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Related Experiment Videos

State long-term care screening and assessment programs.

M C Tonner1, A J LeBlanc, C Harrington

  • 1University of California, San Francisco, 3333 California Street, Room 455, Campus Mail Box 0612, San Francisco, CA 94118, USA.

Home Health Care Services Quarterly
|July 5, 2001
PubMed
Summary
This summary is machine-generated.

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State long-term care (LTC) screening programs vary widely, often creating barriers for Medicaid participants needing services. Few states effectively coordinate these essential screening and assessment programs.

Area of Science:

  • Public Health Policy
  • Healthcare Administration
  • Gerontology

Background:

  • States implement long-term care (LTC) screening and assessment programs to manage costs and prevent unnecessary institutionalization for Medicaid participants.
  • Variations in program design across states can impact service accessibility and participant choice.

Purpose of the Study:

  • To survey state officials regarding variations in long-term care (LTC) screening and assessment programs.
  • To identify the extent of coordination and standardization in state-level LTC screening and assessment.

Main Methods:

  • Telephone survey conducted with state officials across all 50 states and Washington, D.C.
  • Data collection focused on the structure, scope, and coordination of LTC screening and assessment programs.

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Main Results:

  • Most state LTC screening and assessment programs cover various services but often operate as multiple, separate programs for different service types and eligibility groups.
  • Only three states (Arizona, Colorado, Maine) demonstrated coordinated screening and assessment through a single agency, uniform criteria, standard tools, and automated databases.
  • The fragmented approach in most states may hinder client access to information and services, and limit choice.

Conclusions:

  • The lack of coordinated and standardized long-term care (LTC) screening and assessment programs in most states presents significant challenges.
  • Implementing unified approaches could improve efficiency, access, and choice for individuals requiring long-term care services.