and mortality in minority populations and underserved areas by:
" Developing and implementing culturally sensitive and reading level appropriate educational campaigns about prevention, screening
services, and lifestyle.
" Identifying and investigating disparities in health status among ethnic/minority populations and refugees.
" Developing and distributing more explicit anti-AIDS materials for public service, print and electronic media.LA
3. Assure the quality of home and community health care services provided the elderly by:
" Coordinating service delivery and regulation among all state agencies that fund long term care services.
" Enforcing licensing requirements for personal care homes once sufficient funding has been made available through SSI supplement
and/or a Medicaid waiver program.
" Exploring the creation of a quality consultation program to provide professional help for marginal facilities to improve their quality
of care.
" Developing multi-language client materials to assist health care providers obtain information needed to properly deliver care.
" Providing continuing education concerning health care of the elderly for providers.
" Requiring and supporting state-funded medical, nursing, and allied health schools to include gerontological training and education.
" Providing educational loan repayment incentives for providers delivering primary and preventive health care to the elderly.
" Exploring methods for providing competitive wages and benefits packages to attract and retain long-term care nursing
professionals.
4. Improve access to health care services for the elderly by:
" Developing a long-range automated information and referral system with an automated data base and a dedicated 800 number.
The system should include data on both public and private providers and programs to provide the elderly, their guardians, their
providers, and agencies with eligibility requirements, entry locations, and services.
" Supporting the Texas Department on Aging's development of a statewide database on all services for the elderly.
" Publicizing funding of the statewide toll-free elderly services 800 number of the Texas Department on Aging and ultimately
combining all 800 elderly services numbers into a single number.
5. Reduce the cost of health care services provided the elderly by:
" Requiring all hospitals to provide a three-day supply of medications for a patient transferred directly to a nursing facility to reduce
waste and destruction of unused medications.
" Supporting the revision of federal drug destruction requirements to afford protection in the drug delivery process, to afford
substantial cost savings.
" Instructing the Texas Department of Human Services to determine the financial impact of changing the methodology for collecting
the patient share of the cost of nursing home care as a true up front deductible, rather than on a pro-rated basis, as an additional
method for funding long-term care programs.
" Allowing nursing homes to select drug suppliers and adopt labelling and dispensing methods to improve patient care and reduce
waste.
6. Reduce pain and suffering of terminally ill elderly by requiring all health care providers to council elderly individuals concerning
advanced directives.
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Texas. Statewide Health Coordinating Council. Texas State Health Plan: 1993-94, report, 1992; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1586367/m1/33/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.