title: Everyone's talking about it, but does it work? Nursing home diversion and transition.
abstract: In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). Nearly 3,800 individuals, 60 years old and older, participated in Ohio's statewide nursing home diversion and transition initiative between March 2010 and May 2011. This research tracked outcomes for consumers and evaluated the implementation of the new program. Nearly 80% of diversion and transition participants who were still living at the time of their 6-month follow-up were residing in the community. An agency-level process analysis revealed innovative intervention strategies, promising practices, and barriers. Process results found that Area Agencies on Aging (AAAs) have become more proactive in working with high-risk individuals, with agencies identifying new at-risk consumers through hospital and nursing home interventions.
authors.affiliation: Miami University, Oxford, OH, USA.
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Bardo
authors.forename: Robert A
authors.initials: RA
authors.lastname: Applebaum
authors.forename: Suzanne R
authors.initials: SR
authors.lastname: Kunkel
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Carpio
mesh_terms: D000368:Aged; D003153:Community Health Services / Q000191:economics / Q000706:statistics & numerical data; D003365:Costs and Cost Analysis; D003688:Deinstitutionalization / Q000458:organization & administration / Q000706:statistics & numerical data; D005260:Female; D006699:Home Care Services / Q000191:economics / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000458:organization & administration; D008297:Male; D008484:Medicaid; D009735:Nursing Homes / Q000191:economics / Q000706:statistics & numerical data; D009936:Organizational Innovation / Q000191:economics; D016730:Program Development; D018570:Risk Assessment; D014481:United States
keywords: Area Agency on Aging; diversion; nursing home; process evaluation; transition