Medicaid Cost Savings of a Preventive Home Visit Program for Disabled Older Adults

2017 ◽  
Vol 66 (3) ◽  
pp. 614-620 ◽  
Author(s):  
Sarah L. Szanton ◽  
Y. Natalia Alfonso ◽  
Bruce Leff ◽  
Jack Guralnik ◽  
Jennifer L. Wolff ◽  
...  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Christian Brettschneider ◽  
Tobias Luck ◽  
Steffen Fleischer ◽  
Gudrun Roling ◽  
Katrin Beutner ◽  
...  

2014 ◽  
Vol 27 (5) ◽  
pp. 769-776 ◽  
Author(s):  
Mary E. Dozier ◽  
Catherine R. Ayers

ABSTRACTBackground:The Clutter Image Rating (CIR) was created to meet a gap in the research on compulsive hoarding: how to ascertain clutter level in an individual's home without a home visit, as not all clinicians have the ability to conduct a home visit. The CIR has proven itself to be both reliable and valid for use in adults with compulsive hoarding symptoms. However, there is currently a dearth of information on performance of the CIR in older adults diagnosed with hoarding disorder (HD). Because older adults have increased medical issues, including fall risks, evaluating the level of clutter in the house is especially critical in geriatric populations.Method:The current study was an investigation of the reliability and validity of the CIR in assessing late life HD. The internal consistency, convergent and divergent validity, and norms of the CIR were investigated in a large geriatric HD sample and compared with a midlife sample of individuals with HD. Criterion validity of the CIR was investigated through the comparison of participant ratings conducted in the clinic and clinician ratings conducted in the home.Results:The current study found similar levels of reliability and validity in a late life sample as in previous studies conducted in mid-life adults.Conclusions:Unlike previous studies, the current study did not find a significant relationship between the CIR and the non-clutter related subscales of the Savings Inventory-Revised. The CIR appears to be both reliable and valid for assessing clutter levels in older adults diagnosed with HD.


2020 ◽  
Vol 25 (Sup8) ◽  
pp. S25-S29
Author(s):  
Kirstine Farrer ◽  
Emma Rose ◽  
Dave Haynes ◽  
Steven Edwards ◽  
John McLaughlin

Older adults in the community are at risk of malnutrition and dehydration. The present article aims to outline an intervention and a population-health approach to raise awareness of the importance of good nutrition and hydration in later life. This was addressed by developing strong partnership working, governance frameworks and local steering committees. Through the Greater Manchester Nutrition and Hydration Programme, 39 500 older people have been asked about appetite and weight loss and/or used the PaperWeight Armband to date. A total of 5586 people from this population were found to be at risk of malnutrition. All were provided resources, advice and signposting to address this issue. The gross fiscal return on investment over a 5-year period was 3.2-fold and the net present budget impact was £800 000. The long-term cashable fiscal return on investment was estimated at 2.69. This very promising approach has potential to enable older adults to extend their healthy life span and deliver cost savings to the health and care system.


2016 ◽  
Vol 65 (2) ◽  
pp. 364-372 ◽  
Author(s):  
Mary Man-Lai Chu ◽  
Kenneth Nai-Kuen Fong ◽  
Albert Chau-Hung Lit ◽  
Timothy Hudson Rainer ◽  
Stella Wai-Chee Cheng ◽  
...  

Author(s):  
Kanako Sakane ◽  
Yuta Kobayashi ◽  
Mayumi Miyamoto ◽  
Miki Fukuma ◽  
Yuko Tsumoto ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (6) ◽  
pp. e0198239 ◽  
Author(s):  
Samuel D. Towne ◽  
Yajuan Li ◽  
Shinduk Lee ◽  
Matthew Lee Smith ◽  
Gang Han ◽  
...  

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