Purpose: The study's goals were to understand what changes in management practices would most improve the jobs of frontline workers from the perspective of workers themselves and to analyze differences across settings. Design and Methods: The baseline survey of direct care workers (N = 3,468) conducted as part of the National Study of the Better…

Text of a Congressional hearing examining the 10-year-old Long-Term-Care Ombudsman Program funded under the Older Americans Act is presented in this document. Opening remarks are given by Representatives Wyden, Snowe, Biaggi, and Robinson. Witnesses testifying include: (1) Michio Suzuki, Associate Commissioner, Office of State and Tribal Programs,…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

At the request of Congressman William Green, the General Accounting Office (GAO) evaluated the validity of allegations about deficiencies in the New York State Department of Health's nursing home and hospital inspection processes for certification for participation in the Medicare and Medicaid programs. Health Care Financing Administration and…

The article relates the nursing home component of a nationwide study of public mental retardation/developmental disabilities spending to requirements of Public Law 100-203. Approximately 51,000 individuals with developmental disabilities resided in nursing homes in 1989 of which 40 percent may need to be relocated under P.L. 100-203. (Author/DB)

This report from the Select Committee on Aging examines financial, medical, and social issues surrounding terminally ill patients with special emphasis on the elderly terminally ill. The first section discusses topics related to the medical treatment of the terminally ill. Two basic issues are important: the right to have medical treatment and the…

This article provides a framework for understanding how long-term care (LTC) research contributes to policy, develops a typology of research contributions to policy with examples of each type, and suggests ways to ensure that contributions continue in the future. The article draws on in-depth interviews with LTC experts working at the interface…

Analysis of the 1977 and 1985 National Nursing Home Surveys with respect to residents with mental retardation found little change in the size of the population; resident characteristics (such as other disabling conditions and functional limitations and primary source of payment); and level of services received. Challenges in implementing Public…

The joint committees met to examine the long-term care problems faced by the Indian elderly and to consider various proposals to resolve those problems. Four expert panels and 10 government and tribal representatives presented testimony on the health problems of the Indian elderly. One expert panel consisted of representatives of the Bureau of…

This study evaluated 2,815 adults with developmental disabilities in 328 Illinois intermediate care and skilled nursing facilities. Only 10 percent were determined to be appropriately placed in medical settings; 27 percent were enrolled in day training programs; and many individuals recommended for alternative residential settings had medical and…

This U.S. General Accounting Office report discusses the Medicaid management controls needed to assure that mentally retarded residents of nursing homes receive the services they need to help them function independently. Medicaid's involvement with the retarded in institutions and nursing homes includes financing active treatment services, such as…

Analysis of 1980 census data reveals that elderly people (age 65 and over) living in Central and Southern Appalachia suffer more inferior life circumstances than the elderly population in the nation as a whole, falling well below national averages in terms of income, access to transportation, availability of telephones, and presence of resources…

This paper offers documents from and descriptions of a collaborative project in clinical placements of student nurses in nursing homes as part of a nursing education program. The original project participants were the College of Nursing at the University of Massachusetts/Boston (UMass/Boston); the division of Nursing at the University of…

These 11 papers consider the older learner as a consumer of education and examine how the concepts of education, educators, institutions, and learners must be revised if educational involvement in later life is to be regarded as the norm. Following a prologue, "Education and the Interpretation of Life Experience" (Michel Philibert), the…

Nursing personnel demands and resources in North Dakota were assessed as part of a statewide nursing study. The objective was to determine the number and types of nurses needed in 1984 and 1986, and to compare anticipated nursing personnel supply and demand. The projections for the state as a whole and for regions within the state were designed to…