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South Dakota Is Committed to Finding Solutions to Meet the Needs of Its Elderly Citizens

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Submitted By aldougherty
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South Dakota is finding solutions to meet the needs of its elderly citizens as evidenced by overwhelming support for House Bill 1156, which passed in 2006. State faces both challenges and opportunities in designing a system of long-term care that promotes the health of its residents, preserves independence, guard’s dignity and is fiscally responsible.
Some of the issues in front of the State include:
• An aging population;
• Geographic mismatch between the places where services exist today and the places where the elderly population is expected to grow over the next 20 years;
• Historically low utilization of home and community based services that can help seniors fulfill their desire to remain independent and in their homes;
• Aging skilled nursing facilities;
• Shortages of front-line health care workers;
• Sharply rising costs of care coupled with tightening of Federal dollars for program support and provider reimbursement; and Inadequate individual planning and financing of long-term care costs.
Limited use of long-term care insurance with a growth in the Elderly Population fueling a Rising Demand for Services Demand for long-term care services is projected to grow sharply over the next two decades.
Predicting by 2025, residents in South Dakota:
• The number of elders (over age 65) will double: increasing by 92,000-105,000 and reaching 24% of the State’s population;
• Disabled elders will increase by 42,000-50,000, reaching over 10% of the State’s population;
• The number of disabled elders living in the community will rise by 20,000-40,000, depending upon the availability of home and community based care.
Growth is not evenly balanced across the State:
• Elder-population growth is greatest in the West River, and slowest in the East River regions;
• The regions that encompass the Sioux Falls metropolitan area and the Rapid City/Northwest counties will have fastest rates of growth, as well as the largest increases in the numbers of elders;
• The rapidly growing counties around Sioux Falls will witness a 250% growth in their senior populations;
• The counties around Rapid City will see a 235% growth in the numbers of seniors, reflecting the migration of seniors from rural and frontier areas to areas affording retirement amenities and health care facilities.
Survey data show that staff turnover rates are high: averaging 20% for RNs and LPNs, and over 40% for CNAs. Seeing these turnover rates highest in the West Region followed by the Southeast Region, where there has been the highest growth in the demand for health care services. The shortage of RNs ranged from 4% in the Central counties to 11% in the West. CNA shortages averaged 4%. Shortages will get much worse in the next 20 years. The pool of potential workers shrinks by 6% statewide, growing only modestly in the Sioux Falls and Rapid City regions.
• At today’s staffing and job entry rates, there may be a 60-150% increase in the number of disabled seniors requiring care for every available worker. The forecasts indicate a significant and widespread shortage of both CNAs and nurses. Recommendations were made in five content areas: Healthcare Educational Programming Capacity; Recruitment and Retention; Clinical/Internships; Pipeline; and Student Perception and Awareness.
The Healthcare Workforce Initiative is undertaking an assessment of the demand for health care workers and the potential supply issues across the State.
South Dakota has enforced an entry system for individuals that request services provided by ASA to assist them to stay in their homes, increasing their ability to live independently, and improve their quality of life at home. With an increase in individuals entering the LTC system and an increase in HCBS options, South Dakotans could benefit from an expansion of the current system to all individuals entering the long-term care system (e.g., nursing facilities, State Plan home care, and HCBS), and a uniform assessment tool to provide more-comprehensive data on LTC needs for better service planning and coordination.

http://dss.sd.gov/news/2007/Final%20Report%20SD%20LTC%2012-07-07%20.pdf

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