Americans are living longer, yet more people can expect to have some sort of disability in their later years of life. Innovative approaches to long-term care, such as re-imagining nursing home care, may improve quality and provide more choices.
Long-term Care
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Scaling Visionary Solutions to Improve the Health of Vulnerable Populations
October 1, 2012 | Journal Article
The Green House Project, a breakthrough solution to caring for aging Americans, €illustrates what it takes to take an idea mainstream.
Foundation Work in Long-Term Care
January 1, 2010 | Journal Article
Health foundations have invested in services, research, and advocacy to improve the financing and delivery of long-term services and supports. This article describes some of the broad array of approaches they have taken.
Development and Initial Testing of a Measure of Person-Directed Care
July 1, 2008 | Journal Article
As part of the Oregon initiative in the Better Jobs Better Care program, a person-directed care (PDC) measure was developed and tested. The PDC measure was comprised of several PDC and environmental support constructs. It was internally consistent with distinct, yet positively correlated, concepts.
Transitions Between Frailty States Among Community-Living Older Persons
February 27, 2006 | Journal Article
The experience of frailty for persons aged 70 or older was examined in the current study. The 754 study participants were part of the Precipitating Events Project that followed older persons over a period of 54 months. Frailty was defined as the pre ...
Improving the Quality of Long Term Care
September 1, 2005 | Journal Article
Publicly reporting information stimulates providers' efforts to improve the quality of health care. The availability of mandated, uniform clinical data in all nursing homes and home health agencies has facilitated the public reporting of comparative ...
Beyond Managed Long-Term Care
May 1, 2001 | Journal Article
Evaluations of home care for chronically ill elderly people have shown disappointitng results for many years.
Person-Centered Care for Nursing Home Residents
January 7, 2010 | Journal Article
The culture-change movement is a broad-based effort to transform nursing homes from impersonal health care institutions into true person-centered homes offering long-term care services. The movement encompasses almost three decades of consumer advocacy coupled with legal, legislative, and policy work aimed at improving both the quality of care and the quality of life in nursing homes.
New State Strategies to Meet Long-Term Care Needs
January 1, 2010 | Journal Article
Consumer-directed long-term care service programs give participants the flexibility they want, while reducing unmet need for home and community-based services and supports. Their experiences offer valuable insights, guidance and encouragement to other states contemplating consumer-directed service expansions.
Measuring Worker Turnover in Long-Term Care
June 1, 2008 | Journal Article
This article describes how measures of staff turnover among long-term care workers are calculated differently by different provider organizations, which makes evaluating interventions designed to reduce staff turnover difficult. The authors urge for consistency across organizations.
A Mixed-Method Evaluation of a Workforce Development Intervention for Nursing Assistants in Nursing Homes
July 1, 2008 | Journal Article
An evaluation of the WIN A STEP UP workforce development intervention for nursing assistants provided evidence for the viability of the program. Managers offered positive evaluation of the program and participants reported improvements in various aspects of their jobs.