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Long-term Care

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.

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Better Jobs Better Care: Building a Strong Long-Term Care Workforce

April 27, 2011 | Program Result Report

Better Jobs Better Care supported changes in long-term-care policy and provider practices to reduce high vacancy and turnover rates among the paraprofessionals who provide direct care to older adults and to improve the quality of that care.

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 ...

Fellowship Program Supported State Policy-Makers to Reform Long-Term Care - from 1997 to 2005

August 1, 2006 | Program Result Report

From 1997 to 2005, the University of Minnesota provided fellowships in long-term care to 36 mid- and senior-level officials from Medicaid and other health and aging services agencies from 28 states.

Panel Recommends Solutions to a Demographic Riddle: Who Will Care for Graying Population

October 1, 2003 | Program Result Report

The University of Illinois at Chicago Nursing Institute convened a blue-ribbon panel for a series of meetings, held between September 2000 and February 2001 in Chicago, on the Future of the Health Care Labor Force in a Graying Society.

The Better Jobs Better Care Management Practice Change Initiatives

September 7, 2010 | Report

The Better Jobs, Better Care demonstration provided grants and technical assistance to coalitions of providers, workers, consumers, and policy makers to improve the quality of jobs of long-term care (LTC) direct care workers (DCWs), improve recruitment and retention, and strengthen capacity to meet future demand.

Oregon Works!: Promoting Change Through Person-Directed Care

April 25, 2011 | Program Result Report

The Oregon Works! project of Better Jobs Better Care aimed to improve recruitment and retention of direct-care workers at eight participating long-term-care sites. The union representing the state's independent home-care workers also participated.

Vermont: Empowering Direct-Care Workers Through Education

April 25, 2011 | Program Result Report

"We made sure we developed both centralized and individualized curricula that addressed the needs expressed by each participating site" in the Vermont Better Jobs, Better Care project, said the project director.

Pennsylvania: Forming Regional Coalitions in a Large State

April 25, 2011 | Program Result Report

The lead agency for the 40-member Pennsylvania coalition for the Better Jobs Better Care project divided the state into five regions in order to provide a local focus on long-term care worker issues in the large state.

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