Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

Continuing Care

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

Specialized Care Centers and Settings-II

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Restorative Care

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

Aims Of Nursing

Aims Of Nursing

Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...

Current Trends in Nursing I

Current Trends in Nursing I

Current trends in nursing include:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Overlap between transitional care management after hospital discharge and alternative payment models.

Journal of hospital medicine·2025

Same author

Use of voluntary alignment in the Next Generation ACO model.

The American journal of managed care·2025

Same author

Transitional Care Management Associated With More Healthy Days At Home, Lower Spending After Hospital Discharge.

Health affairs (Project Hope)·2025

Same author

Patient Characteristics and Provider Specialties Associated with Treatment Expenses for Thumb Carpometacarpal Arthritis.

Plastic and reconstructive surgery·2025

Same author

Searching for the policy-relevant treatment effect in Medicare's ACO evaluations.

The American journal of managed care·2024

Same author

Enhancing systematic review efficiency in hand surgery using artificial intelligence (natural language processing) for abstract screening.

The Journal of hand surgery, European volume·2024

Search research articles

Related Experiment Video

Updated: May 12, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Does home- and community-based care affect nursing home use?

Robert L Kane¹, Terry Y Lum, Rosalie A Kane

¹University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA. kanex001@umn.edu

Journal of Aging & Social Policy

|April 11, 2013

Summary

Medicaid investment in home- and community-based services (HCBS) increased nursing home resident numbers and expenditures. While HCBS grew, nursing home populations decreased, but overall long-term care spending rose.

Related Experiment Videos

Last Updated: May 12, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Health Services Research
Public Health Policy
Gerontology

Background:

Medicaid investment in home- and community-based services (HCBS) aims to shift long-term support services (LTSS) away from institutional care.
Understanding the impact of increased HCBS 1915(c) waivers on nursing home utilization and expenditures is crucial for policy development.

Purpose of the Study:

To assess changes in nursing home resident numbers, expenditures, and case mix in response to increased Medicaid funding for HCBS waivers.
To analyze the relationship between HCBS client growth and nursing home utilization across seven states.

Main Methods:

Utilized Medicaid expenditure and utilization data (2001-2005) from seven states, including waiver and state plan data.
Employed the Minimum Data Set for nursing home resident assessment and community assessment data for three states.

Main Results:

Six states observed a decrease in nursing home residents as HCBS clients increased, though HCBS growth often exceeded nursing home reductions.
Total long-term support services expenditures increased, driven by rising HCBS waiver and state plan spending, which outpaced the growth in HCBS clients.
Nursing home case mix became more acute, indicating HCBS serves some individuals previously in nursing homes, but also many new users.

Conclusions:

Increased HCBS utilization partially shifted less severe cases from nursing homes, leading to a more acute nursing home population.
Net long-term care expenditures increased despite moderate decreases in nursing home payments, due to significant growth in HCBS spending.
Promoting substitution of HCBS for institutional care necessitates proactive strategies, including diversion programs, to achieve greater cost-effectiveness and reduce institutional reliance.