Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project

Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds projects that have potential to affect the “triple aim,”...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2015-02, Vol.63 (2), p.371-374
Hauptverfasser: Szanton, Sarah L., Wolff, Jennifer L., Leff, Bruce, Roberts, Laken, Thorpe, Roland J., Tanner, Elizabeth K., Boyd, Cynthia M., Xue, Qian-Li, Guralnik, Jack, Bishai, David, Gitlin, Laura N.
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container_end_page 374
container_issue 2
container_start_page 371
container_title Journal of the American Geriatrics Society (JAGS)
container_volume 63
creator Szanton, Sarah L.
Wolff, Jennifer L.
Leff, Bruce
Roberts, Laken
Thorpe, Roland J.
Tanner, Elizabeth K.
Boyd, Cynthia M.
Xue, Qian-Li
Guralnik, Jack
Bishai, David
Gitlin, Laura N.
description Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds projects that have potential to affect the “triple aim,” a framework for decreasing costs while improving health and quality of life. This article presents preliminary data from Community Aging in Place, Advancing Better Living for Elders (CAPABLE), a model funded by the CMS Innovation Center and designed to overcome the functional and home environmental barriers of older adults. CAPABLE is a patient‐directed, team‐based intervention comprising an occupational therapist, a registered nurse, and a handyman to decrease hospitalization and nursing home usage of community‐dwelling older adults with functional limitations who are dually eligible for Medicare and Medicaid. Activity of daily living limitations improved in 79% of the first 100 people who completed the intervention. Preliminary findings of this novel intervention may have implications for other older adults with functional limitations.
doi_str_mv 10.1111/jgs.13245
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source MEDLINE; Wiley Online Library All Journals
subjects Aged
Aged, 80 and over
Centers for Medicare and Medicaid Services, U.S
Cohort Studies
Female
health disparities
Humans
Independent Living
Innovative Geriatric Practice Models: Preliminary Data
Male
Medicaid
Medicare
models of care
Nursing homes
Nursing Homes - statistics & numerical data
Older people
Patient Care Team - organization & administration
Patient-Centered Care - organization & administration
physical function
Quality of Life
United States
title Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project
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