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Entry-Level Health Care Workforce: Information and Programs Visualization Tool
This visualization tool, Entry-Level Health Care Workforce: Information and Programs , is designed to accompany the RAND report titled Strengthening the Entry-Level Health Care Workforce: Finding a Path , by Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, Jessica L. Sousa, Vishnupriya Kareddy, Allyson D. Gittens, and Grant R. Martsolf. This


Prescription Drug Spending by Medicare Beneficiaries in Institutional and Residential Settings, 1998-2001
This study had three specific aims: (1) To prepare nationally-representative estimates of drug spending in long-term care (LTC) facilities; (2) To compare drug use and spending for beneficiaries in LTC facilities versus beneficiaries in the community; and (3) To examine medication use and spending by short-stay skilled nursing home facility reside
pdspend.pdf

The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology
U.S. Department of Health and Human Services
The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology
Brenda C. Spillman and Kirsten J. Black
The Urban Institute , Health Policy Center
February 28, 2005
PDF Version: http://aspe.hhs.gov/daltcp/reports/2005/ltcpopsz.pdf (57 PDF p
ltcpopsz.pdf


A Study of Stroke Post-Acute Care Costs and Outcomes: Final Report
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
strokePAC.pdf
strokePAC-A.pdf
strokePAC-B.pdf


Examining Post Acute Care Relationships in an Integrated Hospital System
This project continues the analysis of Medicare beneficiary level episodes of post-acute care. RTI builds on its previously funded ASPE project by expanding the episode file to include 2006 claims. The episode definition initiates with an acute hospital stay and includes all Medicare post acute care services (e.g., long-term care hospitals, skil
report.pdf


Important Questions for Hospice in the Next Century
This report contains six main sections. The first focuses on hospice coverage policies and reviews the history of the Medicare hospice benefit, its current structure, and its influence on care of the dying. Also included is a description of hospice care covered by other insurers including state Medicaid programs and private employers. The second s
impques.pdf


Effects of Medicare's Hospital Prospective Payment System (PPS) on Disabled Medicare Beneficiaries: Final Report
The purpose of this study was to determine how PPS has affected the patterns of care received by Medicare beneficiaries with chronic disabling conditions. The study used the 1982 and 1984 National Long-Term Care Surveys to provide an empirical analysis of differences in the utilization patterns of hospital, skilled nursing facility and home health
pps.pdf


Overview of Long-Term Care in Five Nations: Australia, Canada, the Netherlands, Norways, and the United States
After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care. The purpose of this report is to describe the context of nursing home
5overvie.pdf


Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods
U.S. Department of Health and Human Services
Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods
David C. Grabowski, PhD
Harvard Medical School
June 2010
PDF Version: http://aspe.hhs.gov/daltcp/reports/2010/paltc.pdf (20 PDF pages)
paltc.pdf


Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status
This study focuses on understanding the rates and patterns of enrollment in Medicaid among
individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and
those that predict nursing home entry. This volume provides estimated econometric models that
predict beneficiaries’ enrollment in Medicaid, and the
MMTransV2.pdf


Substitutability Across Institutional Post-Acute Care Settings: 1998-2006
This report examines trends in the provision of post-acute care to beneficiaries with diagnoses indicating a need for complex medical care for the years 1998-2006, with special attention to changes in care provided by long-term care hospitals and hospital-based skilled nursing facilities. It focuses in particular on the relationship between change
instPAC.pdf

Subacute Care: Policy Synthesis and Market Area Analysis
Prepared by Lewin-VHI, Inc .
This study was prepared for the Department of Health and Human Services , Office of the Assistant Secretary for Planning and Evaluation. November 1, 1995
Executive Summary


The Future Supply of Long-Term Care Workers in Relation to the Aging Baby Boom Generation
The Future Supply of Long-Term Care Workers in relation to The Aging Baby Boom Generation
REPORT TO CONGRESS
May 14, 2003
PDF Version: http://aspe.hhs.gov/daltcp/reports/ltcwork.pdf (59 PDF pages)
ltcwork.pdf

Important Questions for Hospice in the Next Century
U.S. Department of Health and Human Services
Important Questions for Hospice in the Next Century
Barbara Gage, Ph.D., Susan C. Miller, Ph.D., MBA, Kristen Coppola, Ph.D., Jennie Harvell, M.Ed., Linda Laliberte, JD, MS, Vincent Mor, Ph.D., and Joan Teno, M.D., MS
March 2000
PDF Version: http://aspe.hhs.gov/daltcp/reports/impques.pdf (19
impques.pdf


Public Financing of Long-Term Care: Federal and State Roles
U.S. Department of Health and Human Services
Public Financing of Long-Term Care: Federal and State Roles
Brian O. Burwell and William H. Crown
SysteMetrics
September 1994
PDF Version (43 PDF pages)
fedstes.pdf


Examining Relationships in an Integrated Hospital System
The Examining Relationships in an Integrated Hospital System research project with RTI explores whether an organizational link between a Medicare hospital and a Medicare post-acute care (PAC) setting, such as a long term care hospital, inpatient rehabilitation facility, skilled nursing facility, or home health agency, increases the likelihood of t
report.pdf


Ensuring a Qualified Long-Term Care Workforce: From Pre-Employment Screens to On-the-Job Monitoring
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.
LTCWqual.pdf


Caring for Frail Elderly People: Policies in Evolution
U.S. Department of Health and Human Services
Caring for Frail Elderly People: Policies in Evolution
Chapter 14: United States
Pamela Doty, Ph.D.
1996
PDF Version (38 PDF pages)
chap14.pdf


Medicare's Post-Acute Care Benefits: Background, Trends, and Issues to Be Faced
ASPE funded the Urban Institute to synthesize trends and issues with Medicare post-acute care benefits. Rapidly rising expenditures for home health, skilled nursing facility, and rehabilitation and long-term care hospital services have caused policymakers to focus considerable attention on these benefits. The Balanced Budget Act (BBA) of 1997 mand
mpacb.pdf