Long-Term Care

This report studied assisted living in California, Florida, Ohio and Oregon through mail surveys from assisted living facilities, evaluating marketing materials for clarity and completeness, and interviewing state officials and reviewing state statutes and policy manuals.

Oregon Statute authorizing coordinated home and community based care for seniors and people with disabilities.

A home and community-based services program in Ohio is using electronic communication between case managers and providers to streamline identification of service providers for program participants. Program staff have found electronic communication greatly reduces the time required to find available providers when compared with telephone or fax communication. This report explores the interventions, implications, and impact of using electronic communication.

This report provides an overview of the activities of the Nursing Assistant Institute. The Nursing Assistant Institute was created to develop and implement enduring solutions to the nursing assistant shortage in central Virginia. The report looks at the activities and impact of this program.

This issue introduces long-term care providers to peer mentoring, an innovative strategy that has been shown to significantly improve retention among direct-care workers. Implementing peer mentor programs at home care agencies and in nursing facilities, we identify the benefits of mentoring programs, define the peer mentor’s role, discuss critical mentoring skills, & outline the key design elements that long-term care organizations need to consider when developing their own peer mentor programs.

This report describes how the State of South Carolina is addressing a problem of inconsistency between an individual’s needs and the service plans developed to meet identified needs. South Carolina added a feature to its automated Case Management System that reminds case managers of needs identified in the assessment that may potentially be included in the service plan. The report details the interventions, implications, and impact of this automated system.

This report provides a description of Vermont’s home and community based service system. Details on the state’s programs are provided. Services include attendant, adult day, housing, and homemaker programs.

This presentation provides an overview of Illinois' Supportive Living Program and why has it been such an effective production model. The presentation also includes an explanation of assisted living and long-term care options, information about the financial perspective, and eligibility information.

This summary was prepared by Robert Mollica based on a site visit to the state of Washington in April 2003 organized by the Rutgers Center for State Health Policy/National Academy for State Health Policy Technical Assistance Exchange Collaborative. Thirteen representatives from Nursing Home Transition Grantees from Alaska, California, Delaware, Indiana, Maryland, Massachusetts and New Jersey participated in the site visit.

The District of Columbia is seeking to expand the availability of home and community-based services (HCBS) for the aged and adults with physical disabilities.The Disability and Aging Resource Center will represent a cost to the District in the immediate short-term, however the Center is expected to have cumulative savings by FY 2005. This file is a complete fiscal impact statement for this project.