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This literature review first summarizes the current knowledge of physician practice in nursing homes and identifies gaps in the knowledge base. It then presents the physician practice models applied in nursing homes, including integrated and managed care delivery models, and describes the characteristics of physicians who practice in nursing home

U.S. Department of Health and Human Services Physician Practices in Nursing Homes: Final Report Cari Levy, M.D., Anne Epstein, Ph.D., Lori-Ann Landry, M.S.W., and Andrew Kramer, M.D. University of Colorado, Health Sciences Center Jennie Harvell, M.ED., and Charlene Liggins, M.P.H., M.P.A.U.S. Department of Health and Human Servic

U.S. Department of Health and Human Services Barriers to Implementing Technology in Residential Long-Term Care Settings Vicki A. Freedman, Ph.D., Maggie Calkins, Ph.D., Robert DeRosiers, MS, OTR/L, ATP, and Kimberly Van Haitsma, Ph.D. Polisher Research Institute December 10, 2005 PDF Version: http://aspe.hhs.gov/daltcp/re

Technology plays a vital role in the lives of older individuals. This report: (1) describes a range of existing and emerging technological solutions for select care issues salient to residential care settings; (2) identifies, based on a review of the literature and discussions with experts in the field, barriers to the successful implementation of

This 2004 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2002. Information was collected between February and June 2004 by reviewing state websites and regulations and calling key state contacts to verify informati

The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if, indeed, recipients' characteristics, skills, and circumstances match the requirements, accessibility, and availability of LTC jobs. In this paper, the authors provide a brief overview of what is already known about the characteristics of long-te

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

This report examines the differences in estimates of the older population in residential care by analyzing key national surveys. In it the authors present results of a review of existing estimates of the number of residential care settings, generally divided into nursing homes and alternative residential care settings, and the number of persons r

This Handbook is designed to improve understanding and provide greater clarity concerning Medicaid's contribution in supporting working-age adults with serious mental illnesses in the community. The Handbook focuses on working-age adults between the ages of 21 and 64 with serious mental illnesses, whose need for support extends beyond mental healt

Findings presented in this report are based on information derived from three sources — a review of the literature, discussions with national experts on naturally occurring retirement communities (NORCs), and case studies of NORCs and their associated services programs in five Agency on Aging demonstration sites. In each of the five demonstrati

U.S. Department of Health and Human Services Case Studies of Electronic Health Records in Post-Acute and Long-Term Care Andrew Kramer, MD, Rachael Bennett, MA, Ronald Fish, MBA, C.T. Lin, MD, Natasha Floersch, BA, Karin Conway, RN, MBA, Eric Coleman, MD, MPHUniversity of Colorado Health Sciences Center Jennie Harvell, MEdU.S. Department of

This study focused on electronic health records (EHRs) and information systems used to exchange clinical information across providers. The only clinical information systems that were identified that exchanged information across settings that include PAC/LTC providers were health delivery systems that were highly integrated either because of their

This document is the information package given to the attendees of the conference “Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care.” The held in Washington, D.C. on May 23-25, 2004, and was sponsored by the U.S. Department of Health and Human Services and the U.S. Department of Labor.

To date, there has been little research on how states use Medicaid to pay for services for elderly persons in residential care settings. This report is intended to fill that gap, by describing in depth how six states use their Medicaid programs to fund residential care services for elderly persons. These states are Florida, Minnesota, North Caroli

Jane Tilly, Dr.P.H., Kirsten Black, M.P.P., and Barbara Ormond, Ph.D.The Urban Institute

This paper reports on (1) what is known about the status of states' minimum nursing staff ratios and (2) findings from case studies that examine states' experiences with implementing or modifying these standards in a selected number of states. A review of the published and unpublished literature on state standards identified 36 states with establi

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)

One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal. As

U.S. Department of Health and Human Services State-Initiated Nursing Home Nurse Staffing Ratios: Annotated Review of the Literature Kirsten Black, Barbara Ormond and Jane Tilly Urban Institute May 2003 PDF Version: http://aspe.hhs.gov/daltcp/reports/2003/ratiolit.pdf (43 PDF pages)