Nursing Facility Transition

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New Report Highlights How Nursing Homes with Higher Staffing Levels Have Better Five-Star Ratings and Less Instances of Abuse

The COVID-19 pandemic has highlighted long-standing issues of understaffing and insufficient care delivery in nursing homes. On February 28, 2022, the Biden Administration announced it would be implementing a minimum staffing standard for nursing homes and increasing scrutiny on corporate owned nursing homes. This report analyzes federal data regarding nursing home staffing levels and how it effects residents' outcomes.

Short URL: http://www.advancingstates.org/node/73823

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Nursing Facility Staffing Shortages During the COVID-19 Pandemic

The impact of COVID-19 on nursing facility residents and staff has brought increased attention to existing workforce issues that affect care quality and safety, including staffing shortages and high turnover rates. This analysis presents the most recent national and state-level data on nursing facility-reported staff shortages and describes the Biden Administration’s new policy initiatives to address issues in nursing facilities. National staff shortage trend data spans from May 2020, the first month when nursing facilities were required to report COVID-19 facility data to the CDC, through March 20, 2022, the most recent week of data available.

Short URL: http://www.advancingstates.org/node/73789

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New York Attorney General and Consumer Voice Release Reports on the Effect of COVID-19 on Nursing Homes

Attorney General of New York, Letitia James (AG), released a preliminary report on the effect of COVID-19 on nursing homes in New York. The report found that pre-existing short-staffing issues were a defining factor in how a great number of nursing homes in New York fared during the first six months of the COVID-19 pandemic. Consumer Voice for Quality Long-Term Care also released a report detailing harm and neglect resulting from facilities being locked down and inadequate staffing.

Short URL: http://www.advancingstates.org/node/72372

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Long-Term Services and Supports State Scorecard 2020 Edition

AARP has released its fourth iteration of the Long-term Services and Supports Scorecard. This scorecard ranks states and DC in order from 1 to 51 on a wide range of issues pertaining to older adults and people with disabilities. The LTSS scorecard has five domains that states are ranked within, and each of those domains has multiple indicators that are used to derive the overall score.

Short URL: http://www.advancingstates.org/node/72158

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HCBS Conference 2019- Presentations

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

Short URL: http://www.advancingstates.org/node/71741

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HCBS Conference 2018- Presentations

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

Short URL: http://www.advancingstates.org/node/70802

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The National Evaluation of the MFP Demonstration: Health Care Expenditures Two Years Post-Transition

This recently released follow-up report was aimed at studying changes in the second year after individuals transitioned out of institutional care into community settings. Participants in the MFP program had higher costs during the first twelve months than non-MFP participants who also transitioned to community-based care. However, this study showed that these costs became comparable after the first year of transition.

Short URL: http://www.advancingstates.org/node/70414

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2016 Centers for Independent Living (CIL) Transition & Diversion Services Survey Study Summary of Findings: Institutional Transition

The aim of this study was to gather information to gain a better understanding of the resources and assistance needs CILs may have with the new WIOA implementation guidelines in effect.

Short URL: http://www.advancingstates.org/node/70006

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Bridging the Health and Housing Gap Transitioning Medicaid Recipients from Institutions to the Community in the Context of Housing Shortages and Affordability

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.

Short URL: http://www.advancingstates.org/node/69937

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