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Long-Term Care-Nursing Homes EHR-Systems Functional Profile: Release 1
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Author(s): LTC-NH EHR-S Functional Profile Workgroup |
Organization(s): Office of the Assistant Secretary for Planning and Evaluation, American Health Information Management Association, American HEALTHTECH, Omnicare Information Solutions |
This is Release 1 of the Long Term Care-Nursing Home (LTC-NH) Electronic Health Record System (EHR-S) Functional Profile. Based on, and conformant with, the HL7 EHR-S Functional Model (FM) Release 1, February 2007, this document represents the culmination of one year of extensive work by private and public industry representatives and other stakeholders to identify functional requirements for EHR systems in nursing home settings. This document has been balloted by the LTC-NH EHR-S Functional Profile Workgroup and represents industry consensus on system requirements. [186 PDF pages] |
Published: July, 2008 |
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Assessing Asset Data on Low-Income Households: Current Availability and Options for Improvement
(Report)
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Author(s): Caroline Ratcliffe, Henry Chen, Trina Williams Shanks, Yunju Nam, Mark Schreiner, Min Zhan, Michael Sherraden |
Organization(s): Urban Institute |
This report identifies three data sets as the most reliable and informative data sources for understanding low-income households' assets and liabilities: the Survey of Consumer Finances (SCF), the Survey of Income and Program Participation (SIPP), and the Panel Study of Income Dynamics (PSID). The report also details the limitations of these data sets and provides options for improving asset data sources and collection methods. In doing so, the report provides a framework for refining the primary sources of data necessary to pursuing future research in the assets field. |
Published: September, 2007 |
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Executive Summary
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Gaps and Strategies for Improving American Indian/Alaska Native/Native American Data
(Report)
Final Report |
Author(s): Westat |
This report identifies gaps in AI/AN/NA data on health and well-being, strategies for improving AI/AN/NA data availability and quality, and some current initiatives underway within HHS and other federal agencies that are intended to improve these data. |
Published: January, 2007 |
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Opportunities to Improve Survey Measures of Late-Life Disability
(Report)
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Author(s): Vicki A. Freedman, Timothy Waidmann and Brenda Spillman |
Organization(s): Polisher Research Institute |
This issue brief provides background information on issues that could be raised at the Workshop on Improving Survey Measures of Late-Life Disability (May 17, 2005). The authors include a brief review of disability measurement issues, and offer a framework for thinking about disability measurement that will shaped the workshop panels and presentations. [62 PDF pages] |
Published: September, 2006 |
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An Introduction to the National Nursing Assistant Survey
(Report)
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Author(s): Marie R. Squillace, Robin E. Remsburg, Anita Bercovitz, Emily Rosenoff and Laura Branden |
Organization(s): Office of the Assistant Secretary for Planning and Evaluation, National Center for Health Statistics, Westat |
The National Nursing Assistant Survey is sponsored by ASPE; its design and fielding were made possible through collaborations with two independent research organizations and a sustained partnership with the National Center for Health Statistics (NCHS). As the first in a series of papers produced by ASPE and NCHS, this report highlights relevant research that led to federal interest in sponsoring this survey, provides a comprehensive overview of the procedures undertaken, describes the advantages of combining establishment and worker surveys, and highlights the potential uses of these data. Subsequent papers will report on survey findings to inform improved planning, decision-making and policy development. [70 PDF pages] |
Published: September, 2006 |
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The Daily Activities of the Community-Dwelling Elderly: Evidence from the American Time Use Survey
(Report)
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Author(s): Timothy Waidmann and Vicki Freedman |
Organization(s): Urban Institute, University of Medicine and Dentistry of New Jersey |
Building on recent advances in the conceptualization of disability, this report uses data on how older Americans spend their time to provide insights into enhancements to common survey measures of activity limitation and participation restrictions experienced in late life. The authors use the 2003-2005 waves of the American Time Use Survey to assess how well the common ADL and IADL instruments capture the common activities of daily life. The analysis finds several areas of activity participation that are not commonly measured but may be important features of independent living and makes suggestions for how these activities might be included in surveys. These include several "quality of life" activities like socializing with others, travel and leisure, administrative activities like handling the mail/e-mail, home repairs or arranging for and using services, "helping" activities like volunteering and caring for others, and self care activities like physical exercise and health-related self-care. |
Published: September, 2006 |
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Alternative Risk-Adjustment Approaches to Assessing the Quality of Home Health Care: Final Report
(Report)
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Author(s): Christopher M. Murtaugh, Timothy R. Peng, Gil A. Maduro, Elisabeth Simantov and Thomas E. Bow |
Organization(s): Visiting Nurse Service of New York |
The Outcome-Based Quality Improvement (OBQI) program provides reports to all Medicare-certified home health agencies so that they can identify potential quality problems and devise appropriate strategies to address them. There are 41 OBQI quality measures. A data-driven "stepwise" approach currently is used to risk adjust the OBQI indicators with a separate set of risk factors included in the risk-adjustment model for each outcome. The purpose of this project was to use a theory and evidence-based approach to develop and test alternative risk-adjustment models for the OBQI quality indicators within the frame of the existing OASIS instrument. [114 PDF pages] |
Published: July, 2006 |
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Development of an Assistive Technology and Environmental Assessment Instrument for National Surveys: Final Report
(Report)
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Author(s): Vicki A. Freedman, Emily M. Agree, Jennifer C. Cornman and Lisa Landsberg |
Organization(s): University of Medicine and Dentistry of New Jersey, Johns Hopkins Bloomberg School of Public Health, and Polisher Research Institute |
The purpose of this project was to develop, pilot, and disseminate a set of instruments for national surveys to measure the use of assistive technology and the environments in which they are used. The project focused on older adults living in the community. The instruments have been designed as a series of modules that can be adopted in whole or part as part of a computer-assisted telephone interview. Part I of this report presents the recommended 8-10 minute instrument (consisting of 5 modules) and a briefer 2-3 minute instrument (consisting of a single module). Part II presents results from the pilot test for the recommended items. [187 PDF pages] |
Published: December, 2005 |
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Indicators of Child, Family, and Community Connections
(Report)
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Author(s): Laura Lippman, Project Director |
Organization(s): Mathematica and Child Trends |
Family indicators typically include measures such as family structure, employment and poverty status, and benefit receipt. However, these indicators do not fully portray how families function as a unit and as part of society. To lay the groundwork for addressing this issue, ASPE contracted with Mathematica Policy Research and Child Trends to produce a chart book of Indicators of Child, Family, and Community Connections. The chart book presents illustrative examples of how currently available data can be used to generate indicators of the social context of families, and assesses the need for additional data and measures in several domains. A selection of important areas for further development are discussed in the Companion Volume of Related Papers. |
Published: August, 2004 |
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Indicators of Child, Family, and Community Connections, Companion Volume of Related Papers
(Report)
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Author(s): Laura Lippman, Project Director |
Organization(s): Mathematica and Child Trends |
This is the campanion volume of papers to the Indicators of Child, Family, and Community Connections chartbook. Family indicators typically include measures such as family structure, employment and poverty status, and benefit receipt. However, these indicators do not fully portray how families function as a unit and as part of society. To lay the groundwork for addressing this issue, ASPE contracted with Mathematica Policy Research and Child Trends to produce a chart book of Indicators of Child, Family, and Community Connections. The chart book presents illustrative examples of how currently available data can be used to generate indicators of the social context of families, and assesses the need for additional data and measures in several domains. |
Published: August, 2004 |
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