A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community

Darci Buttke; Valerie Cooke; Kathleen Abrahamson; Tetyana Shippee; Heather Davila; Rosalie Kane; Greg Arling

doi:10.3390/geriatrics3020018

Back

A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community

Journal article

Open access

Peer reviewed

A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community

Darci Buttke, Valerie Cooke, Kathleen Abrahamson, Tetyana Shippee, Heather Davila, Rosalie Kane and Greg Arling

Geriatrics (Basel), Vol.3(2), pp.18-18

06/01/2018

DOI: 10.3390/geriatrics3020018

PMCID: PMC6139116

PMID: 30228977

Files and links (1)

url

https://doi.org/10.3390/geriatrics3020018View

Published (Version of record) Open Access

Abstract

Minnesota's Return to Community Initiative (RTCI) is a novel, statewide initiative to assist private paying nursing home residents to return to the community and to remain in that setting without converting to Medicaid. The objective of this manuscript is to describe in detail RTCI's development and design, its key operational components, and characteristics of its clients and their care outcomes. Data on client characteristics and outcomes come from the Minimum Data Set, staff assessments of clients and caregivers, and Medicaid eligibility files. Most clients transitioned by the RTCI had entered the nursing facility from a hospital. Clients overwhelmingly wanted to return to the community and fit a health and functional profile making them good candidates for community discharge. Most clients went to a private residence, living alone or with a spouse; yet, adult children were the most frequent caregivers. At one year of follow-up 76% of individuals were alive and living in the community and only a small percentage (8.2%) had converted to Medicaid. The RTCI holds promise as a successful model for states to adopt in assisting individuals who are at risk to become long stay nursing home residents instead to return to the community.

Geriatrics & Gerontology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community
Creators: Darci Buttke - Minnesota Board on Aging, Saint Paul, MN 55101, USA; darci.buttke@state.mn.us.
Valerie Cooke - Department of Human Services
Kathleen Abrahamson - Purdue University West Lafayette
Tetyana Shippee - University of Minnesota
Heather Davila - University of Minnesota
Rosalie Kane - University of Minnesota
Greg Arling - Purdue University West Lafayette
Resource Type: Journal article
Publication Details: Geriatrics (Basel), Vol.3(2), pp.18-18
DOI: 10.3390/geriatrics3020018
PMID: 30228977
PMCID: PMC6139116
NLM abbreviation: Geriatrics (Basel)
ISSN: 2308-3417
eISSN: 2308-3417
Publisher: Mdpi
Number of pages: 11
Grant note: R18HS020224 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
Language: English
Date published: 06/01/2018
Academic Unit: Internal Medicine
Record Identifier: 9984359675802771

Metrics

26 Record Views

10 Times Cited - Web of Science