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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
Authors:Sarah L. Szanton PhD  Jennifer L. Wolff PhD  Bruce Leff MD  Laken Roberts MPH  Roland J. Thorpe PhD  Elizabeth K. Tanner PhD  Cynthia M. Boyd MD  Qian‐Li Xue PhD  Jack Guralnik PhD  David Bishai PhD  Laura N. Gitlin PhD
Affiliation:1. School of Nursing, Johns Hopkins University, Baltimore, Maryland;2. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland;3. School of Medicine, Johns Hopkins University, Baltimore, Maryland;4. University of Maryland Medical School, Baltimore, Maryland
Abstract: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.
Keywords:models of care  health disparities  physical function
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