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 |
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container_title | Journal of the American Geriatrics Society (JAGS) |
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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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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.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.13245</identifier><identifier>PMID: 25644085</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2015-02, Vol.63 (2), p.371-374</ispartof><rights>2015 The Authors. 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The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.</rights><rights>2015 American Geriatrics Society and Wiley Periodicals, Inc</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4815-b50885ad19e817a37088d09dacf18212c678c6566d2fa1e9b7cf2716284e3f5a3</citedby><cites>FETCH-LOGICAL-c4815-b50885ad19e817a37088d09dacf18212c678c6566d2fa1e9b7cf2716284e3f5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.13245$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.13245$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25644085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Szanton, Sarah L.</creatorcontrib><creatorcontrib>Wolff, Jennifer L.</creatorcontrib><creatorcontrib>Leff, Bruce</creatorcontrib><creatorcontrib>Roberts, Laken</creatorcontrib><creatorcontrib>Thorpe, Roland J.</creatorcontrib><creatorcontrib>Tanner, Elizabeth K.</creatorcontrib><creatorcontrib>Boyd, Cynthia M.</creatorcontrib><creatorcontrib>Xue, Qian-Li</creatorcontrib><creatorcontrib>Guralnik, Jack</creatorcontrib><creatorcontrib>Bishai, David</creatorcontrib><creatorcontrib>Gitlin, Laura N.</creatorcontrib><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</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. 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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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4815-b50885ad19e817a37088d09dacf18212c678c6566d2fa1e9b7cf2716284e3f5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Centers for Medicare and Medicaid Services, U.S</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>health disparities</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Innovative Geriatric Practice Models: Preliminary Data</topic><topic>Male</topic><topic>Medicaid</topic><topic>Medicare</topic><topic>models of care</topic><topic>Nursing homes</topic><topic>Nursing Homes - statistics & numerical data</topic><topic>Older people</topic><topic>Patient Care Team - organization & administration</topic><topic>Patient-Centered Care - organization & administration</topic><topic>physical function</topic><topic>Quality of Life</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Szanton, Sarah L.</creatorcontrib><creatorcontrib>Wolff, Jennifer L.</creatorcontrib><creatorcontrib>Leff, Bruce</creatorcontrib><creatorcontrib>Roberts, Laken</creatorcontrib><creatorcontrib>Thorpe, Roland J.</creatorcontrib><creatorcontrib>Tanner, Elizabeth K.</creatorcontrib><creatorcontrib>Boyd, Cynthia M.</creatorcontrib><creatorcontrib>Xue, Qian-Li</creatorcontrib><creatorcontrib>Guralnik, Jack</creatorcontrib><creatorcontrib>Bishai, David</creatorcontrib><creatorcontrib>Gitlin, Laura N.</creatorcontrib><collection>Istex</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szanton, Sarah L.</au><au>Wolff, Jennifer L.</au><au>Leff, Bruce</au><au>Roberts, Laken</au><au>Thorpe, Roland J.</au><au>Tanner, Elizabeth K.</au><au>Boyd, Cynthia M.</au><au>Xue, Qian-Li</au><au>Guralnik, Jack</au><au>Bishai, David</au><au>Gitlin, Laura N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2015-02</date><risdate>2015</risdate><volume>63</volume><issue>2</issue><spage>371</spage><epage>374</epage><pages>371-374</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. 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language | eng |
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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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