A screening system for Michigan's home- and community-based long-term care programs

TitleA screening system for Michigan's home- and community-based long-term care programs
Publication TypeJournal Article
Year of Publication2002
AuthorsFries B.E, Shugarman L.R, Morris J.N, Simon S.E, James M.
JournalGerontologist
Volume42
Issue4
Pagination462-74
Date PublishedAug
Accession Number12145374
Keywords*Home Care Services/ec [Economics], *Long-Term Care/ec [Economics], *Patient Selection, Algorithms, Data Collection, Michigan, Support, Non-U.S. Gov't, Support, U.S. Gov't, P.H.S.
Abstract

PURPOSE: To develop a screening system for Michigan's MI Choice publicly funded home- and community-based services programs, to aid in identifying both individuals eligible for services and their most appropriate level of care (LOC). DESIGN AND METHODS: Identify assessment items from the Minimum Data Set for Home Care (MDS-HC) assessment instrument that are predictive of five LOCs determined by expert care managers: nursing home, home care, intermittent personal care, homemaker, and information and referral (without services). RESULTS: The algorithm based on approximately 30 client characteristics agrees with expert opinions substantially better (kappa =.62) than systems based on activities of daily living and instrumental activities of daily living only (kappa <.40). IMPLICATIONS: The screening algorithm can be used both over the telephone to identify clients who will not be fully assessed (as they are unlikely to receive services) and in person to recommend the appropriate LOC.

Alternate JournalGerontologist