States vary with regard to the number of staff required. Most states specify minimum staff-to-participant ratios. As shown in Exhibit 2 , mandatory ratios range between one to four and one to ten. Some states require different ratios for different types of ADS, and some states specify both a required ratio and a recommended ratio. Some states re
Regulatory Review of Adult Day Services: Final Report - Section 1. Definitions of Adult Day Services
States vary considerably in the terms they use for ADS. For example, Arizona and Pennsylvania license adult day health care facilities , Delaware and New Mexico license adult day care facilities , and Oklahoma licenses adult day care centers . West Virginia licenses medical adult day care centers as a special type of ambulatory h
Ten states require certification in place of licensure. Of these, Alaska, Colorado, Ohio, Indiana, and Wisconsin require only Medicaid providers to be certified according to ADS certification standards; non-Medicaid providers do not have be certified. Adult day certification is voluntary for non-Medicaid providers in Wisconsin. The District of Col
Regulatory Review of Adult Day Services: Final Report SECTION 1. OVERVIEW OF ADULT DAY SERVICES REGULATIONS This section provides a brief overview of states' approaches to regulating ADS providers in key areas and highlights similarities and differences among them.
The adult outcomes have four domains with a total of 10 measures. The health domain includes two measures: alcohol abuse or dependence around age 30; drug use (marijuana or cocaine) in the past month around age 30.
The Long Term Impact of Adolescent Risky Behaviors and Family Environment. C. Adult Consequences of Adolescent Risky Behaviors
Although a large number of studies examining consequences of adolescent risky behavior look at these consequences in adolescence, some research has focused on adult outcomes. The relevant research is presented below according to the type of risky adolescent behavior investigated. Delinquency
Advance Care Planning and Public Engagement. A. Social Dimensions of the EOL Decision Making Process
Reducing death to a clinical event inappropriately diminishes the personal and social dimensions of dying. Although dying occurs more often than not within a clinical setting and is nearly always “attended” by a physician, it nevertheless contains a human existential element. Humans are social beings -- all of us live and die within the contex
Advance Care Planning and Public Engagement. II. Managing Our Miracles and the Emergence of a Social Consensus
The management of the effective use of penicillin in the early 1940s is often described as one of the most important moments in the history of medicine. 14 This turning point in medical treatment provided physicians the capacity to intervene routinely in the “natural process” by eradicating lethal infection. The effect was to elevate the “
Myra J. Christopher and John G. Carney Center for Practical Bioethics
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.3. What Services Do They Qualify For?
Depending on the state, public mental health services may include a wide range of services that vary in intensity and duration, from medications and medication management at an outpatient clinic (low intensity, varying duration depending on need), through crisis stabilization (very intense but usually lasting a few days at most), and inpatient hos
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.2. Who Qualifies for Medicaid Mental Health Services?
Community-based mental health services, as used in this report, are a range of services that are part of a system of treatment and support for people with mental health disorders that enable them to live stably in the community. 55 Given our focus on services for people living in PSH, this most often means services that are included in Medicaid s
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. Summary of Key Findings
Medicaid Eligibility, Enrollment, and Services
Racial and Ethnic Disparities in Alzheimer's Disease: A Literature Review. Evidence of Racial and Ethnic Disparities
Prevalence, Incidence, and Diagnosis
The Feasibility of Using Electronic Health Data for Research on Small Populations. Organizational Conditions Required for Research Combining Multiple Data Sources
Because of the previously mentioned limitations with using data from a single organization’s EHR for research, the ability to combine EHR data with other electronic data sources is often needed to strengthen study results, particularly for small populations. Combining EHR data across institutions can allow for a larger sample size to increase th
The Feasibility of Using Electronic Health Data for Research on Small Populations. Technical Conditions Required for Research Using EHR and Other Electronic Health Data
In order to use information in EHRs for research, it is first necessary for a number of technical conditions to be in place, such as the ability to extract and format data for research, as well as to address issues with missing data and data quality. As with claims data, the information in EHRs was not collected for research purposes.
The Feasibility of Using Electronic Health Data for Research on Small Populations. Characteristics of EHR and Other Electronic Health Data That Make Them Useful for Research
EHR and other electronic health data are increasingly utilized for quality measurement and improvement, but until recently, the potential benefit of EHRs for research has not received much attention outside a few innovative, early adopting health care organizations. However, the use of EHRs for quality improvement has provided a foundation for ext
The Feasibility of Using Electronic Health Data for Research on Small Populations. Availability of Information to Identify Small Populations
Some small populations may be identifiable using information that is now typically recorded in EHRs. Residents of rural areas may be identifiable by the address and zip code information that is collected for billing purposes, although not all providers collect updated address information at each visit, so some of this information may not be up to
The Feasibility of Using Electronic Health Data for Research on Small Populations. Information Available in an Electronic Health Record
To be useful for research on small populations, EHRs much include information identifying individuals as fitting into those populations, as well as information about their health and health care. For example, even if members of an Asian subpopulation were identifiable using EHRs, if they rarely seek health care or tend to seek care from places whe
The Feasibility of Using Electronic Health Data for Research on Small Populations. Introduction to Part II
Patients’ health records and other electronic health information are an essential part of care, documenting critical issues such as their history, preventive care, diagnostic tests, and diagnoses and treatments over time. Health records also facilitate information sharing among physicians, other health professionals, and provider organizations t
The Feasibility of Using Electronic Health Data for Research on Small Populations. Appendix to Part I
Table I.1. Key Informant Interviews Pre-Interviews (to identify target populations) Agency for Healthcare Research & Quality