Independence

Services should promote individual dignity, maximize independence and self-sufficiency, and be provided in the least restrictive setting possible, and reflect the overwhelming preference of individuals to remain at home.

Choice

People should be able to choose from a full range of home, community-based, facility-based health and social services so they can get the types of services that will meet their individual needs and preferences.

Role of Families

The central role families play in planning for and providing long term care should be recognized and supported.

Access

People of all ages and income levels should have access to long term care services and supports.

Eligibility

Eligibility for services should be based on functional criteria and social needs that take into account cognitive, physical, and behavioral limitations and the need for support, supervision, or training.

Financing

Costs should be spread broadly and progressively, so that out of pocket costs are affordable. This goal may involve tax policy, Social Security, Medicare, Medicaid, private health insurance and pensions, social services and housing policies. Both public and private financing mechanisms should be strengthened toward this goal.

Accountability

Systems for assuring the quality of care should be built into all long-term care programs. These systems should assure quality and value based on outcomes and consumer protections enforced through appropriate government regulations.

Standards

The highest standards of professionalism and quality are essential for caregivers and systems. This must be supported by thorough training, appropriate supervision and fair compensation.

Coordination

Systems should coordinate services for people with multiple needs that change over time, providing a seamless continuum of care.

Efficiency

Incentives and controls in public and private programs must maximize quality and control costs.