Home- and Community-Based Services

37 publications found.

Multiple chronic conditions and hospitalizations among recipients of long-term services and supports

12/15/2016

Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period...

  • Chronic Illness/ Disability
  • Home and Community Based Services
  • Long-Term Care - Other

Expanding Self Direction and Its Impact on Quality

10/18/2016

The premise of this paper is that self-direction has impacted service and system design and approaches to quality. Admittedly, the system still strives to improve, but it has made major advances over the past two decades, and some of these important changes we believe were inspired by the development and expansion of self-direction.Public Policy Aging Report, 26 (4), 138-142. doi:https://doi.org/10.1093/ppar/prw022Publication available online, subscription may be required.

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

How Does Medicaid Reimbursement Impact Nursing Home Quality? The Effects of Small Anticipatory Changes

09/01/2016

In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels. This study examines the impacts of this policy change on quality. We examine resident outcomes constructed from the Minimum Data Set, deficiency citations, staffing levels, and satisfaction scores for residents and families as measures of quality. Nursing homes in the group receiving increased reimbursement showed an increase in nursing and nursing aide staffing levels....

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Opening Minds through Art For One (OMA41): Direct Care Workers and Volunteers as Creative Arts Facilitators of Older Adults

01/30/2016

This brief describes the pilot implementation and evaluation of OMA For One (OMA41). OMA41 is an adaptation of Opening Minds through Art (OMA), a visual arts program for elders with cognitive impairments. OMA41 is conducted one on one, rather than in a group setting and uses direct care workers or volunteers as facilitators.

  • Aging and Developmental Disabilities
  • Arts and Aging
  • Families/Caregiving
  • Home and Community Based Services
  • Long-Term Care - Other

Factors associated with changes in perceived quality of life among elderly recipients of long-term services and supports

01/01/2016

The objective is to advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in...

  • Home and Community Based Services
  • Long-Term Care Facilities

Factors Associated with Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports

09/26/2015

The study is based on a prospective, observational, longitudinal cohort design, with 470 older adults from nursing homes, assisted living facilities and community as participants. Single-item quality-of-life measure assessed every 3 months over 2 years. Health related quality of life (HRQoL) domains of emotional status, functional status, and social support were measured using standardized instruments. Findings advance knowledge regarding what is arguably the most important outcome of elderly...

  • Home and Community Based Services
  • Long-Term Care - Other
  • Research Methods

Identifying naturally occurring retirement communities: A spatial analysis

06/23/2015

Guided by the concept of “aging in place” and potential policy implications, the study analyzed naturally occurring retirement communities (NORCs; 40% or greater house owners and renters aged 65 years and older) and whether there were spatiotemporal patterns in Ohio between 2000 and 2010. Locating NORCs could aid governments to create “aging in place” sensitive policies to address issues of independence, social care, health care, volunteerism, and community participation.Journals of...

  • Aging Network
  • Care Management
  • Home and Community Based Services

The Road to Balance: Two Decades of Progress in Providing Long-Term Services and Supports for Ohio's Older Population

06/15/2015

This report documents two decades of progress in delivering long-term services in Ohio. In 1992, more than nine of the 10 older people in Ohio supported by Medicaid were in nursing homes. Today, the ratio is approaching 50/50. This study, now in its 22nd year, is designed to provide Ohio policy makers, providers and consumers with the information needed to make good decisions in an effort to ensure that Ohio has an efficient and effective long-term services and supports systemFull Report (PDF -...

  • Aging Network
  • Families/Caregiving
  • Home and Community Based Services
  • Long-Term Care Decision Making
  • Long-Term Care Facilities
  • Long-Term Care - Other

2014 Title VI Survey Results

05/20/2015

This research record highlights the findings from a national survey of the Title VI Organizations (TO). Findings highlight TOs' connection to the larger tribal infrastructure, key features and services of the TO programs, innovative care delivery, elder abuse prevention and intervention, expanding services and sustainability, and training and technical assistance needs.

  • Aging Network
  • Home and Community Based Services

Long-Term Care Management Turns 40: What We Know and What We Don’t

09/02/2014

This article focuses on care management with older people experiencing chronic disability. Care management, including a systematic assessment, arrangement and coordination of services, and monitoring the quality of the consumer experiences, has become a core element of the home and community-based delivery system. In addition, private care management has developed for individuals and families who have the necessary income to purchase their own services, but who still need assistance in...

  • Care Management
  • Chronic Illness/ Disability
  • Home and Community Based Services
  • Long-Term Care Decision Making

The evolution, innovation, and future of Area Agencies on Aging

07/01/2014

More than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older adults living in every community in the United States. But they face more competition for resources and steeper increases in numbers of constituents than ever before. AAAs are addressing these challenges by expanding the types of consumer groups they serve, working with a wider range of partner organizations, establishing new connections with medical communities, creating business plans, and...

  • Business/Economics of Aging
  • Home and Community Based Services

Everyone’s Talking About It, But Does It Work?

10/16/2013

In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). This research tracked outcomes for consumers and evaluated the implementation of the new program. An agency-level process analysis...

  • Business/Economics of Aging
  • Home and Community Based Services
  • Long-Term Care Decision Making

Leveraging Resources between the Senior Community Service Employment Program and the Long-Term Care Ombudsman Program

06/28/2013

The project sought to determine the role the Senior Community Service Employment Program (SCSEP) might play in supporting the Long-Term Care Ombudsman program in their expanded role in the HOME Choice transitions program. This report describes potential responsibilities of the SCSEP program participant and suggested training to carry out those duties. Full Report (PDF 1.8MB)

  • Home and Community Based Services
  • Long-Term Care - Other
  • Workforce Issues

2011 Title VI Native American Programs Survey Results

03/01/2012

Summary of a survey conducted in 2011 of Title VI (Native American Organizations) to assess role of Title VI programs in offering services and supports to the elders in their communities. Over 80% of Title VI programs responded. Results describe demographic structure and characteristics, services provided and programs offered to ensure elders can age with independence in their homes and communities.*Note: An updated version of this document was made available on April 7, 2014. Figure 2 was...

  • Aging Network
  • Home and Community Based Services

Coming of Age: Tracking the Progress and Challenges of Delivering Long-Term Services and Supports in Ohio

06/07/2011

In a 16 year tracking of utilization trends for institutional and home and community-based services, we learned that Ohio has made considerable change in its approach to delivering and funding long-term care services. The main finding revealed that now more than four in ten older people with severe disability on Medicaid received assistance in a non-institutional setting.Full Report (PDF 523KB)Research Brief (PDF 2.7MB)

  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Right Place, Right Time, Right Care: An Evaluation of Ohio's Nursing Home Diversion and Transition

06/01/2011

In 2010 the Ohio General Assembly asked the Ohio Department of Aging to develop and implement a nursing home diversion and transition initiative. Research showed that 3800 Ohioans were diverted or transitioned during the project period and the majority were residing in the community six months later.Full Report (PDF 870KB)Research Brief (PDF 870KB)

  • Aging Network
  • Care Management
  • Home and Community Based Services

Ohio's Aging Network Efforts to Enhance Nursing Home Diversion and Transition

04/01/2011

This brief report provides preliminary results from an evaluation of Ohio's diversion and transition demonstration program.Research Brief (PDF 5MB)

  • Aging Network
  • Home and Community Based Services

Locally Funded Services for the Older Population: A Description of Senior-Service Property-Tax Levies in Ohio

01/01/2011

*If you downloaded the full report "Locally Funded Services for the Older Population: A Description of Senior-Service Property-Tax Levies in Ohio" prior to March 13 at 1:30 p.m. THERE WAS AN ERROR IN TABLE 1: Carrol County's 'Per Capita' levy amount should have been $24 not $245. The error has been corrected and you may download it below by clicking "Download Full Report (PDF 28 pages)".Updated 07/09/2012: Full report corrected to show the levy passage date in Washington county as 2001.Full...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

AAA Caregiving Survey Results

06/30/2010

AAA Caregiving Survey Results summarizes the results of a mini survey of the nations 629 Area Agencies on Aging (AAA) on the support they provide to family caregivers. Over 57% of AAAs responded to the survey and the results highlight the characteristics of AAA caregiving programs, services offered, numbers of caregivers enrolled in AAA programs and the training and technical assistance needs of the AAAs.Research Record (PDF 600KB)n4a Report (PDF 400KB)

  • Aging Network
  • Home and Community Based Services

2009 Title VI Survey Results

05/30/2010

The survey was designed to access the role of Title VI Native American programs in  offering services and supports to the elders in their communities. In particular the survey explored how Title VI programs view their roles in the following areas: 1) Person-Centered Access to Information, 2) Evidence-Based Disease Prevention and Health Promotion, and 3) Enhanced Nursing Home Diversion Services.Survey Results (PDF 869KB)

  • Aging Network
  • Home and Community Based Services

Disability in Ohio: Long-Term Care Providers and Programs

06/28/2009

To obtain information concerning the cost and to order printed copies of the full report, contact Scripps Gerontology Center at: 513/529-2914 or scripps@miamioh.edu. 

  • Aging and Developmental Disabilities
  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care - Other

Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges

05/03/2009

This report details trends in Ohio long-term care service utilization over 14 years. It also provides information about the characteristics of those in different settings such as PASSPORT, nursing homes, and residential care facilities. Recommendations for Ohio’s long-term care system are included.Full Report (PDF 250KB)Research Brief (PDF 325KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Consumer Direction in Ohio: Findings From Two Demonstration Projects

03/22/2009

This report provides findings from evaluations of two consumer-directed home care programs. Results suggest consumer direction provides a good alternative to agency-managed home care services. (Funded by the Ohio Long-Term Care ResearchProject.)Full Report (PDF 177KB)Research Brief (PDF 107KB)

  • Home and Community Based Services

Disability in Ohio: Long-Term Care Providers and Programs

01/28/2009

This report describes the range of options used in Ohio’s long-term care system. For each provider or program, we report the eligibility requirements, consumer characteristics, capacity, utilization rate, average monthly cost of care, and major payers for services. The programs and providers include Medicaid waiver programs, nursing facilities, adult day service providers, residential care or assisted living facilities, intermediate care facilities for persons with mental retardation, and...

  • Aging and Developmental Disabilities
  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care - Other

Consumer Directed Services

04/15/2008

With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with Scripps Gerontology Center to conducted the 2007 Aging Network Survey of all Area Agencies on Aging and Title VI Native American programs in the nation. The survey was designed to assess AAA and Title VI involvement in services and programs consistent with AoA’s Choices for Independence. As part of the 2006 reauthorization of the Older Americans Act (OAA), this...

  • Home and Community Based Services

Evolution of the Aging Network: Modernization and Long-Term Care Initiatives

03/11/2008

This article examines how the aging network has evolved since its inception, mandated by the Older Americans Act of 1965. It explores the broadened mission of the network and the progress being made to modernize long-term care. The article also includes findings from a national survey of area agencies on aging (conducted through a partnership between the National Association of Area Agencies on Aging and the Scripps Gerontology Center) that help describe the nature of the aging network and its...

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Developing Specifications for the Competitive Bidding of Intake, Assessment & Case Management Services

03/10/2008

This report provides information about the elements of case management, intake, and assessment programs that are often specified in current standards or bid specifications. Observation of current practices, a literature review, and key informant interviews were used to develop recommendations for the Council on Aging of Southwestern Ohio to develop bid specifications for the Butler County ESP.Full Report (PDF 194KB)

  • Care Management
  • Home and Community Based Services

Ohio's PASSPORT Providers

09/16/2007

This report provides findings from a mailed survey of providers of adult day, home-delivered meals, personal care, and transportation services. Results show that those who provide the best pay and benefits for staff also have the lowest proportion of PASSPORT clients.Research Brief (PDF 406KB)

  • Home and Community Based Services

PASSPORT Consumer Eligibility

06/21/2007

This report examined the PASSPORT population for nursing home level of care and Medicaid financial eligibility. In addition, factors impacting length of stay in PASSPORT and transfer to nursing home are explored.Full Report (PDF 355KB)Research Brief (PDF 100KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

PASSPORT Assessment and Services

06/08/2007

The purpose of our evaluation component was to determine the effectiveness of the PASSPORT assessment process in ensuring that PASSPORT consumers are supported in making informed choices about long-term care; and whether the service plans developed for enrolled PASSPORT consumers are based on the assessed needs of and the informed choices made by the consumer.Full Report (PDF 158KB)Research Brief (PDF 125KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Program Evaluation of PASSPORT: Ohio's Home and Community-Based Medicaid Waiver

05/15/2007

The goal for the evaluation of the PASSPORT program was to determine whether the program is providing efficient and cost-neutral services as an alternative to facility-based long-term care, and to assess the extent to which the program complies with the assurances Ohio agreed to in its waiver application. Although findings and recommendations are discussed briefly in this report, they are covered in greater detail in the six topical reports that support this document. See the following reports:...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

PASSPORT Cost Neutrality

05/10/2007

This report explores the costs of caring for a person age 60 and older in the community (through PASSPORT) versus caring for a person age 60 and older in a nursing home. Medicaid costs and all other public program costs are taken into consideration in this study.Full Report (PDF 286KB)Research Brief (PDF 103KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

PASSPORT Evaluation: Accountability for Finances, Compliance, and Fairness

05/09/2007

This research is an evaluation of the mechanisms and processes in place to assure that PASSPORT funds are managed properly and procurements are undertaken in a fair and open manner.Full Report (PDF 147KB)Research Brief (PDF 304KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

PASSPORT Quality Assurance and Quality Management

05/09/2007

This report addresses findings related to the quality standards of the PASSPORT program. Although all evaluation components address aspects of quality assurance and improvement, this study addressed issues regarding the safety and welfare of program participants and the congruence of the PASSPORT program with the CMS Home and Community-Based Service Quality Framework. Findings show that there are numerous structures and processes in place to safeguard program participants. In addition, a strong...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Providing Quality Home and Community-Based Services Through PASSPORT

05/02/2007

This report is part of a larger evaluation of Ohio's PASSPORT Program. It examines issues of provider tenure, provider certification, and provider quality assurance. Data were collected in focus groups, interviews, and a mailed survey.Full Report (PDF 1.3MB)Research Brief (PDF 409KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

An overview of Ohio's In-Home Service Program for Older People (PASSPORT)

05/11/2005

This research presents an overview of Ohio's Medicaid waiver program, known as PASSPORT, which serves Ohioans who are 60 years and older, who are chronically disabled, and who meet the eligibility criteria for nursing home care.

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Profiles of Choices consumers

03/18/2005

Profiles of Choices Consumers describes the demographics of consumers who choose to enroll in the Choices program

  • Home and Community Based Services