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The Adoption and Safe Families Act of 1997 directed the Secretary of HHS to develop this report to Congress. This report was prepared with the input of the Advisory Panel on Kinship Care which met in October 1998 and January 1999. The report has two parts. Part I reviews the academic and related research literature on kinship care, including what

This study compared the cost and outcomes of post acute care services after a hospitalization for stroke. After hospitalization, over a third of Medicare beneficiaries use post acute care services, including skilled nursing facilities, inpatient rehabilitation, long-term care hospital, home health care services or outpatient services. We know litt

Many children with special health care needs depend on the health and supportive services provided by Medicaid. It is important that policymakers have a sound understanding of these children's patterns of health care use, especially given the shift to managed care. Previous studies of children on Medicaid with severe disability and/or chronic illn

Medical expenditures to treat a SA disorder were $3.4 billion in calendar year (CY) 2008, received by 1.1 million persons averaging $3,000 per service user per year. This spending amounted to slightly less than 1.0% of the total $334 billion spent on Medicaid, and provided care to about 1.9% of the 61 million persons covered by Medicaid. [131 PDF

These Papers describe the current state of knowledge about long-term care in the U.S., and serve as a knowledge base for the difficult analytic tasks that lie ahead. They are based on the work of HHS's Task Force on Long-Term Care up to January 1981 and contain data that have not been available before. Five Papers make up this document: (1) an ove

Approximately 800 HIV-infected children nationally were in foster care placement as of June 1989. This study was designed to define the specific problems related to providing foster care to children with HIV infection. A major element of the project was to conduct site visits to areas with a high incidence of AIDS in children and to learn how orga

The final report (Volume I) presents the results of an evaluability assessment of child care options for work-welfare programs. The project examined current work-welfare programs in selected states across the country and explored the evaluative issues regarding the role of child care in these programs. Volume II (State Discussion Summaries, Head S

U.S. Department of Health and Human Services Accessing Workers' Compensation Insurance for Consumer-Employed Personal Assistance Service Workers: Issues, Challenges and Promising Practices Susan A. Flanagan, M.P.H. Westchester Consulting Group June 7, 2004 PDF Version (172 PDF pages)

This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid. Long-t

This report examined the current state of graduate medical education (GME) in the United States. It compiled quantitative data on the financing of GME and the demographics of the resident population. Based on site visits to five academic medical centers, the report also described the system of GME financing, administration, and oversight from the

The goals of the study are to: define the issues related to providing care to children with AIDS; place parameters around the size and scope of the problem; and attempt to clarify some of the perceptions and approaches relevant to the problem. This project focuses on children with AIDS whose parents are, or have had sexual contact with, IV drug ab

This report presents selected statistics gathered on residential facilities designated as mental retardation facilities and their residents as part of the 1987 National Medical Expenditure Survey Institutional Population Component (NMES/IPC). In addition to presenting a general background and overview of NMES — the design of NMES/IPC, data avail

This report provides a brief overview of the study's research methods for both the field research and the quantitative analyses, including a brief description of the limitations of each of these analyses. The authors then present findings and observations from the qualitative study and quantitative analyses relevant to specific research questions

This study adds to the growing body of literature through case studies reporting benefits and costs/burdens in eight sites with advanced health information technology (HIT) systems. While all eight of the case study sites noted that they would "never go back" to paper-based systems for administration and clinical service delivery, no site had con

This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design. (2) To examine the question whether recipients o

In an effort to improve the quality of care provided in long-term care settings, as well as ensure a committed and qualified long-term care workforce, ASPE contracted with The Lewin Group to study the efficacy of various approaches to pre-employment screening and on-the-job monitoring of nurse assistants to prevent resident abuse in nursing homes.