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- 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
- Authors
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.
- Abstract
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.
- Subjects
MARYLAND; ELDER care; GERIATRIC assessment; BLUE collar workers; CONSTRUCTION industry; HEALTH care teams; LIFE skills; MEDICAID; MEDICARE; NURSES; OCCUPATIONAL therapists; QUESTIONNAIRES; RESEARCH funding; ACTIVITIES of daily living; HOME environment; INDEPENDENT living; DESCRIPTIVE statistics; OLD age
- Publication
Journal of the American Geriatrics Society, 2015, Vol 63, Issue 2, p371
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/jgs.13245