ASPE/DALTCP

This compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2004. This provides an overview of residential care and assisted living policy, a comparison of state’s policy in selected areas, and summaries of each state's regulations for residential care settings, including assisted living facilities.

This evaluation assesses the impact of the "Home Health Aide (HHA) Partnering Collaborative" -- a quality improvement initiative implemented at the Visiting Nurse Service of New York -- in three main areas: patient outcomes, patient service use and aide job perceptions and retention.

This paper was used as a handout at a workshop, held as a catalyst for DALTCP's major new initiative to study ways to expand consumer choice and empowerment in obtaining personal assistance services.

This paper reports the findings of a study to document and analyze selected best practices related to state administered home and community based services (HCBS) programs. Examination of the programs provided the context for examining two interrelated areas of policy interest: how states organize and deliver a range of HCBS within fixed budgets; and how eligibility determination, needs assessment, care planning and service authorization functions are structured and linked to one another.

This quality improvement project was developed and implemented at the Visiting Nurse Service of New York. The primary purpose of the Collaborative was to enhance quality of work life for home health aides while improving outcomes for home health patients. The Final Report examines three areas: patient outcomes; patient service use; aide job perceptions & retention. The Implementation Manual emerged out of the lessons learned from an evaluation of the agency-wide spread of tools and strategies.

The VNSNY HHA Partnering Collaborative was designed to better integrate professional and paraprofessional services and employ established principles of quality improvement to achieve two main goals: improving the quality of work life of home care paraprofessionals, and increasing nurses' and aides' support for patients' improvement in key ADLs. This brief describes the key components of the model, implementation challenges and successes, and the results and implications from the evaluation.