California HealthCare Foundation – Supporting ideas and innovations to improve health care for all Californians.

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Reflections on End of Life Care

February 2012

Most Californians would prefer a natural death at home without becoming a burden on family. Research finds a disconnect between what people say they want and reality. Videos highlight this issue.

When Compassion Is the Cure: Progress and Promise in Hospital-Based Palliative Care

February 2012

The number of in-hospital palliative care programs in California has grown steadily since 2007. California’s acute care hospitals describe their palliative care programs in this survey.

Trendspotting: How IT Triggers Better Care in Nursing Homes

September 2011

Electronic clinical decision support tools can help nursing home staff compile data and spot trends for pressure ulcers and other dangerous, but preventable, conditions.

Improving Nursing Homes: Impact of the California Culture Change Coalition

May 2011

The California Culture Change Coalition has been working for the past five years to promote principles of transformational change and person-centered care in the state's nursing homes. Their successes and ideas for moving forward are described in this paper.

Be Prepared: Reducing Nursing Home Transfers Near End of Life

March 2011

The PREPARED project aimed to help nursing homes reduce unnecessary transfers of patients who are near the end of life. The intervention included hospital-provided clinician educators assigned to nursing homes to offer education, role modeling, and coaching.

Briefing — There's No Place Like Home: Models of Supportive Communities for Elders

December 16, 2009

This policy briefing, which coincided with the release of a related CHCF issue brief, examined a framework for helping elders remain in their homes longer and avoid institutionalization.

Long Term Care Facts and Figures

November 2009

Revealing facts, figures, and trends on subjects ranging from bed supply to payment sources, this report provides an overview of issues shaping long term care in California and the nation.

Financing Medi-Cal's Future: The Growing Role of Health Care-Related Provider Fees and Taxes

November 2009

This issue brief reviews federal requirements for health care-related provider fees and taxes, and examines California's experience with provider fees under Medi-Cal.

Rethinking the Nursing Home: Culture Change Makes Headway in California

December 2008

This issue brief looks at six innovative models of care that can offer better experiences for nursing home residents as well as the frontline workers who care for them. The models are part of the culture change trend that is gaining a foothold in California.

Navigating Care Transitions in California: Two Models for Change

September 2008

This issue brief looks at two models for improving care transitions, which is the moving of patients from one health care practitioner or setting to another as their condition and care needs change.

Collaborative Care: Improving the Hospice-Nursing Home Relationship

September 2008

This issue brief examines the relationship between nursing homes and hospices in California: benefits and risks, types of collaboration, perceived quality of care, and opportunities for better care delivery, resource allocation, and cooperation.

Improving End-of-Life Care in California's Nursing Homes

September 2008

This issue brief examines the barriers to implementing appropriate end-of-life palliative care in nursing homes and suggests potential approaches to reducing those barriers.

Is There a Doctor in the House? Physician Liability Fears and the Quality of Care in Nursing Homes

September 2008

This issue brief examines the litigation risks associated with physicians practicing in nursing homes in California and whether the fear of those risks has an impact on quality of care.

Improving Decision Support Tools for the Long Term Care Consumer

March 2008

This report summarizes the research findings and analysis on the efficacy of the California Nursing Home Search Web site, extrapolating lessons that can be applied by other online tools that seek to provide long term care information and options to consumers.

FastFacts: Resources for Nursing Home Professionals

December 2007

FastFacts provide nursing home professionals with information for developing clinical skills and improving organizational practices. Each of the 26 FastFacts concisely captures the latest evidence on topics as varied as fall prevention, staff retention, effective leadership, and understanding data reports.

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