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

Long Term & Transitional

Californians over age of 65 are more likely to need long-term care than any other age group in the state. Paying for long-term care, improving the quality of that care, and Medicare access are some of the daily issues faced by those in this age bracket. CHCF looks at the California long-term care system and its prospects for the future.

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CalQualityCare.org: Your Guide to Long Term Care in California

December 2011

This free website offers unbiased quality ratings of California's long term care providers — information to help consumers make better choices and to encourage providers to improve quality — plus helpful tools and resources.

Webinar — Care Transitions: A Partnership Between Sonoma County and Santa Rosa Memorial Hospital

October 26, 2011

When poorly handled, transitions from hospital to home result in bad outcomes and unnecessary suffering for patients. Hear from two Sonoma County providers who partnered to do better.

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.

Physician Orders for Life-Sustaining Treatment (POLST)

July 2011

What's the right level of care at the end of life? The answer is not always "more" — even for the very ill. The pink POLST form helps medical staff respect patients' wishes in their final days.

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.

Aging in PACE: The Case for California Expansion

July 2010

The PACE program for frail elders, despite beginning in San Francisco and thriving in many states, is growing slowly in California. This report examines the issues and looks to the future of PACE in the state.

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

December 2009

Aging within the community is possible for many seniors when appropriate services and supports are present. This report looks at innovative models for senior living and discusses policy, financial, and other issues associated with community living for elders.

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.

Coleman Care Transitions Intervention

March 2009

To improve patient transitions from one care setting to another, CHCF funded the implementation of the Coleman Care Transitions Intervention in 10 California communities.

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.

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.

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