Nursing Facility Transition

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TAE Issue Brief: ADRC Roles in Rebalancing Long Term Care Systems: Diversion Initiatives

States face significant obstacles in diverting individuals from institutional settings. Throughout the long-term care system, there exists an institutional bias for placing people in institutional settings over HCBS settings. Most states have some form of nursing home diversion program however, these programs face several challenges. This paper outlines many of the challenges, details strategies, and offers resources.

Short URL: http://www.advancingstates.org/node/50474

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Introduction to Communication Boards Designed for the Transition Process

This guide was created as a resource to help you learn more about communication boards and how/when to use them. The boards in this kit were designed for a specific communication interaction, an intake interview to consider transition of an individual out of a nursing home. This handout provides a brief summary of the communication boards provided and some background information for you as you use the boards.

Short URL: http://www.advancingstates.org/node/50452

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Handbook for Transition Navigators

This handbook, drafted by Jane Schiele and edited and revised by Laura Hershey (HCPF Systems Change Section), is designed to help other advocates or agencies to inform many more individuals about their right to live in the community, and to assist those who desire a transition back to their community. The report defines transition and offers the nuts and bolts of the program and lastly overs tips for moving day and beyond.

Short URL: http://www.advancingstates.org/node/50451

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After Leaving the Nursing Home Form

This survey was developed by the Colorado Facility Transition grant to evaluate the transition process of individuals across Colorado. Results from this survey were used to develop and implement changes in the transition process to better serve the population. The form is for people who have moved out of a nursing home in Colorado within the last two years. How you fill in this form is important because the answers help other people who will move from a nursing home soon.

Short URL: http://www.advancingstates.org/node/50450

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Exploring the Potential Use of MDS Section Q1 Conference Call

Call hosted by the Community Living Exchange Collaborative at Rutgers Center for State Health Policy with CMS and grantees to explore the potential use of the MDS section Q1 to identify people in nursing homes who want to relocate. We were joined by a member of our National Advisory Committee, Bob Kafka. We invited Money Follows the Person grantees and Nursing Home Transition grantees.

Short URL: http://www.advancingstates.org/node/50313

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CMS letter to State Medicaid Directors: Additional Examples and Clarification Money Follows the Person

On September 17, 2003, CMS sent a letter to state Medicaid directors addressing the principles of Money Follows the person. This letter is a follow up to the August 13, 2004 letter. Because the concept has been widely discussed in “Open Door” forums, this letter provides additional examples and clarification of the concept.

Short URL: http://www.advancingstates.org/node/50269

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You Have a Choice! DVD

You Have a Choice! DVD in four formats: standard, with English subtitles, with Spanish subtitles, and audio described. The video is excellent for informing consumers about their options to leave a nursing home and to educate nursing home staff, family members and the general public about the option of transition. Produced by the Nursing Facility Transition project at the Center for People with Disabilities in Boulder, CO. To recieve a copy of the DVD please contact Sharon Finney.

Short URL: http://www.advancingstates.org/node/50248

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