Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project

Szanton Sarah L.; Wolff Jennifer L.; Leff Bruce; Roberts Laken; Thorpe Roland J.; Tanner Elizabeth K.; Boyd Cynthia M.; Xue Qian-Li; Guralnik Jack; Bishai David; Gitlin Laura N.

首页> 外文期刊>Journal of the American Geriatrics Society >Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project

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Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project

机译：来自社区老龄化，促进老年人更好生活，以患者为导向，以团队为基础的干预以改善身体机能并减少养老院利用率的初步数据：完成医疗保险和医疗补助创新中心的前100名个人

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Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds projects that have potential to affect the triple aim, a framework for decreasing costs while improving health and quality of life. This article presents preliminary data from Community Aging in Place, Advancing Better Living for Elders (CAPABLE), a model funded by the CMS Innovation Center and designed to overcome the functional and home environmental barriers of older adults. CAPABLE is a patient-directed, team-based intervention comprising an occupational therapist, a registered nurse, and a handyman to decrease hospitalization and nursing home usage of community-dwelling older adults with functional limitations who are dually eligible for Medicare and Medicaid. Activity of daily living limitations improved in 79% of the first 100 people who completed the intervention. Preliminary findings of this novel intervention may have implications for other older adults with functional limitations.

机译：尽管当前的医疗模型部分地决定了医疗保健的使用和生活质量，但它们经常忽略了功能限制和家庭环境。医疗保险和医疗补助服务中心（CMS）创新中心为可能影响三重目标的项目提供资金，这是降低成本，改善健康和生活质量的框架。本文提供了来自就地社区老龄化，促进老年人更好生活（CAPABLE）的初步数据，该模型由CMS创新中心资助，旨在克服老年人的功能和家庭环境障碍。 CAPABLE是一种以患者为导向，基于团队的干预措施，由职业治疗师，注册护士和杂工组成，以减少具有双重医疗资格和医疗补助资格的功能受限的社区居民的住院和疗养院使用情况。在完成干预的前100人中，有79％的人的日常生活受到限制。这种新的干预措施的初步发现可能对其他功能受限的老年人有影响。

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来源
《Journal of the American Geriatrics Society》 |2015年第2期|共4页
作者
Szanton Sarah L.; Wolff Jennifer L.; Leff Bruce; Roberts Laken; Thorpe Roland J.; Tanner Elizabeth K.; Boyd Cynthia M.; Xue Qian-Li; Guralnik Jack; Bishai David; Gitlin Laura N.;
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原文格式 PDF
正文语种 eng
中图分类老年病学;
关键词
models of care; health disparities; physical function;

机译：护理模型;健康差异;身体机能;

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1. Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project [J] . Szanton Sarah L., Wolff Jennifer L., Leff Bruce, Journal of the American Geriatrics Society . 2015,第2期

机译：来自社区老龄化，促进老年人更好生活，以患者为导向，以团队为基础的干预以改善身体机能并减少养老院利用率的初步数据：完成医疗保险和医疗补助创新中心的前100名个人
2. Tracking Patients in Community-Based Palliative Care through the Centers for Medicare & Medicaid Services Healthcare Innovation Project [J] . Janet Bull, Arif H. Kamal, Matthew Harker, Journal of palliative medicine . 2017,第11期

机译：通过Medicare＆Medicate服务医疗保健创新项目的中心跟踪基于社区的姑息治疗患者
3. Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults. [J] . Szanton SL, Thorpe RJ, Boyd C, Journal of the American Geriatrics Society . 2011,第12期

机译：社区老龄化到位，为老年人提供更好的生活：一种生物行为-环境干预措施，以改善残疾老年人的功能和健康相关的生活质量。
4. Preliminary Data from Community Aging in Place Advancing Better Living for Elders a Patient‐Directed Team‐Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project [O] . Sarah L. Szanton, Jennifer L. Wolff, Bruce Leff, -1

机译：来自社区老龄化促进老年人更好生活以患者为导向以团队为基础的干预以改善身体机能并减少疗养院利用率的初步数据：完成医疗保险和医疗补助服务创新中心的前100名个人
5. Renal insufficiency and anemia are independent risk factors for death among patients with acute myocardial infarction1,21As published material, the contents of this manuscript may not be cited, quoted, reproduced or published without the consent of the authors.2The analyses upon which this publication is based were performed under Contract Number 500-96-P704, entitled “Operation Utilization and Quality Control Peer Review Organization (PRO) for the State of Georgia” and sponsored by the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services. The conclusions and opinions expressed, and methods used herein are those of the authors. They do not necessarily reflect CMS policy. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by CMS, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the authors concerning experience in engaging with issues presented are welcomed. [O] . Langston Robert D., Presley Rodney, Flanders W. Dana, 2003

机译：肾功能不全和贫血是急性心肌梗死患者死亡的独立危险因素1,21作为已发表的材料，未经作者的同意，不得引用，引用，复制或出版该手稿的内容。2本出版物所依据的分析这些工作是根据合同号500-96-P704进行的，该合同的标题为“佐治亚州的运营利用和质量控制同行评审组织（PRO）”，由卫生与人文部医疗保险和医疗补助中心（CMS）赞助服务。所表达的结论和意见以及本文使用的方法均为作者的结论和意见。它们不一定反映CMS政策。作者对所提出想法的准确性和完整性承担全部责任。本文是CMS发起的“医疗保健质量改善计划”的直接结果，该计划鼓励鉴定通过对护理模式进行分析而得出的质量改善项目，因此该承包商不需要任何特殊资金。欢迎作者提出解决问题的经验和想法。

Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicare and Medicaid Services Innovation Project

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