Iowa Department on Aging Performance Plan, FY2013

Agency Performance Plan, Iowa Department of Elder Affair

A Model for Hospital Discharge Preparation: From Case Management to Care Transition

There has been a proliferation of initiatives to improve discharge processes and outcomes for the transition from hospital to home and community-based care. Operationalization of these processes has varied widely as hospitals have customized discharge care into innovative roles and functions. This article presents a model for conceptualizing the components of hospital discharge preparation to ensure attention to the full range of processes needed for a comprehensive strategy for hospital discharge

Supporting Special-Purpose Health Care Models via Web Interfaces

The potential of the Web, via both the Internet and intranets, to facilitate development of clinical information systems has been evident for some time. Most Web-based clinical workstations interfaces, however, provide merely a loose collection of access channels. There are numerous examples of systems for access to either patient data or clinical guidelines, but only isolated cases where clinical decision support is presented integrally with the process of patient care, in particular, in the form of active alerts and reminders based on patient data. Moreover, pressures in the health industry are increasing the need for doctors to practice in accordance with ¿best practice¿ guidelines and often to operate under novel health-care arrangements. We present the Care Plan On-Line (CPOL) system, which provides intranet-based support for the SA HealthPlus Coordinated Care model for chronic disease management. We describe the interface design rationale of CPOL and its implementation framework, which is flexible and broadly applicable to support new health care models over intranets or the Internet

The Role of Exchanges in Quality Improvement

Explores state options and considerations for driving healthcare quality improvement and delivery system reform at the plan and provider levels through insurance exchanges, including the need to involve all stakeholders in developing and executing policy

State Strategies to Improve Quality and Efficiency: Making the Most of Opportunities in National Health Reform

Examines ten states' initiatives to address key components of quality and efficiency improvement, including data collection, aggregation, and standardization; public reporting; payment reform; consumer engagement; and provider engagement

Uneven Capacity and Delivery of Human Services in the Chicago Suburbs: The Role of Townships and Municipalities

Examines the social services suburban townships and municipalities deliver, their ability to expand their role to meet rising demand during the economic crisis, and the need to strengthen the nonprofit infrastructure. Urges collaboration and coordination

Building Medical Homes in State Medicaid and CHIP Programs

Presents strategies, best practices, and lessons learned from ten states' efforts to advance the medical home model of comprehensive and coordinated care in Medicaid and Children's Health Insurance Programs in order to improve quality and contain costs

From Novelty to Expectation: Recommendations to Develop a System of Campus Support for Foster Youth

As longtime funders of efforts to promote educational opportunity for current and former foster youth, the Walter S. Johnson Foundation (WSJF) and Stuart Foundation have been in the forefront of efforts to replicate successful models of campus support programs for former foster youth at public institutions of higher education in the Bay Area and Northern California. This paper was commissioned to help the funders determine what additional investments could be made to help additional campuses implement support programs and to move the field toward a "tipping point" where temporary philanthropic support for a relatively small number of demonstration programs begins to be replaced by on-going public support for the widespread replication of CSPs throughout the state's public institutions of higher education. This paper examines the challenges and barriers faced by campuses that seek to replicate campus support programs for foster youth, determine what campuses need for effective replication, and the most useful ways in which support could be delivered. In also includes a potential design for a campus support program initiative and makes recommendations for the type of intermediary needed to manage the initiative

Scaling Up: Bringing the Transitional Care Model Into the Mainstream

Describes features of an innovative care management intervention to facilitate elderly, chronically ill patients' transitions among providers and settings; the adopting organization; and the external environment that affect its translation into practice