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Health Information Technology: Are Long Term Care Providers Ready?

April 2007

This report explores the readiness for health information technology (HIT) from the perspective of long term care providers: nursing facilities, residential care facilities, and community-based service providers.

Long Term Care Reform: Ten Years After Little Hoover

December 2006

This issue brief assesses the progress of long term care reform in California since the Little Hoover Commission recommendations in 1996 and introduces new strategies to improve care over the next five years.

Snapshot: Hospice in California: A Look at Cost and Quality

November 2006

This report provides a snapshot of hospice utilization, trends, cost, and quality in California from 1996 through 2004.

Health Promotion by Design in Long Term Care Settings

September 2006

This report examines how the design of physical environments in long term care facilities potentially impacts resident and staff wellness, and specifically how it affects quality of life, safety, and stress.

Snapshot: Staffing and Quality in California Nursing Homes

July 2006

This 2006 report examines nursing home staffing and quality issues in California, including compliance with minimum standards, turnover rates, deficiencies, and comparisons of for-profit and nonprofit settings.

The Medicare Drug Benefit: Impact on Nursing Facilities

October 2005

This issue brief examines the short- and long-term impact of the Medicare drug benefit on California's 1,300 nursing facilities and offers recommendations for managing and monitoring the transition.

Snapshot: California's Fragile Nursing Home Industry, 2005

August 2005

This snapshot report examines nursing home care in California and uncovers problems with staffing, quality of care, regulatory compliance, and financial stability.

Nursing Homes: A System in Crisis

June 2004

While the number of Californians age 65 and older is projected to double in the next decade, long term care facilities are struggling with staff shortages and strapped budgets.

The Olmstead Decision and Long Term Care in California

December 2003

This report examines the U.S. Supreme Court's landmark decision limiting the power of states to place people with disabilities in institutions as a condition for providing them with publicly funded health coverage and explores the likely impact on long term care in California.

The Financial Health of the California Nursing Home Industry

June 2003

This project provides an assessment of the financial performance of the skilled nursing industry in California. Highlighted are critical public policy issues and financial context for the decisions that industry leaders, policymakers, and patient advocates must address.

Residential Care Facilities for the Elderly

January 2002

Two reports discuss the RCFE industry and facilities, supply and demand trends, cost-effectiveness arguments, national and California quality assurance and data systems, and recommendations for piloting demonstration projects.

Understanding Medi-Cal: Long Term Care (Revised Edition)

May 2001

Medi-Cal pays for 43% of all publicly funded long term care services in California. This primer defines the role of Medi-Cal in long term care, the services provided, the recipients of this care, funding and administration, and key policy issues.