Home- and Community-Based Services in Ohio: 1993-2023
A snapshot of the long-term services and supports environment in Ohio based on a comprehensive analysis and survey responses.
Ian Matt Nelson • Oksana Dikhtyar • John R. Bowblis • Robert A. Applebaum
Home- and Community-Based Services in Ohio: 1993-2023
A snapshot of the long-term services and supports environment in Ohio based on a comprehensive analysis and survey responses.
Ian Matt Nelson • Robert A. Applebaum • John R. Bowblis • Oksana Dikhtyar
Attendance and Perceived Need for Caregiver Support Services: Implications for Emotional Wellbeing
This study explores the differences in emotional well-being associated with: attending caregiver support services and the perceived need for caregiver support services.
Tochukwu J. Okolie • Heather L. Menne
Impact of adult day service on long-term care placement: A scoping review
Cognitive decline and dementia account for the highest number of cognitive disabilities, functional limitations, chronic healthcare conditions, and long-term care needs among older adults aged 65 a...
Heather L. Menne • Kingsley C. Udeh
The National Survey of Older Americans Act Participants (NSOAAP) is collected for programs funded by Title III of the Older Americans Act (OAA; i.e., case management, congregate meals, home-deliver...
Heather L. Menne • Tochukwu J. Okolie
In the United States, long-term care providers, such as nursing homes and assisted living communities, are meeting consumer demand through housing and care options designed to support the growing p...
Amy E. Elliot • Heather L. Menne • Ian Matt Nelson • John R. Bowblis
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Molly Noble • Heather L. Menne • Sara J. McLaughlin
The Impact of Health Care Contracting on Community-Based Organizations
Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel • Isha Karmacharya
Most older Americans do not financially qualify for Medicaid and support provided through the Older Americans Act is quite limited.
Oksana Dikhtyar • Bailee Brekke • Leah M. Janssen • Robert A. Applebaum • Ian Matt Nelson
The Individualized Positive Psychosocial Interaction (IPPI) program is an adaptable, evidence-based intervention.
Miranda C. Kunkel • Katherine M. Abbott • Molly Noble • Alexis Talmage • Kimberly Van Haitsma
Association Between Self-Direction and Personal Care Aide Wages
The supply of personal care aides (PCAs), who assist people receiving home care, is a growing concern.
Susan A. Chapman • Miku Fujita • Denise A. Tyler
Successful Contracting Between CBOs and Health Care Entities
Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)
Bottoms Up: Local Support for Aging Services
An increasing population of older adults is one indicator of societal progress—a demographic shift that comes with both benefits and challenges to individuals, families, and communities.
Robert A. Applebaum • Bailee Brekke • Chelsea N. Goldstein
Family caregivers may be at particular risk for social isolation and loneliness.
Heather L. Menne • Claire Pendergrast
Increases in loneliness among Older Americans Act participants during COVID-19
Loneliness is increasingly understood as a public health crisis, and older adults are experiencing particularly severe impacts.
Jason W. Osborne • Claire Pendergrast • Heather L. Menne
The National Survey of Area Agencies on Aging: 2022 Results
The web-based survey was launched in September 2022 to all 616 AAAs.
Robert J. Graham • Suzanne R. Kunkel • Isha Karmacharya
This report shares the methods, instruments, and findings of an evaluation of dementia-capable community efforts in urban and rural Ohio regions.
Suzanne R. Kunkel • Jennifer Heston-Mullins (Jennifer L. Heston) • Oksana Dikhtyar
This report shares the methods, instruments, and findings of an evaluation of dementia capable community efforts in urban and rural Ohio regions conducted by Miami University’s Scripps Geront...
Jennifer Heston-Mullins (Jennifer L. Heston) • Suzanne R. Kunkel • Oksana Dikhtyar
A Profile of Home and Community-Based Services in Ohio
The report tracks the changes in home care use in the state over the past 30 years.
Ian Matt Nelson • Robert A. Applebaum • Oksana Dikhtyar • John R. Bowblis
People with long-term chronic conditions often struggle to access and navigate complex health and social services.
Bhushan Khatiwada • Shradha S. Parsekar • Sabuj Kanti Mistry • Saruna Ghimire • Uday Narayan Yadav • Grish Paudel • Ashmita Gurung
Greene County Council on Aging: 2021 Community Survey Findings
Read the survey results conducted to gain better understanding of the needs and interests of older Greene County residents. The Greene County Council on Aging partnered with the Scripps Gerontology...
Presentation - Choosing Home Care Services
We aim to set up the right home care service for you or your loved one and hope to bring you peace of mind.
Quanhong Cho Qiu
Some communities across the nation are utilizing alternative funding sources to better support home and community-based services for older adults.
Pamela S. Mayberry • Athena Koumoutzis • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston)
A Process Evaluation of Developing Older Adult Research Advisory Boards in Long Term Care Settings
Older adults residing in long-term care settings can contribute their lived experience to informing the development and implementation of programs, interventions, practices, and policies that affec...
Rachel Lessem • Darby J. Morhardt • Amy R. Eisenstein • Hailee M. Yoshizaki-Gibbons • Katherine M. Abbott • Erin McGaffigan • Jane Straker • Marc A. Cohen • Rebecca L. H. Berman
Balancing Mission and Momentum
Area Agencies on Aging (AAAs) are entering a new phase marked by a heightened focus on social determinants of health.
Advancing Partnerships: Contracting Between Community-based Organizations and Health Care Entities
This report provides additional findings from the 2021 Request for Information (RFI) survey about the current characteristics of community-based organization (CBO) contracts with health care partners.
Robert J. Graham • Jane Straker • Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)
Using Local Initiatives to Fund In-Home Services: Ohio Leads the Nation
As a result of limitations in federal and state funding for nonmedical supportive services, some communities across 15 states are utilizing local funding sources to support aging services for older...
Jennifer Heston-Mullins (Jennifer L. Heston) • Athena Koumoutzis • Robert A. Applebaum • Pamela S. Mayberry
Achieving population health impacts
Evidence-based health promotion programs can help older adults manage chronic conditions and address behavioral risk factors, and translating these interventions to population-scale impact depends ...
Suzanne R. Kunkel • Leslie A. Curry • Traci L. Wilson • Amanda L. Brewster
Local initiatives to fund services for older Americans: A growing option for states
This report is part of a series of promising practices and emerging innovations from the AARP Public Policy Institute 2020 LTSS State Scorecard.
Jennifer Heston-Mullins (Jennifer L. Heston) • Robert A. Applebaum
What could be influencing older Ghanaians outpatient care utilization rate?
Ghana’s population is rapidly aging and there may be healthcare access and utilization issues. This study investigates some of the issues that may influence outpatient care utilization rate a...
Candidus C. Nwakasi • J. Scott Brown • Phillip Anyanwu
Despite the growing proportion of older adults in the United States, federal and state funding for nonmedical supportive services remains limited.
Sara E. Stemen • Jennifer Heston-Mullins (Jennifer L. Heston) • Renusha Maharjan • Athena Koumoutzis • Pamela S. Mayberry • Robert A. Applebaum
Fast-track innovation: Area Agencies on Aging respond to the COVID-19 pandemic
Millions of older Americans depend on services provided by Area Agencies on Aging to support their nutritional, social, and health needs.
Traci L. Wilson • Amanda L. Brewster • Suzanne R. Kunkel • Marisa Scala-Foley
COVID-19 pandemic: Exacerbating racial/ethnic disparities in long-term services and supports
What services are available and where racial and ethnic minorities receive long-term services and supports (LTSS) have resulted in a lower quality of care and life for racial/ethnic minority users.
Teyana T. Shippee • Weiwen Ng • John R. Bowblis
Skilled nursing facilities (SNFs) have received regulatory attention in relation to their emergency preparedness.
Cassandra L. Hua • Ian Matt Nelson • Katherine A. Kennedy
Aging and Disability Business Institute: Final evaluation report
The Aging and Disability Business Institute (Business Institute), led by the National Association for Area Agencies on Aging (n4a), was established in 2016 with a mission to build and strengthen pa...
Abbe E. Lackmeyer (Abbe Linscott) • Jane Straker • Traci L. Wilson • Suzanne R. Kunkel
The upcoming reauthorization of the Older Americans Act (OAA) is an opportunity to acknowledge the expanding priorities for that landmark legislation, along with the forward motion of Area Agencies...
Care managing together: A review of the Aetna and Area Agency on Aging MyCare partnership in Ohio
This study was a first step in gaining a better understanding of the care management plan models used in the Ohio MyCare Demonstration, focusing on the Aetna unified care management model implement...
Luyna Ducay • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston) • Ian Matt Nelson
Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments.
Mary D. Naylor • Karen B. Hirschman • Liming Huang • Katherine M. Abbott • Miranda V. McPhillips • Glenna S. Brewster • Barbara J. Riegel • Alexandra L. Hanlon
This study assessed satisfaction among current senior center users in the Northwestern Ohio area and measured the impact that centers have on the lives of participants.
Valerie Flores (Valerie Kessler) • Luyna Ducay • Jonathon M. Vivoda
Community-Based Organizations and Health Care Contracting: Building and Strengthening Partnerships
Community-based organizations (CBOs) such as Area Agencies on Aging and Centers for Independent Living are well-positioned within their communities to improve social determinants of health (housing...
Traci L. Wilson • Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel • Jane Straker
This study compared Dr. Sidney Katz's original dichotomous measure of dependence in performing activities of daily living (ADL) with the National Health and Aging Trends Study's (NHATS) b...
Shahla Mehdizadeh • Stephen Frochen
The AgeWell program trains and employs able older adults to provide companionship to chronically ill older adults in the community.
Paul Flashpohler • Jane Straker • Ian Matt Nelson • Gordan Hannah
This report highlights the development, implementation, and evaluation of a guide designed to facilitate family communication about care and support.
Jennifer Heston-Mullins (Jennifer L. Heston) • Erin Kelly • Nytasia M. Hicks • Kathryn McGrew
Although assessing individual consumer preferences is an important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are imp...
Rachel Klumpp • Katherine M. Abbott • Gerald C. Gannod • Jane Straker • Kimberly Van Haitsma • Kendall Leser
Area Agencies on Aging (AAAs)—which coordinate social services for older adults in communities across the US—regularly address social determinants of health, sometimes in partnership wi...
Suzanne R. Kunkel • Leslie A. Curry • Jane Straker • Amanda L. Brewster
Participant Satisfaction and the Impact of Senior Center Services in Lucas County, Ohio
This study addressed satisfaction with services and impact of senior centers among center participants in Lucas County, Ohio.
Michelle M. McGuire • Jonathon M. Vivoda
Multiple chronic conditions and hospitalizations among recipients of long-term services and supports
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 ...
Expanding Self Direction and Its Impact on Quality
The premise of this paper is that self-direction has impacted service and system design and approaches to quality.
In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels.
This brief describes the pilot implementation and evaluation of OMA For One (OMA41).
Joan Fopma-Loy
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 an...
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.
Identifying naturally occurring retirement communities: A spatial analysis
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 renter...
Takashi Yamashita • Jennifer M. Kinney
This report documents two decades of progress in delivering long-term services in Ohio.
Shahla Mehdizadeh • Robert A. Applebaum • Ian Matt Nelson • Jane Straker
This research record highlights the findings from a national survey of the Title VI Organizations (TO).
Heather R. Reece • Kathryn McGrew • Suzanne R. Kunkel • Jane Straker
Long-Term Care Management Turns 40: What We Know and What We Do Not
This article focuses on care management with older people experiencing chronic disability.
The evolution, innovation, and future of Area Agencies on Aging
More than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older adults living in every community in the United States.
Jane Straker • Suzanne R. Kunkel
Everyone is Talking About It, But Does It Work?
In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services.
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 Cho...
Sarah G. Boehle • Phyllis A. Cummins • Suzanne R. Kunkel
2011 Title VI Native American Programs Survey Results
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.
Elizabeth Carpio • Kathryn McGrew • Jane Straker • Suzanne R. Kunkel
This report provides findings from a survey of Ohio's counties operating senior-service property-tax levies. Results cover services, expenditures, clients served, eligibility, election strateg...
Jane Straker • Robert A. Applebaum • Michael Payne
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...
Shahla Mehdizadeh • Ian Matt Nelson • Robert A. Applebaum • Jane Straker
Right Place, Right Time, Right Care: An Evaluation of Ohio's Nursing Home Diversion and Transition
In 2010 the Ohio General Assembly asked the Ohio Department of Aging to develop and implement a nursing home diversion and transition initiative.
Suzanne R. Kunkel • Anthony R. Bardo • Robert A. Applebaum • Elizabeth Carpio
Ohio's Aging Network Efforts to Enhance Nursing Home Diversion and Transition
This brief report provides preliminary results from an evaluation of Ohio's diversion and transition demonstration program.
Elizabeth Carpio • Suzanne R. Kunkel • Anthony R. Bardo • Robert A. Applebaum
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.
Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel • Emily Robbins • Jane Straker
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.
Kathryn McGrew • Abbe E. Lackmeyer (Abbe Linscott) • Jane Straker • Suzanne R. Kunkel
Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges
This report details trends in Ohio long-term care service utilization over 14 years.
Malinda Deacon • Robert A. Applebaum • Jane Straker • Shahla Mehdizadeh
Consumer Direction in Ohio: Findings From Two Demonstration Projects
This report provides findings from evaluations of two consumer-directed home care programs.
Disability in Ohio: Long-Term Care Providers and Programs
This report describes the range of options used in Ohio’s long-term care system.
Shahla Mehdizadeh • Denise Brothers-McPhail
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...
Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott) • Jane Straker
Evolution of the Aging Network: Modernization and Long-Term Care Initiatives
This article examines how the aging network has evolved since its inception, mandated by the Older Americans Act of 1965.
Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel
This report provides information about the elements of case management, intake, and assessment programs that are often specified in current standards or bid specifications.
Robert A. Applebaum • Ian Matt Nelson • Jane Straker • Michael Payne
This report provides findings from a mailed survey of providers of adult day, home-delivered meals, personal care, and transportation services.
Dawn Carr • Karl Chow • Jane Straker
This report examined the PASSPORT population for nursing home level of care and Medicaid financial eligibility.
Ian Matt Nelson • Shahla Mehdizadeh • Lauren Thieman
PASSPORT Assessment and Services
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...
Denise Brothers-McPhail • Kathryn McGrew
Program Evaluation of PASSPORT: Ohio's Home and Community-Based Medicaid Waiver
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 ...
Jane Straker • Kathryn McGrew • Valerie Wellin • Shahla Mehdizadeh • William Ciferri • Suzanne R. Kunkel
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.
Shahla Mehdizadeh
PASSPORT Evaluation: Accountability for Finances, Compliance, and Fairness
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.
William Ciferri
PASSPORT Quality Assurance and Quality Management
This report addresses findings related to the quality standards of the PASSPORT program.
Dawn Carr • Suzanne R. Kunkel • Jane Straker
Providing Quality Home and Community-Based Services Through PASSPORT
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.
Dawn Carr • Jane Straker • Karl Chow • Elizabeth Like Lokon
An overview of Ohio's In-Home Service Program for Older People (PASSPORT)
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 eligibi...
Robert A. Applebaum • Shahla Mehdizadeh
Profiles of Choices Consumers describes the demographics of consumers who choose to enroll in the Choices program, the utilization of Choices services compared to traditional PASSPORT services, and...
