Reports

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.

Cash & Counseling provides a flexible monthly allowance (based on the consumer’s care plan or claims history) that consumers can use to hire their choice of workers, including family members, and to purchase other goods & services. A demonstration was implemented in three states-Arkansas, Florida, & New Jersey. Based on their experiences, this paper draws lessons on designing & implementing a Cash & Counseling program, to provide information useful to states thinking of adopting such a program.

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.

This document is one of many that comprise the Aging and Disability Resource Centers Toolbox developed by the Rutgers/NASHP/ILRU Community Living Exchange Collaborative. The entire toolbox is available online at: http://www.nashp.org/_docdisp_page.cfm?LID=B788F7C5-9C83-432F-93D19930527F356F

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, Department of Health, Medical Assistance Administration is undergoing an effort to improve its ability to perform case and care management for the aging and disabled populations within the District. As part of this process, MAA is seeking to implement an information system that can support effective care management assessment and planning.

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.

This report summarizes information gathered and analyzed during State One of Contract #3353, the feasabillity study for providing access to health insurance for Personal Care Workers in the state of Vermont.

This report chronicles New Jersey's experience in order to assist policymakers in other states who need to meet their older adults' preferences for long-term care and, at the same time, to develop sustainable services and systems. Included is information on reforms to the long-term care system, stakeholder involvement, what successes arose, and what challenges remain. The report also makes recommendations for current New Jersey officials,policymakers, and their counterparts in other states.

This report is a product of collaboration between HHS and DOL in response to the requests from the U.S. Congress. Staff at these Departments worked collaboratively to share information and data pertaining to direct care workers in long-term care settings and to develop a joint set of recommendations for the future. This report includes information on informal caregivers, direct care workers, and paraprofessional direct services workers.