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The goals of this study were to make the MDS compliant with CHI-endorsed content and messaging standards, and to produce a policy relevant report that describes the issues with integrating these HIT standards into federally-required patient assessment applications. This report summarizes the complete findings and recommendations of this study. [48

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.

U.S. Department of Health and Human Services Study of Negotiated Risk Agreements in Assisted Living: Final Report Robert JenkensNCB Development Corporation Janet O’KeeffeRTI International Paula CarderUniversity of Maryland, Erickson School of Aging Studies Keren Brown WilsonJesse F. Richardson Foundation February 13, 2006

The use of negotiated risk agreements (NRAs) is a new topic in a relatively new long-term care setting. This study was designed to inform state policymakers, assisted living providers, and key stakeholders about NRAs and issues related to their use. The study's major objectives were to: (1) Describe states' statutory and regulatory provisions rela

U.S. Department of Health and Human Services The Size and Characteristics of the Residential Care Population: Evidence from Three National Surveys Brenda C. Spillman and Kirsten J. Black The Urban Institute , Health Policy Center January 4, 2006 PDF Version

This report is the second of two prepared as part of a project to better understand the size and characteristics of the long-term care population in all settings. Identified were three recently federally supported surveys — the 2002 Health and Retirement Survey, the 2002 Medicare Current Beneficiary Survey Cost and Use file, and the National Lo

U.S. Department of Health and Human Services Literature Review and Synthesis of Physician Practices in Nursing Homes Cari Levy, MD, Anne Epstein, PhD, Lori-Ann Landry, MSW, and Andrea Kramer, MD University of Colorado, Health Sciences Center Jennie Harvell, MEd, and Charlene Liggings, MPH, MPAU.S. Department of Health and Huma

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.