Long Term & Transitional Care

PACE is a comprehensive model of care for frail elders that began almost 40 years ago in San Francisco and is now thriving in many states. However, the program has grown slowly in California. This report examines the issues and looks to the future of PACE in the state.

POLST, a standardized medical order form printed on brightly colored paper, indicates which types of life-sustaining treatment a seriously ill patient wants or doesn't want if his or her condition worsens.

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.

This event coincided with the release of a CHCF issue brief about new approaches to supporting elders who wish to remain in their homes, such as innovative community-living models and cooperative care approaches.

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.

This free service offers unbiased quality ratings of California's long term care providers — information that will help consumers make better choices and focus providers on improving quality. The site features a geographic search tool and a tool that helps consumers choose among care options by posing ten simple questions.

To improve patient transitions from one care setting to another, CHCF funded the implementation of the Coleman Care Transitions Intervention in ten California communities. Read the project's final report.

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.

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

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.

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 provide nursing home professionals with timely and highly relevant information they can use to develop clinical skills and improve 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.

Studies show that some populations are at a greater risk of transitional care complications that may cause re-hospitalizations. This effort will test lower-cost models of prevention.

These projects aim to improve the communication of information such as clinical information, treatment plans, medication instructions, and patient preferences across care settings during patient transitions from one care setting to another.

This report summarizes the recommendations of experts in long term care on implementing the systemic reforms outlined in the 1996 Little Hoover Commission paper.