This paper describes the current status of advance directives and advance care planning in the disability community and identifies where gaps exist in policy, practice, and research. The aim is to better assure that the needs and issues of people with disabilities are considered and integrated into new policies designed to promote effective advance care planning.
Long-Term Services & Supports, Long-Term Care
ASPE conducts research, analysis, and evaluation of policies related to the long-term care and personal assistance needs of people of all ages with chronic disabilities. ASPE’s work also highlights the financing, delivery, organization, and quality of long-term services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL). This includes assessing the interaction between health care, post-acute care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities.
Noteworthy
Most Older Adults Are Likely to Need and Use Long-Term Services and Supports
More than one-half of older adults, regardless of their lifetime earnings, are projected to experience serious LTSS needs and use some paid LTSS after turning 65.
Older adults with limited lifetime earnings are more likely to develop serious LTSS needs than those with more earnings.
However, fifty-six percent of older adults in the top lifetime earnings quintile receive some paid LTSS, and the likelihood of nursing home care does not vary much by lifetime earnings. Learn more.
Reports
Displaying 521 - 530 of 1017. 10 per page. Page 53.
Advanced SearchAdvance Directives and Advance Care Planning: Legal and Policy Issues
U.S. Department of Health and Human Services
October 2007
PDF Version: http://aspe.hhs.gov/daltcp/reports/2007/adacplpi.pdf (39 PDF pages)
A Profile of Medicaid Institutional and Community-Based Long-Term Care Service Use and Expenditures Among the Aged and Disabled Using MAX 2002
U.S. Department of Health and Human Services
Nationwide Health Information Network (NHIN) Workforce Study: Final Report
Submitted to Assistant Secretary for Planning and Evaluation Office of the Secretary U.S. Department of Health and Human Services Washington, DC Submitted by: Altarum Institute Ann Arbor, MI and NHII Advisors Arlington, VA
Health Information Exchange in Post-Acute and Long-Term Care Case Study Findings: Final Report
U.S. Department of Health and Human Services Health Information Exchange in Post-Acute and Long-Term Care Case Study Findings: Final Report Executive Summary
Assessing Site Readiness: Considerations about Transitioning to a Privatized Child Welfare System
Child Welfare Privatization Initiatives Assessing Their Implications for the Child Welfare Field and for Federal Child Welfare Programs Assessing Site Readiness: Considerations about Transitioning to a Privatized Child Welfare System Topical Paper #1 September 2007
Research Brief
HHA Partnering Collaborative Evaluation: Practice/Research Brief
This brief describes the key components of the HHA Partnering Collaborative model, implementation challenges and successes, and the results and implications from the evaluation. [9 PDF pages]
Home Health Aide (HHA) Partnering Collaborative Evaluation: Final Report
The purpose of this evaluation was to assess the impact of the "Home Health Aide (HHA) Partnering Collaborative" a quality improvement initiative implemented at the Visiting Nurse Service of New York in three main areas: (1) patient outcomes; (2) patient service use; and (3) aide job perceptions and retention.
Home Health Aide (HHA) Partnering Collaborative Evaluation: Final Report - Executive Summary
Penny Feldman, Ph.D., Miriam Ryvicker, Ph.D., Robert Rosati, Ph.D., Theresa Schwartz, B.A., and Gil Maduro, Ph.D. Visiting Nurse Service of New York Center for Home Care Policy and Research