Health Affairs

Health Affairs, 26, no. 6 (2007): 1762-1771 doi: 10.1377/hlthaff.26.6.1762 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Prospects For Transferring Nursing Home Residents To The Community

Vincent Mor, Jacqueline Zinn, Pedro Gozalo, Zhanlian Feng, Orna Intrator and David C. Grabowski

The Deficit Reduction Act (DRA) of 2005 calls for states to develop strategies to "deinstitutionalize" nursing home residents. Using Minimum Data Set assessment data from 2005, we calculated the number of nursing home residents classified as "low-care" in each state using both a "narrow" and a "broad" definition. Between 5 percent (narrow) and 12 percent (broad) of the 1.4 million long-stay residents and similar proportions of new admissions remaining in a nursing home meet definitions for low care. States with lower investment in community alternatives had higher proportions of low-care nursing home residents.

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