Aging/Older Adults

This study evaluates the efficacy of applying standard market study methodologies and benchmarks for assisted living to rural markets and identifies factors that may contribute to the success of assisted living residences in rural markets. Written as part of the Coming Home Program, this publication offers ideas about how states with comparable policy environments should make allowances for more acute resident profiles, a more Medicaid-based payment mix, and higher market capture rates.

Over the last eight years, federal, state, and local governments have re-envisioned how to deliver and pay for an ever-growing caseload of elderly individuals and persons with disabilities who need services at home, in the workplace, or in more costly nursing facilities. This discussion provides a vision and a context for HCBS reform consistent with CMS’ vision for reforming post-acute care that focuses on addressing system barriers and informing and empowering health care consumers.

This paper explores the various participant-direction models, existing quality management strategies, and the potential for change that allows participant-directed quality management systems to remain true to the core values they were founded upon. Participant-directed programs face unique challenges in meeting federal requirements while remaining faithful to the principles of participant-direction. Well-defined roles and responsibilities are essential and will directly influence the design.

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The Compendium contains basic information about each of the Real Choice Systems Change Grantees receiving awards in FY 2004. It includes information for the Family-to-Family and Systems Transformation Grantees who received awards in FY 2005 and FY 2006 plus the Person-Centered Planning Implementation awards in FY 2007. It is divided into sections corresponding to the different types of grants and year of award; the report helps Grantees identify others with similar goals and activities.

The Iowa Dept. of Elder Affairs was seeking proposals for development of two local ADRC pilot projects to provide a coordinated system of information and access in order to minimize confusion, enhance individual choice and support informed decision-making. Core functions include planning, collaboration, long-term services, supports & options counseling. Proposals were due on 3/20/08. Use this RFP as an example in developing similar products.

The Pierce County ADRC in Washington State uses this Memorandum of Understanding (MOU) with its partners to establish collaborative, mutual agreements. Included in the MOU are project descriptions, goals and services explanations, mutual agreement terms, including a requirement for cross-training, and confidentiality agreements.

NACDA’s mission is to advance research on aging by helping researchers to profit from the under-exploited potential of a broad range of datasets. NACDA acquires and preserves data relevant to gerontological research, processing as needed to promote effective research use, and disseminates and facilitates their use. Visit the website to search the electronic holdings, use their data analysis system and save your downloaded files. The site contains links, announcements and publications.

In what ways can the hospital discharge process divert institutional placements or trigger follow-up during the initial weeks following a nursing facility admission? This paper is intended to help states, ADRC pilot sites, or other community organizations to evaluate their options for establishing a hospital-based diversion program and, where appropriate, take steps toward implementing a successful program.

This report provides an overview of 33 states’ initiatives (FY02 CPASS and Real Choice Grantees) to improve their LTC systems and the enduring improvements achieved. It includes lessons learned and recommendations that can guide states that are undertaking similar initiatives. Grantees made enduring systems improvements in five major areas—many states in more. Virtually all agreed that prior to introducing new policies and programs, it is essential to obtain stakeholder buy-in and commitment.