Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes.

Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes.

Date: August 2007
Creator: Wike, Christopher L.
Description: The purpose of this study was to examine a select set of organizational variables and determine their relationship to nursing assistants' intentions to quit in state-owned veterans' long-term care facilities located across the United States. America's long-term care industry (e.g., nursing homes, assisted living facilities) is a multibillion dollar industry. Because the U.S. government is projecting a 250% increase in the elderly population, staffing these nursing homes and related facilities is a critical concern. A vitally important but often overlooked factor of the long-term care industry is employee turnover. Of the staff in long-term care facilities, the nursing assistant (NA) position is particularly susceptible to turnover. Approximately 80% of NAs who enter the workforce leave within the 1st year and many leave within the first 3 months of employment. Some facilities report that they are unable to accept new residents because of a lack of qualified NAs. While many studies have researched this issue, staff turnover in long-term care facilities remains a serious and widespread problem. This study provides a foundation for future research related to the perceptions of intentions to quit of nursing assistants (NAs) working in state-owned veterans long-term care facilities by providing primary data regarding NAs intentions ...
Contributing Partner: UNT Libraries
Commission on Long-Term Care

Commission on Long-Term Care

Date: 2013
Creator: United States. Commission on Long-Term Care
Description: This is the website for the federal Commission on Long-Term Care. Established as part of the American Taxpayer Relief Act of 2012 and signed into law January 2, 2013, the commission's goal was to advise Congress on how comprehensive, high-quality long-term care can be better provided and financed for the nation's older adults and people with disabilities. The Commission is composed of 15 members of the Senate and House of Representatives and released its final report on September 18, 2013. The website includes the final report, all relevant press releases, and transcripts and other materials related to its public hearings.
Contributing Partner: UNT Libraries Digital Projects Unit
Empowered Work Teams in Long-Term Care: Strategies for Improving Outcomes for Residents and Staff

Empowered Work Teams in Long-Term Care: Strategies for Improving Outcomes for Residents and Staff

Access: Use of this item is restricted to the UNT Community.
Date: 2008
Creator: Yeatts, Dale E., 1952-; Cready, Cynthia M. & Noelker, Linda S.
Description: Book discussing empowered work teams in long-term care and strategies for improving outcomes for residents and staff.
Contributing Partner: UNT College of Public Affairs and Community Service
Housing and the Aging Population: Options for the New Century

Housing and the Aging Population: Options for the New Century

Date: 1994
Creator: Folts, W. Edward (William Edward) & Yeatts, Dale E., 1952-
Description: This book is the second volume in the Garland Reference Library of Social Science Series. In this book, the authors address the topic of aging from a wide variety of perspectives and provide a basis for the discussion of housing issues concerning the elderly in the coming century.
Contributing Partner: UNT College of Public Affairs and Community Service
Consequences of Empowered CNA Teams in Nursing Home Settings: A Longitudinal Assessment

Consequences of Empowered CNA Teams in Nursing Home Settings: A Longitudinal Assessment

Date: January 1, 2007
Creator: Yeatts, Dale E., 1952- & Cready, Cynthia M.
Description: Article on a longitudinal assessment and the consequences of empowered CAN teams in nursing home settings.
Contributing Partner: UNT College of Public Affairs and Community Service
Family Perspectives on the Hospice Experience in Adult Family Homes

Family Perspectives on the Hospice Experience in Adult Family Homes

Date: February 2011
Creator: Washington, Karla T.
Description: Article on family perspectives on the hospice experience in adult family homes.
Contributing Partner: UNT College of Arts and Sciences
Long-Term Care: Availability of Medicaid Home and Community Services for Elderly Individuals Varies Considerably

Long-Term Care: Availability of Medicaid Home and Community Services for Elderly Individuals Varies Considerably

Date: September 26, 2002
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "As the baby boomers age, spending on long-term care for the elderly could quadruple by 2050. The growing demand for long-term care will put pressure on federal and state budgets because long-term care relies heavily on public financing, particularly Medicaid. Nursing home care traditionally has accounted for most Medicaid long-term care expenditures, but the high costs of such care and the preference of many individuals to stay in their own homes has led states to expand their Medicaid programs to provide coverage for home- and community-based long-term care. GAO found that a Medicaid-eligible elderly individual with the same disabling conditions, care needs, and availability of informal family support could find significant differences in the type and intensity of home and community-based services that would be offered for his or her care. These differences were due in part to the very nature of long-term care needs--which can involve physical or cognitive disabling conditions--and the lack of a consensus as to what services are needed to compensate for these disabilities and what balance should exist between publicly available and family-provided services. The differences in care plans were also ...
Contributing Partner: UNT Libraries Government Documents Department
Long-Term Care: Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened

Long-Term Care: Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened

Date: June 20, 2003
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "Home and community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. GAO was asked to review (1) trends in states' use of Medicaid home and community-based service (HCBS) waivers, particularly for the elderly, (2) state quality assurance approaches, including available data on the quality of care provided to elderly individuals through waivers, and (3) the adequacy of federal oversight of state waivers. GAO is recommending that the Administrator of CMS take steps to (1) better ensure that state quality assurance efforts are adequate to protect the health and welfare of HCBS waiver beneficiaries, and (2) strengthen federal oversight of the growing HCBS waiver programs. Although CMS raised certain concerns about aspects of the report, such as the respective state and federal roles in quality assurance and the potential need for additional federal oversight resources, CMS generally concurred with the recommendations."
Contributing Partner: UNT Libraries Government Documents Department
Long-Term Care: Baby Boom Generation Increases Challenge of Financing Needed Services

Long-Term Care: Baby Boom Generation Increases Challenge of Financing Needed Services

Date: March 27, 2001
Creator: United States. General Accounting Office.
Description: Testimony issued by the General Accounting Office with an abstract that begins "The confluence of the aging baby boom generation, longer life expectancies, and evolving options for providing and financing long-term care services will require substantial public and private investment in long-term care and the development of sufficient capacity to serve this growing population. Spending for long-term care was about $134 billion in 1999. Medicaid and Medicare paid for nearly 58 percent of these services, contributing about $59 billion and $18 billion, respectively. Private long-term care insurance was viewed as a possible way to reduce catastrophic financial risk for the elderly needing long-term care and to relieve some of the financing burden now shouldered by public long-term care programs. Yet private insurance represents only about 10 percent of long-term care spending. Questions remain about the affordability of policies and the value of the coverage relative to the premiums charged. Although many states have adopted standards for long-term care policies, it is uncertain whether these standards have bolstered consumer confidence in the reliability of long-term care insurance. If long-term care insurance is to have a more significant role in addressing the baby boom generation's upcoming chronic health care needs, consumers must ...
Contributing Partner: UNT Libraries Government Documents Department
Long-Term Care: Implications of Supreme Court's Olmstead Decision Are Still Unfolding

Long-Term Care: Implications of Supreme Court's Olmstead Decision Are Still Unfolding

Date: September 24, 2001
Creator: United States. General Accounting Office.
Description: Testimony issued by the General Accounting Office with an abstract that begins "In the Olmstead case, the Supreme Court decided that states were violating title II of the Americans with Disabilities Act of 1990 (ADA) if they provided care to disabled people in institutional settings when they could be a appropriately served in a home or community-based setting. Considerable attention has focused on the decision's implications for Medicaid, the dominant public program supporting long-term care institutional, home, and community-based services. Although Medicaid spending for home and community-based service is growing, these are largely optional benefits that states may or may not choose to offer, and states vary widely in the degree to which they cover them. The implications of the Olmstead decision--in terms of the scope and the nature of states' obligation to provide home and community-based long-term care services--are still unfolding. Although the Supreme Court ruled that providing care in institutional settings may violate the ADA, it also recognized that there are limits to what states can do, given the available resources and the obligation to provide a range of services for disabled people. The decision left many open questions for states and lower courts to resolve. State programs ...
Contributing Partner: UNT Libraries Government Documents Department
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