Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing.

A state-sponsored evaluation of aging in place (AIP) as an alternative to assisted living and nursing home has been underway in Missouri. Cost, physical, and mental health assessment data reveal the cost-effectiveness and positive health measures of AIP. Findings of the first four years of the AIP evaluation of two long-term care settings in Missouri with registered nurse care coordination are compared with national data for traditional long-term care. The combined care and housing cost for any resident who received care services beyond base services of AIP and who qualified for nursing home care has never approached or exceeded the cost of nursing home care at either location. Both mental health and physical health measures indicate the health restoration and independence effectiveness of the AIP model for long-term care.

[1]  T. L. Brink,et al.  Screening tests for geriatric depression , 1982 .

[2]  Marilyn Rantz,et al.  Clinical Outcomes of Aging in Place , 2005, Nursing research.

[3]  M. Rantz,et al.  The relationship of community-based nurse care coordination to costs in the Medicare and Medicaid programs. , 2010, Research in nursing & health.

[4]  R. Chapin,et al.  Aging in place in assisted living: philosophy versus policy. , 2001, The Gerontologist.

[5]  B. Jonathan.  Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial , 1999 .

[6]  M. Palmer,et al.  Models for community-based long-term care for the elderly in a changing health system. , 1997, Nursing outlook.

[7]  Marilyn Rantz,et al.  Nurse care coordination in community-based long-term care. , 2006, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[8]  B E Fries,et al.  Scaling ADLs within the MDS. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[9]  S. Hughes.  Apples and oranges? A review of evaluations of community-based long-term care. , 1985, Health services research.

[10]  P. Kemper.  Case management agency systems of administering long-term care: evidence from the channeling demonstration. , 1990, The Gerontologist.

[11]  T. L. Brink,et al.  Clinical Gerontology: A Guide to Assessment and Intervention , 1986 .

[12]  V. Leirer,et al.  Development and validation of a geriatric depression screening scale: a preliminary report. , 1982, Journal of psychiatric research.

[13]  J. Yesavage,et al.  Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. , 1986 .

[14]  Marilyn J Rantz,et al.  Senior care: making a difference in long-term care of older adults. , 2004, The Journal of nursing education.

[15]  M. Rantz,et al.  Aging in place: a new model for long-term care. , 2000, Nursing administration quarterly.

[16]  K D Marek,et al.  The future of long-term care for the chronically ill. , 2000, Nursing administration quarterly.

[17]  Joanna E Cohen,et al.  Universities and tobacco money , 2001, BMJ : British Medical Journal.

[18]  M. Skubic,et al.  A technology and nursing collaboration to help older adults age in place. , 2005, Nursing outlook.

[19]  D. Kendrick,et al.  Effectiveness of home based support for older people: systematic review and meta-analysis. , 2001, BMJ : British Medical Journal.

[20]  Marjorie Skubic,et al.  TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care , 2008, Journal of housing for the elderly.

[21]  B. Resnick,et al.  Reliability and Validity Testing of the Revised 12-Item Short-Form Health Survey in Older Adults , 2001, Journal of Nursing Measurement.

[22]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[23]  M. Rantz,et al.  TigerPlace: a new future for older adults. , 2005, Journal of nursing care quality.