Quality

This is a report on the lifelong disparities that exist among older American Indian (AI) and Alaska Native (AN) populations when compared to the general United States population of older adults. The report includes a definition of who falls into the category of American Indian, identifies where these populations generally live in the U.S., and compares AI/ANs generally with the rest of the population of older adults and also specifically compares health coverage.

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

To mark the 25th anniversary of the Americans with Disabilities Act, The Association of University Centers on Disabilities (AUCD) and the American Association on Intellectual and Developmental Disabilities (AAIDD) released a memo and report on the status of community living over the past 50 years. The report uses these findings to offer recommendations for improvement of services, access, opportunity, and support for for the next 25 years.

In honor of the 25th anniversary of the Americans with Disabilities Act (ADA), this annual report focuses on how the ADA and other federal legislation has been implemented by five different state and local agencies. The report examines employment, education, health care, transportation, and housing to demonstrate the importance of the federal legislation and disability advocates. The report also offers recommendations to inform policymakers on changes to be made in the future legislation.

This is an annual report from United Cerebral Palsy that uses a set of key indicators to investigate data and outcomes of the community living standards for individuals living with intellectual and developmental disabilities in the United States. The findings from this report can inform policymakers and advocates on improvements and changes to ensure the best quality of life for individuals with intellectual and developmental disabilities.

Through collaboration with the Universities of Minnesota, Colorado, and Massachusetts, this report focuses on the services and supports for individuals with I/DD in the U.S. territories. The first long-term data collection focuses on collecting, tracking, and analyzing services to provide information to improve and increase productivity, independence, integration, and inclusion of people with I/DD into their communities.

The U.S. Department of Health and Human Services report and the white paper commissioned by the National Interprofessional Initiative on Oral Health both examine the wide disparities in oral health due to lack of access. The U.S. fails to provide proper access for ongoing and preventative oral health care needs. A push must be made to integrate dental care as a component of primary care. There is also a focus on the impact and burden of oral diseases and their effect on quality of life.

The second annual report to Congress examines the services utilized by Medicaid's behavioral health beneficiaries. The findings indicate that low-income children have high levels of unmet need in the mental health care arena. Additionally, the review of Medicaid's dental coverage found considerable variation between states, particularly for services provided to adults. The report findings illustrate the potential directions for change to improve care for beneficiaries.

This final report shares results from the 2014 pilot of the National Core Indicators-Aging and Disabilities (NCI-AD) Consumer Survey in Georgia, Minnesota, and Ohio. The results are sorted by state and funding source within the state. Since the goal of the pilot was not to compare these states, but instead to test and refine the NCI-AD Consumer Survey, the three states are not identified in the report; they are simply referred to as State 1, State 2, and State 3.

This report brings together available evidence on the effect of PACE on several key outcomes: Medicare and Medicaid costs, hospital and nursing home utilization, quality of care, satisfaction and quality of life, and mortality. The authors summarize findings from past studies and assess their methodological approach. They improve on these earlier evaluations by conducting a more detailed review of the studies, as well as a more rigorous assessment of the quality of evidence presented in each.