title: Assisted living pilot program: health outcomes.
abstract: Objectives. Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method. This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results. A total of 19.8% residents died, and the average activities of daily living impairment did not change significantly. Half of the residents remained in an ALPP facility, with the average resident spending 315 days in the community during the 12-month follow-up period. This article found a limited number of characteristics of structure and staffing to be significantly associated with outcomes. Discussion. If differences among facility characteristics are not clearly related to differences in outcomes, then choices among type of setting can be based on the match of needs to available services, location, or preferences.
authors.affiliation: Health Services Research and Development, VA Puget Sound Health Care System and University of Washington, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA. susan.hedrick@va.gov
authors.forename: Susan C
authors.initials: SC
authors.lastname: Hedrick
authors.forename: Marylou
authors.initials: M
authors.lastname: Guihan
authors.forename: Michael K
authors.initials: MK
authors.lastname: Chapko
authors.forename: Jean
authors.initials: J
authors.lastname: Sullivan
authors.forename: Xiao-Hua
authors.initials: XH
authors.lastname: Zhou
authors.forename: Larry M
authors.initials: LM
authors.lastname: Manheim
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Forsberg
authors.forename: Floss J
authors.initials: FJ
authors.lastname: Mambourg
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D040561:Assisted Living Facilities; D005260:Female; D006304:Health Status; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D015397:Program Evaluation; D012111:Residence Characteristics; D012112:Residential Facilities; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans