Content by Keyword: Nursing Homes

This paper reports on findings from a circumscribed literature review and multiple stakeholder discussions pertaining to the use of and need for health information technology applications in nursing homes (NHs) and home health agencies (HHAs). Through these two data collection methods, the authors have attempted to identify and organize the types

This project builds on previous ASPE-funded research on nursing homes. Specifically, a study of the nursing home liability insurance market conducted by MedStat which found that many nursing home chains have been reacting to environmental changes by divesting ownership of facilities in certain markets and pursuing other types of corporate restruc

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.

Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly. Based on the evaluation of these demonstrations, the authors conclude

This report supplements information gathered through a review of the literature with stakeholder discussions to describe: (1) the amount, duration and scope of physician (and/or non-physician) visits to nursing homes; (2) the perceived impact of these visits; and (3) policy issues/concerns related to physician practice models in nursing homes. The

The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies af

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

The purpose of this report is to provide basic descriptive statistics on disabled private long-term care insurance policyholders who have accessed long-term care benefits in institutional settings, and to compare such data and findings to non-privately insured institutionalized elders. The authors did this by interviewing 480 long-term care insura

This paper presents results of a descriptive analysis of the effects of nursing home use of Medicaid eligibility status. Data from the 1982 and 1984 National Long-Term Care Surveys were used to "track" a cohort of disabled elderly persons residing in the community in 1982 over the following two years. While 12% of the cohort spent some time in nur

This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by t

In 1985 there were about 5.5 million functionally disabled elderly persons (65+) in the United States (U.S.) living in the community and an additional 1.3 million in nursing homes. By 2020, these figures are expected to almost double to 10.1 million and 2.5 million respectively. The long-term care (LTC) system in the U.S. is large and complex.

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

This paper — which is one of a series of Appendices included in the demonstration's final report — describes a case study of the Michigan Nursing Home Transition Demonstration program. It is based on a two-day site visit conducted in January 2001, follow-up interviews in January 2002, and written reports from the State of Michigan and the Mich

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 report compares the medication use of Medicare beneficiaries living in nursing homes and assisted living facilities. Descriptions of Medicare use include mean number of drug mentions per month of stay (scheduled and PRN drugs), and prevalence and duration of therapy by major drug classes. Characteristics of institutionalized beneficiaries inc

The objectives of this study were to establish a reliable baseline estimate of the number and distribution of subacute care units in licensed nursing homes; to estimate the bed capacity of these units in 1995; and to sketch the characteristics of the nursing homes where these units were located. This effort was part of a larger study on the develo

This paper updates an earlier summary of the National Long-Term Care Surveys (NLTCS) entitled "The National Long-Term Care Surveys (1982, 1984, 1989)" (1992). The NLTCS--conducted in 1982, 1984, 1989, and 1994--are nationally representative surveys of Medicare beneficiaries aged 65 or over with chronic functional disabilities (sometimes referred t

This paper, which is one of a series of Appendices included in the demonstration's final report, describes Colorado's nursing home program. Unlike other Nursing Home Transition Demonstration Grants, Colorado's grant focused on preventing nursing home admissions, rather than assisting people who want to move into the community. This case study desc

The purpose of this project is to inform federal and state policymakers about what can be learned about the implementation and enforcement of state minimum nursing staff ratios for nursing homes, and related issues, such as labor shortages and resident casemix. The experiences of states that have already grappled with the complexities of setting,

In this paper, the authors use data from the Medicare Current Beneficiary Survey, which represents the full Medicare population, regardless of living arrangement, to describe characteristics of elderly residents of both types of facility and the characteristics of the facilities. Our sample is limited to beneficiaries age 65 or older. They compare