1 National Surveys of Long-Term Care Providers: Recent Findings and Plans for the Future Lauren...

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National Surveys of Long-Term Care Providers:

Recent Findings and Plans for the Future

Lauren Harris-KojetinNCHS

Emily RosenoffASPE

Long-Term Care Discussion GroupFebruary 23, 2012

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

National Center for Health Statisticsand the

Office of the Assistant Secretary for Planning and Evaluation

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NSRCF Partners• CDC’s National Center for Health Statistics (NCHS)• HHS Office of the Assistant Secretary for Planning

and Evaluation (ASPE)

Contributing agencies and departments• CDC’s National Center for Chronic Disease Prevention

and Health Promotion (NCCDPHP)• CDC’s National Center for Immunization and

Respiratory Diseases (NCIRD)• Agency for Healthcare Research and Quality (AHRQ)• U.S. Department of Veterans Affairs (VA)

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NSRCF Supporters

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NSRCF Primary Goals1. Estimate the size of the U.S. industry

• Number of facilities and residents

2. Determine the characteristics of facilities• Geographic distribution, physical

environment, staff, services offered, admission and discharge policies

3. Determine the characteristics of residents• Demographics, health status, physical

functioning, cognitive impairment, service use, involvement in activities, charges

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NSRCF Eligibility Definition• have 4 or more beds;• serve primarily an adult population; • are licensed, registered, listed, certified, or

otherwise regulated by the state; • provide room and board with at least 2 meals a day; • provide around-the-clock on-site supervision;• offer help with personal care (e.g., bathing and

dressing) OR health care-related services (e.g., medication management); and

• have at least 1 resident at time of interview.

• Facilities exclusively serving adults with severe mental illness or ID/DD are excluded.

NSRCF Data Collection• Conducted interviews April – November 2010• Collected data on 2,302 facilities and 8,094

current residents• Weighted response rates

– Facility-level: 81% and Resident-level: 99%• Design and Operation of the 2010 National

Survey of Residential Care Facilities http://www.cdc.gov/nchs/data/series/sr_01/sr01_054.pdf

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Upcoming NSRCF Products

• NCHS Facility Data Brief, December 15• NCHS Resident Data Brief, March 2012• ASPE Policy Briefs, Spring and Summer 2012

– Impact of the April 15, 2011 Proposed Rule on Medicaid HCBS Waivers

– Medicaid in Residential Care– Resident Health Conditions/Functional States and Services

• NCHS/ASPE NSRCF Chart Book, 2013

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Use of Medicaid for long-term care services in residential care facilities: United States, 2010

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NOTE: Figure excludes cases with missing data. SOURCE: CDC/NCHS, National Survey of Residential Care Facilities, 2010.

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Selected demographic characteristics of residents in residential care facilities: United States, 2010

NOTE: Figure excludes cases with missing data. SOURCE: CDC/NCHS, National Survey of Residential Care Facilities, 2010.

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Receiving assistance in activities of daily living (ADLs) and common chronic conditions of residents in residential care facilities: United States, 2010

NOTE: Figure excludes cases with missing data. SOURCE: CDC/NCHS, National Survey of Residential Care Facilities, 2010.

14NOTE: Figure excludes cases with missing data. SOURCE: CDC/NCHS, National Survey of Residential Care Facilities, 2010.

Selected services offered by facilities and used by residents in residential care facilities: United States, 2010

Perc

ent

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http://www.cdc.gov/nchs/nsrcf.htm

Plans for the Future: NSLTCP Primary Goals

1. Estimate the U.S. national supply of paid, regulated LTC providers

2. Estimate key policy-relevant characteristics and practices of these providers

3. Estimate the national use of these providers4. Estimate key policy-relevant characteristics of

these users Provider state estimates for a subset of measures as

feasible within confidentiality and reliability standards

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NSLTCP Provider Association Supporters

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NSLTCP Core Products

• Overview report on supply and use of paid, regulated LTC in the United States

• Public-use files for providers for which core survey data collected

• Surveys fielded and report updated every other year

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NSLTCP Provider Types and Data Sources

Hospices Nursing Homes

Home Health Care

Agencies

Residential Care

Facilities

Adult Day Services Centers

PROVIDER TYPES

Administrative records Survey data

DATA SOURCES

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NSLTCP Core Domains

• About providers• Basic characteristics• Services• Staffing• Practices (includes EHR functionalities)

• About users—Aggregate-level distributions• Demographics• Physical functioning• Cognitive functioning

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http://www.cdc.gov/nchs/nsltcp.htm

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NSLTCP or NSRCF:Lauren Harris-Kojetin

National Center for Health Statisticsfti3@cdc.gov301-458-4369

NSRCF:Emily Rosenoff

Assistant Secretary for Planning and Evaluation

Emily.Rosenoff@HHS.GOV202-690-5740