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Everyone's talking about it, but does it work? Nursing home diversion and transition
Anthony R Bardo1, Robert A Applebaum, Suzanne R Kunkel
1Miami University, Oxford, OH, USA.
Summary
Ohio
Area of Science:
- Health Services Research
- Gerontology
- Public Health Policy
Background:
- Rising Medicaid costs and consumer demand are driving long-term care system reforms.
- States are shifting towards community-based services, including nursing home diversion and transition programs.
- Ohio implemented a statewide initiative to prevent unnecessary nursing home placements and facilitate community reintegration.
Purpose of the Study:
- To track consumer outcomes of Ohio's nursing home diversion and transition initiative.
- To evaluate the implementation process of this statewide long-term care reform.
- To identify innovative strategies, best practices, and challenges in program delivery.
Main Methods:
- Analysis of data from nearly 3,800 individuals aged 60+ participating in the initiative (March 2010 - May 2011).
- Tracking of consumer outcomes, including community residence status at 6-month follow-up.
- Agency-level process analysis of Area Agencies on Aging (AAAs) to assess implementation.
Main Results:
- Nearly 80% of participants alive at 6-month follow-up were successfully residing in the community.
- Area Agencies on Aging (AAAs) demonstrated proactive engagement with high-risk individuals.
- New methods for identifying at-risk consumers, such as hospital and nursing home interventions, were developed.
Conclusions:
- Ohio's nursing home diversion and transition initiative effectively facilitated community-based living for a significant majority of participants.
- Area Agencies on Aging (AAAs) played a crucial role, adopting proactive strategies and innovative identification methods.
- The initiative highlights the potential of community-based services in reforming long-term care systems.
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