Care Management

22 publications found.

With a Little Help From My Friends and Family: Transportation and Caregiving Hours

05/25/2022

Using data from Round 7 of the National Health and Aging Trends Study (NHATS) and the linked National Survey of Caregiving (NSOC; n = 1054 dyads), this study explored how caregiver transportation assistance and care recipient driving frequency are associated with caregiving hours. Results indicated integrated supports and greater accessibility to transportation services may decrease time spent caregiving.Journal of Applied Gerontology. https://doi.org/10.1177/07334648221089624Publication is...

  • Care Management
  • Caregiving/Families
  • Transportation

Facility and family communication during the COVID-19 visit restriction: Early perspectives of family members

08/23/2021

This study implemented an online survey of family members or friends of residents in long-term care facilities (LTCFs) from April 28 to June 19, 2020, using convenience sampling. A total of 174 responses nationwide reported the types of communications used, frequency of communication and alternative visits, and whether respondents had peace of mind, would recommend the facility, or were considering removing the resident from the facility. The results of the hierarchical logistic regression...

  • Care Management
  • Caregiving/Families
  • Long-Term Care Facilities
  • Program Evaluation

"It's been a whole new world": Staff perceptions of implementing a person-centered communication intervention during the COVID-19 pandemic

05/01/2021

The coronavirus disease 2019 (COVID-19) has challenged the way nursing homes deliver person-centered care (PCC). Preferences for Activity and Leisure (PAL) Cards are a tool to communicate residents' important preferences to staff.

  • Care Management
  • Case Studies/ Qualitative Research
  • Long-Term Care Facilities

Promising Practices in Adult Guardianship in Ohio

05/11/2020

This research brief highlights innovative strategies used by five Ohio counties to address common challenges in adult guardianship.

  • Aging and Developmental Disabilities
  • Care Management
  • Legal/ Advocacy
  • Long-Term Care Decision Making

Lucas County Adult Guardianship Assessment Report

02/01/2020

In 2019, Scripps Gerontology Center was contracted by the Lucas County Guardianship Exploratory Committee to assess adult guardianship service needs in Lucas County, Ohio. This report and accompanying research brief present findings from a community assessment of current guardianship services and needs in Lucas County, a review of existing guardianship operations utilized in comparably-sized Ohio counties, and recommendations for improving guardianship services in Lucas County.

  • Aging and Developmental Disabilities
  • Care Management
  • Legal/ Advocacy
  • Mental Health

Delivering Person-Centered Care: Important preferences for recipients of long-term services and supports

02/05/2018

Although assessing individual consumer preferences is important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are important to a majority of consumers receiving long-term services and supports.

  • Care Management
  • Home and Community Based Services
  • Long-Term Care Decision Making
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other
  • Quality Assurance

Ohio Guardianship, Guardians, and the Courts: Findings from a Survey of Adult Guardianship in Ohio

08/28/2017

This report highlights findings from a survey of the guardianship practices of Ohio’s probate courts. In a first of its kind survey, this study examined the challenges faced by the probate courts in managing guardianships, the resources used to support guardians and persons under guardianship, and the promising practices that have emerged as courts work to help persons under guardianship live a high-quality life and to help guardians be successful in executing their responsibilities.

  • Aging and Developmental Disabilities
  • Care Management
  • Long-Term Care Decision Making

Honoring nursing home resident preferences for recreational activities to advance person-centered care

02/16/2016

Nursing homes are embracing person-centered care, an approach that emphasizes “knowing the person” and honoring each individual’s preferences. As providers shift toward person-centered care, they need timely, efficient tools and methods to gauge whether they are meeting consumer preferences and to identify areas in need of improvement. The Preference Match Tracker is a new tool that measures alignment between resident preferences and recreational activities. The Preference Match Tracker can...

  • Care Management
  • Long-Term Care Facilities

Healthcare preferences of nursing home residents: Perceived barriers and situational dependencies

02/01/2016

While much research has examined end of life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday healthcare. The present study conducted interviews with 255 residents recruited from 35 NHs. Content analysis identified barriers (hindrances to the fulfillment of resident preferences) and situational dependencies (what would make residents change their mind about the importance of these preferences) associated with preferences for utilizing...

  • Care Management
  • Mental Health

"We can't provide season tickets to the opera": Staff perceptions of providing preference based person centered care.

10/23/2015

Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning. The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents’ preferences and reasons why staff feel residents change their minds about preferences. Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing...

  • Care Management

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

"Make me feel at ease and at home" Differential care preferences of nursing home residents

04/15/2015

Assessing and honoring older adults’ preferences is a fundamental step in providing person-centered care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents’ everyday preferences. However, little is known about how residents interpret and conceptualize their preferences and what specific clinical response may be needed to balance health and safety concerns with preferences. Results contribute to an emergent body of...

  • Care Management
  • Long-Term Care Facilities

The consistency of self-reported preferences for everyday living: Implications for person centered care delivery

10/01/2014

Preferences are the expression of an individual's basic psychosocial needs and are related to care outcomes. The current study tested the consistency of 87 individuals' everyday preferences over 1 week, comparing responses of nursing home residents (n = 37; mean age = 82) and university students (n = 50; mean age = 20). Participants completed the Preferences for Everyday Living Inventory at baseline and 5 to 7 days later. Preference consistency was calculated three ways: (a) correlations (range...

  • Care Management
  • Chronic Illness/ Disability

New toolkit to measure quality of person-centered care: Development and pilot evaluation with nursing home communities

09/15/2014

The purpose of this article is to report on the development of the concept and measurement of preference congruence among NH residents (phase 1), its refinement into a set of quality indicators by Advancing Excellence in America's Nursing Homes (phase 2), and its pilot evaluation in a sample of 12 early adopting NHs prior to national rollout (phase 3). The recommended toolkit for providers to use to measure PCC consists of (1) interview materials for 16 personal care and activity preferences...

  • Care Management
  • Research Methods

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

Identifying naturally occurring retirement communities: A spatial analysis

06/23/2014

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. Data were derived from the 2000 and 2010 census tracts. Geovisualization was used to visually examine the distribution of NORCs in 2000 and 2010. Global Moran's I was used to quantify the spatial distribution...

  • Care Management
  • Legal/ Advocacy

The Nursing Home Five Star Rating: How does it compare to resident and family views of care?

05/21/2014

In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States. These star ratings have been widely publicized both by CMS and the national and state media. Although the components of the star rating system take into account various dimensions of quality, satisfaction of nursing home residents and their families is not taken into consideration. The current study compares the CMS star rating system to nursing home...

  • Care Management
  • Long-Term Care Facilities

'It depends': Reasons why nursing home residents change their minds about care preferences

05/09/2014

This study aims to understand and describe nursing home residents’ perspectives on why the importance of their preferences may change in daily care. Secondary data analyses of cognitive interviews with 39 cognitively capable nursing home residents regarding their importance of preferences for everyday living were completed. Findings indicate that nursing home residents’ preferences may change in importance or fulfillment in relation to personal or environmental circumstances. In order to...

  • Care Management
  • Demographics

Application of the model of allostasis to older women’s relocation to senior housing

04/16/2014

Adjustment to senior housing entails significant lifestyle changes and is a stressful process. The adaptation process is dynamic and has yet to be studied using the conceptual model of allostasis. This article presents exemplars of women whose profiles represent three allostatic states: successful adaptation (homeostasis), ongoing adaptation (allostasis), and maladaptation (allostatic load). Coping abilities, perceptions of stressors, and cortisol measures provide a detailed picture of the...

  • Care Management
  • Case Studies/ Qualitative Research

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

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

Case Managers' Perspectives on Consumer Direction

09/13/2006

From S.R. Kunkel & V. Wellin (Eds.)(2006). Consumer Voice and Choice in Long-Term Care© Reproduced with permission of Springer Publishing Company, LLC, New York, NY 10036Full Report (PDF 54KB)

  • Care Management