Long-Term Care

Academic Presentations

Improving End-of Life Care Planning in Nursing Facilities
An evaluation of the effectiveness of a quality intervention to improve end-of-life care planning within nursing facilities. An examination of a Georgia-wide effort demonstrated and evaluated methods for improving care at the end-of-life in nursing facility populations.

Feasibility Study: Peer Support for the Elderly Transitioning from Nursing Facility Care to Community Care
An examination of States to design and implement effective and enduring improvements in community long term support systems.

Using Risk Adjustment to Compare Medicaid Waiver Program Performance
An examination of the experience of Georgia long-term care patients using Medicaid and Medicare data from 1999-2000.

Comparing Medicaid Long-Term Care Waiver Programs
Comparisons of Medicaid home and community based services (HCBS) waiver programs are not well-documented. This study was undertaken to provide Georgia’s Department of Community Health with evidence for resource allocation decisions.

Charts, Maps, & Graphs

Rough Passages for Long-Term Care: The Churning Effect
A snapshot of health care transfer patterns through observations on a subgroup of patients in nursing facilities with a high frequency of nursing facility-to-hospital transfers over comparatively short periods of time

Issue Briefs

Georgia Baby Boomers and Long-Term Care
A survey of 800 Georgians over age 55 shows most Baby Boomers have done very little planning for their future long-term care needs. The survey was conducted in October 2006 by the Georgia Health Policy Center in support of Georgia’s State Plan on Aging. The survey results highlight areas where state policies and programs might be needed to help the baby boom generation – and their families – plan for the years ahead.

Peer Support Programs for the Elderly in Georgia
An examination of the feasibility of establishing a peer support program for the elderly transitioning from institutional setting to community settings.

Rebalancing Georgia’s Long Term Care System
A focus on the need for Georgia to rebalance its long-term care service delivery and financing systems.

Collaborative Communiqué: A publication of the Georgia Collaborative to Improve End-of-Life Care
Public television has recently focused on the great divide between the kind of care Americans say they want at the end of life and what our culture currently provides.

Reports

Center Presents on Long-Term Care at Conference on the Impact of Aging on Georgia: The unprecendentd aging of the population will have a dramatic impact on Georgia's long-term care system. In Georgia, where the elderly population is anticipated to increase at a rate above the national average, the number of elderly people is expected to rise 143% by 2030, compared with 104% nationally. For a recent conference on the Aging Population in Georgia, the Georgia Health Policy Center identified delivering and staffing long-term care services as priorities that state and local governments should begin to address immediately.

Georgia Aging and Disability Resource Center Connection Expansion Evaluation
This report summarizes a process evaluation of the expansion of the Aging and Disability Resource Connection program in Georgia.

2005 Baseline Report for the Georgia Enhanced Care Program Region 2
Survey of baseline measures for Georgia’s Medicaid’s new disease management program, Georgia Enhanced Care.

2005 Baseline Report for the Georgia Enhanced Care Program Region 1
Survey of baseline measures for Georgia’s Medicaid’s new disease management program, Georgia Enhanced Care.

Georgia’s Aging Population: What to Expect and How to Cope
A focus on implications of Georgia’s growing elderly population on the state budget.

Correlation of the Personal Care Attendant Hour Allotment Worksheet (PCA-HAW) with the Functional Independence Measure (FIM): A Statistical Analysis
An assessment instrument designed to predict the number of hours of paid direct care required by patients enrolled in Shepherd Care.

Comparative Assessment of Cost and Care Outcomes Among Georgia’s Community-based and Facility- based Long Term Care Programs Final Report
An examination to comparatively evaluate cost ad care outcomes among traditional Nursing Facility programs and four Home and Community Based Services (HSBS) Programs in Georgia.

Hospital Executive Leadership: A Critical Component for Improving Care at the End of Life
A discussion of End-of-life care and its planning by individuals, in concert with their families and professional healthcare givers, pose important social, legal, and ethical issues.

Improving Care At the End of Life: A Long Term Care Initiative
At a Glance was prepared for the dissemination of information about this Initiative. It is a shortened version of Georgia Medical Care Foundation’s final report document that details the entire Long Term Care Study.

Final Aging Report 2-2-07
Telephone survey with urban/rural Georgians over age 55 to provide public input into the planning for the future of aging services in Georgia.

Final Peer Support Report
A portion of a four-year study concentrating on the design and implementation of long-term care service arrays and peer-support mechanisms.

LTC Interface
Three-year study describe service-use patterns and costs for more than 30,000 Georgia LTC patients, with particular emphasis on those eligible for both Medicare and Medicaid.