Survey of Primary Care Persons who Conducted Independent Assessments of Home and Community-based Services Funded Under the 2176 Medical Waiver for Individuals with Mental Retardation PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Survey of Primary Care Persons who Conducted Independent Assessments of Home and Community-based Services Funded Under the 2176 Medical Waiver for Individuals with Mental Retardation PDF full book. Access full book title Survey of Primary Care Persons who Conducted Independent Assessments of Home and Community-based Services Funded Under the 2176 Medical Waiver for Individuals with Mental Retardation by Nancy Costa. Download full books in PDF and EPUB format.
Author: Nancy Costa
Publisher:
ISBN:
Category : Intellectual disability
Languages : en
Pages : 24
Get Book Here
Book Description
Author: Nancy Costa
Publisher:
ISBN:
Category : Intellectual disability
Languages : en
Pages : 24
Get Book Here
Book Description
Author: Suzanne P. Hogarth
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 280
Get Book Here
Book Description
Author: Nancy Costa
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 44
Get Book Here
Book Description
Author: Raymond J. Struyk
Publisher: The Urban Insitute
ISBN: 9780877664628
Category : Law
Languages : en
Pages : 272
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 588
Get Book Here
Book Description
Author: Lisa I. Iezzoni
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
BACKGROUND: Persons who are dually eligible for Medicare and Medicaid generate disproportionately high costs. Individuals younger than 65 years of age who qualify for Medicare because of disability are especially costly, as they require expensive long-term services and supports (LTSS) needs. To explore efficient health care delivery models for these beneficiaries, the Centers for Medicare & Medicaid Services (CMS) initiated demonstration programs for dually eligible individuals. The Massachusetts One Care program is CMS's only demonstration program nationwide that targets younger beneficiaries: individuals aged 21 to 64 years. As CMS and Massachusetts Medicaid designed One Care, which involves dually capitated payments to plans and covers all services including LTSS, local disability advocates voiced concerns about threats to care quality. They argued that persons with disability should be the ones leading efforts to assess One Care quality, highlighting fears related to independent living in communities. OBJECTIVES: This study aimed to test the comparative effectiveness for improving patient-reported health care experiences of 2 informational interventions in a 12-month period: (1) the "YES Health: Your Experience, Speak up for better health care" initiative, in which disability advocates developed brief topical surveys and gathered information from One Care enrollees with significant physical disability or serious mental illness; and (2) the Persons With Disability Quality Survey (PDQ-S), developed collaboratively with persons with disability. METHODS: We focused on English- and Spanish-speaking One Care members with either serious mental illness or significant physical disability. This cluster randomized controlled trial randomly assigned 27 primary care practices with ≥50 One Care members meeting these specifications to 3 study arms differing by information provided to practice directors and primary care providers (PCPs): (1) quarterly YES Health reports plus results from baseline administration of PDQ-S to 720 enrollees before YES Health implementation; (2) PDQ-S results only; and (3) no study information. We administered PDQ-S again 1 year later and used difference-in-differences analyses of results across the 2 years to assess intervention outcomes. After YES Health concluded, we surveyed the 221 PCPs listed as serving sample members at the 27 practices. RESULTS: Led by individuals with significant physical disability or serious mental illness, YES Health engaged 45 persons--with disabilities from the 9 randomly assigned practices--in surveys evaluating their One Care quality. Topics selected for the quarterly YES Health quality surveys were One Care plans and care teams, communication with clinicians, LTSS, and transportation. However, PCPs at the 9 study arm 1 practices did not engage with the disability advocates, despite repeated outreach. With minimal exceptions, we found no differences across the 3 study arms in PDQ-S member-reported outcomes. Of the 110 eligible PCPs who responded to the survey (54.4%), few reported knowing about YES Health or baseline PDQ-S results. CONCLUSIONS: Individuals with disability successfully designed and implemented YES Health. Nonetheless, the inability to engage PCPs in collaborative interactions likely contributed to YES Health having no effect. Future research should consider approaches toward developing effective patient-physician partnerships to improve care. LIMITATIONS AND SUBPOPULATION CONSIDERATIONS: This study may have limited generalizability beyond the context of dually eligible individuals aged
Author: National Academies of Sciences, Engineering, and Medicine
Publisher:
ISBN: 9780309685108
Category :
Languages : en
Pages : 448
Get Book Here
Book Description
High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.
Author: Samuel L. Odom
Publisher: Guilford Press
ISBN: 1606232487
Category : Psychology
Languages : en
Pages : 673
Get Book Here
Book Description
This authoritative handbook reviews the breadth of current knowledge about developmental disabilities: neuroscientific and genetic foundations; the impact on health, learning, and behavior; and effective educational and clinical practices. Leading authorities analyze what works in intervening with diverse children and families, from infancy through the school years and the transition to adulthood. Chapters present established and emerging approaches to promoting communication and language abilities, academic skills, positive social relationships, and vocational and independent living skills. Current practices in positive behavior support are discussed, as are strategies for supporting family adaptation and resilience.
Author: United States. Rehabilitation Services Administration. Division of Monitoring and Program Analysis. Statistical Analysis and Systems Branch
Publisher:
ISBN:
Category : Rehabilitation
Languages : en
Pages : 56
Get Book Here
Book Description
Author: United States. Bureau of the Census
Publisher:
ISBN:
Category : Demographic surveys
Languages : en
Pages : 190
Get Book Here
Book Description
