Long-Term Care

This document is the result of an 18-month process undertaken by the Alaska Commission on Aging to include the elder/senior communities of Alaska for input on the direction of senior services. Alaska’s state plan draws on values of respect, cultural-sensitivity, and dignity. The plan lists the different Older Americans Act programs implemented in Alaska with descriptions. Some of these are home and community-based services and the nutrition, transportation, and support services grant programs.

This document lays out the State of Alabama’s plan on aging in accordance to Older Americans Act requirements. The plan describes the mission and strategies of the Alabama Department of Senior Services (ADSS) and how it plans to coordinate supportive services given funding restrictions. The FY11-12 plan has its goals promoting independence for its aging population and enabling seniors to remain in their homes via home and community-based services.

This Fact Sheet highlights some of the most important features of the Older Americans Act in providing quality home care. Some areas of the OAA that are covered include supportive services, nutrition services, caregiver support services, the Senior Community Service Employment Program, the Long-Term Care Ombudsman program, and funding for OAA services.

This policy brief gives background information on what Managed Care is and how it can be used as a model that promotes Medicaid savings. The brief discusses the different factors for success and the quality standards for Medicaid Managed Care.

This report serves as a follow-up to the 1995 Institute on Medicine (IOM) report which argued for an ombudsman program to address the quality of care in long-term institutional settings. This study investigates the role and effectiveness of the State Long-Term Care Ombudsman Programs (LTCOPs) in improving care. Surveys with all states/territories reveal new findings on the structure of the program in different states as well as their own perceived effectiveness. Comprehensive data and analysis.

This study examines the specific capacities that state Medicaid agencies need to monitor the performance of managed LTSS (MLTSS) programs. It sought to identify promising practices in state oversight as well as the monitoring capacities that should be in place when states begin to implement new or expanded MLTSS programs. Lessons were drawn from oversight practices in eight states (AZ, MA, MN, NM, NY, TN, TX, WI) that have many years of experience operating and overseeing MLTSS.

Review additional discussion of assisted living and residential care in the states, and learn more detailed data on assisted living and residential care capacity. Assisted living and other residential settings represent a critical component of the LTSS system for older adults who cannot live alone, but do not require the skilled care provided by nursing homes. In 2010, states reported a total of 51,367 licensed residential care settings with a total capacity of 1,233,690 beds.

What are the fundamental principles of caregiver assessment and why do assessments have an important role in a high-performing long-term services and support system? Caregiver assessment is a systematic process of gathering information about a caregiving situation to identify the specific problems, needs, strengths, and resources of the family caregiver, as well as the ability of the caregiver to contribute to the needs of the care recipient.

This report summarizes the progress of Money Follows the Person (MFP) grant programs in 33 states and the District of Columbia. MFP grants support state efforts to help individuals living in institutions move to home and community based services (HCBS). The document examines numbers of people who transitioned, reinstitutionalization rates, achievement of spending goals on Medicaid HCBS, and major accomplishments and implementation challenges.

This invitational symposium, sponsored by the Hilltop Institute, aims to examine the status of LTSS integrated record systems, prospects for future development, and ways to ensure that this new source of information is available to those who need it most. Electronic health record research and development, as well as government and private funding, is ubiquitous. Not so well-attended is the need to modernize, standardize, and integrate non-medical services records in the LTSS sector.