Who Governs and Funds the Developmental Disabilities?

Who Governs and Funds the Developmental Disabilities?

            According to Caldwell (2010), states and governments govern the developmental disabilities through set rules and regulations. It is incumbent upon the state to allocate funds and determine the manner in which services will be offered to individuals with disabilities. Such services must reflect the standards set by the regulations and be provided in response to the needs of the individuals. Governments can establish criteria for identifying persons with disability and on handling and managing their conditions by the set levels of care (Caldwell, 2010). Some regions, such as in the USA, have established waivers and criteria for persons with disabilities to ensure that services are provided to them, and their wellbeing maintained.

2.5 Beneficial interventions and Quality Measure to reduce funds wastage

It is important to have quality measurement indicators to measure the effectiveness of service delivery. The services beneficial to persons with disabilities include but not limited to, assessment, monitoring, health education and promotion, learning, employment and medical attention. All the rights enjoyed by every single individual should be emulated for the persons with disability. They need personal attention; understanding and communication that will make them feel comfortable in their environment. Byrne, Hurley & James (2007) argued that the services must be accessible, such as the mental health assessment and treatment, emergent service, family services, and support access to physician care.

The services need to be implemented in an acceptable set of standards with effective communication among care providers, continuous existence of necessary service and support together with standardized functioning assessment tools (Byrne, Hurley & James, 2007). It is important that the services meet the individual and family perception of satisfaction, being culturally sensitive, responsive and comply with the set laws and regulations. The services must subject the affected person to quality life improvement both functionally and clinically with early long-term mortality improvement (Byrne, Hurley & James, 2007).

To ensure continuity of service delivery, there must be an explicit protocol for the health services and developmental disability services provided by the state. Technologies can be incorporated in the event of service delivery, cost cut and procedures put in place to ensure efficient use of resources to benefit several individuals (Byrne, Hurley & James, 2007). Services of trained staff with knowledge and skills on the care of developmental disabilities, and their perception of satisfaction with care will be beneficial more.

2.6 Regulations required to maintain access to funding

There is need to have rules and laws to control the manner in which assessment and identification of people with developmental disabilities and the manner in which the service delivery systems operate. There may be bodies or departments set to deal with issues related to the health and service delivery to the disabled. There are also standards set for the care facilities to meet in terms of the areas they operate and people they serve. Licensing rules are established to ensure that the services meet some minimal set standards and comply with the regulatory requirements of the areas they operate (Fitsimmons, 2012).

2.7 Severities of Government Cuts When Residential Facilities are Non-profit

In countries such as the USA, health funding and billing is almost a concern of everyone. As discussed by Kelley (2009), there are legislations that dictate the level of funding and where to fund at each time. The perception of higher funding in some states may lead to the care facilities for chronic conditions that deliver subsidized services to individuals. According to Shiller (2013), such facilities are not for profit and government provides funding most commonly for essential needs and services offered at such levels with the clients only paying a minimal amount or for advanced care.

There is increased debate by the people on how much should be spent on healthcare, with states allocating annual funding for the healthcare services. There is, therefore, much to be done in ensuring waste and unnecessary spending in health care are avoided if the cost is to be brought down (Cronin, & Kelly, 2011). Any medical error, fraud, non-evident transactions and inefficient products should be avoided. Inappropriate use of service costs and services that do not provide value for the patients, and the available resources must be maximally used to offer services to the advantage of the affected for prevention of disease and promotion of health (Houser, Kassner, Reinhard, 2011). In rethinking cut on the services, government has implemented a cut of up to 60% in some cases with the social insurance also squeezing funds.

The focus of every government is to balance the GDP with the spending. According to Houser, Kassner, Reinhard (2011), the percentage is allocated entire expense, maintained and exploited in a manner that higher benefit is achieved at a minimal cost. Therefore, any healthcare service that do not deliver quality or benefits to a patient, or that which replicates a service provided in another avenue can be eliminated to minimize cost without reducing quality. Government funding focuses on the quality of health care services, outcome and improvement of health status of the population (Kelley, 2009). The services offered in terms of care or administrative must therefore, deliver the highest efficiency that reflects the intended purpose of a program and any avoidable error, or scenario that would affect the physical ability of a person avoided.

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