Transfer from a home and community-based long-term care program to a nursing home: the Ohio experience

ABSTRACTAs the demand for home care services increases, health care agencies should be able to predict the intake capacity of community-based long-term care (CBLTC) programs. Two hundred and thirty-seven clients entering a CBLTC program were assessed for activities of daily living (ADL) and cognitive and affective functioning and were then followed to monitor attrition and reasons why clients left the program. Compromised ADL functioning at baseline increased likelihood of death and institutionalization by 2 per cent each year. Over a 10-year period, reduced cognitive functioning at baseline increased the risk of death by 9 per cent and decreased the likelihood of leaving the program due to improvement by 18 per cent. Reduced affective functioning at baseline increased the risk of institutionalization during the course of the study by 3 per cent. Routine functional assessments with the elderly may help in the management of similar home care programs.

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A Randomized Trial of Two Quality Improvement Strategies Implemented in a Statewide Public Community-Based, Long-Term Care Program

Medical Care ◽

10.1097/01.mlr.0000083744.77092.32 ◽

2003 ◽

Vol 41 (9) ◽

pp. 1048-1057 ◽

Cited By ~ 10

Author(s):

Eleanor D. Kinney ◽

John Kennedy ◽

Cynthia A. Loveland Cook ◽

Jay A. Freedman ◽

Kathleen A. Lane ◽

...

Keyword(s):

Quality Improvement ◽

Randomized Trial ◽

Long Term Care ◽

Care Program ◽

Community Based ◽

Term Care ◽

Improvement Strategies

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Predictors of Nursing Home Placement in Community-Based Long-term Care

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1995.tb07046.x ◽

1995 ◽

Vol 43 (7) ◽

pp. 761-766 ◽

Cited By ~ 85

Author(s):

Ichiro Tsuji ◽

Sarah Whalen ◽

Thomas E. Finucane

Keyword(s):

Nursing Home ◽

Long Term Care ◽

Nursing Home Placement ◽

Community Based ◽

Term Care ◽

Home Placement

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Factors Explaining State Differences in Applying for a Recent Long-Term Care Program that Promotes Aging in Place: Perspectives of Medicaid Administrators

Journal of Applied Gerontology ◽

10.1177/0733464820924510 ◽

2020 ◽

pp. 073346482092451

Author(s):

Esther M. Friedman ◽

Regina A. Shih ◽

Sangeeta C. Ahluwalia ◽

Virginia I. Kotzias ◽

Jessica L. Phillips ◽

...

Keyword(s):

Long Term Care ◽

Aging In Place ◽

Care Program ◽

Community Based ◽

Term Care ◽

Incentive Program ◽

Policy Goals ◽

Services And Supports ◽

Community Based Services

Older adults in need of assistance often prefer to remain at home rather than receive care in an institution. To meet these preferences, Medicaid invited states to apply for the Balancing Incentive Program (BIP), a program intended to “rebalance” Medicaid-financed long-term services and supports to Home- and Community-Based Services (HCBS). However, only about half of eligible states applied. We interviewed Medicaid administrators to explore why some states applied for BIP whereas others did not. Supportive state leadership and the presence of other programs supporting community-based care were positively related to BIP application. Opposing policy priorities and programs competing for similar resources were negatively related to BIP application. Because states most likely to apply already had policy goals and programs supporting HCBS, BIP may inadvertently widen disparities across states, pushing those on the margins ahead and leaving the ones that are worst off in HCBS support to fall even further behind.

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A Comparison between the Veteran Administration's Long-Term Nursing Home Care Program and Three Examples of Similar Care Outside of the V.A.

The International Journal of Aging and Human Development ◽

10.2190/hyxw-wp50-lf5e-v8rv ◽

1981 ◽

Vol 13 (1) ◽

pp. 61-69 ◽

Cited By ~ 1

Author(s):

William M. Epstein

Keyword(s):

Nursing Home ◽

Home Care ◽

Nursing Care ◽

Long Term Care ◽

Care Program ◽

Nursing Home Care ◽

National Academy Of Sciences ◽

Term Care

In a study mandated by Congress, the National Academy of Sciences reviewed the quality of medical care in the Veteran's Administrations health care system. The study reported here summarizes the findings of the long-term care portion of the NAS' work as it relates to nursing home care. The quality of the long-term care in the VA's nursing home care units was compared to three quality standards of long-term nursing care outside of the VA. Staffing pattern, quality of services, quality of the environment, and patient needs were measured and compared; overall assessments of nursing home quality were made by site visitors. Generally, the results show VA care to be superior to the care provided in the benchmark institutions, suggesting perhaps that the public sector's direct provision of long-term nursing care may be an acceptable alternative to the support of private sector care.

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