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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,”...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498670/ https://www.ncbi.nlm.nih.gov/pubmed/25644085 http://dx.doi.org/10.1111/jgs.13245 |
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author | 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. |
author_facet | 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. |
author_sort | Szanton, Sarah L. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4498670 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-44986702016-01-31 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 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. J Am Geriatr Soc Innovative Geriatric Practice Models: Preliminary Data 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. John Wiley and Sons Inc. 2015-01-30 2015-02 /pmc/articles/PMC4498670/ /pubmed/25644085 http://dx.doi.org/10.1111/jgs.13245 Text en © 2015 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Innovative Geriatric Practice Models: Preliminary Data 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. 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 | 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_full | 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_fullStr | 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_full_unstemmed | 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_short | 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_sort | 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 |
topic | Innovative Geriatric Practice Models: Preliminary Data |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498670/ https://www.ncbi.nlm.nih.gov/pubmed/25644085 http://dx.doi.org/10.1111/jgs.13245 |
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