Suchergebnisse

Abstract Background Nursing Facility Transition (NFT) programs often rely on self-reported preference for discharge to the community, as indicated in the Minimum Data Set (MDS) Section Q, to identify program participants. We examined other characteristics of long-stay residents discharged from nursing facilities by NFT programs, to "flag" similar individuals for outreach in the Money Follows the Person (MFP) initiative. Methods Three states identified persons who transitioned between 2001 and 2009 with the assistance of a NFT or MFP program. These were used to locate each participant's MDS 2.0 assessment just prior to discharge and to create a control sample of non-transitioned residents. Logistic regression and Automatic Interactions Detection were used to compare the two groups. Results Although there was considerable variation across states in transitionees' characteristics, a derived "Q + Index" was highly effective in identifying persons similar to those that states had previously transitioned. The Index displays high sensitivity (86.5%) and specificity (78.7%) and identifies 28.3% of all long-stayers for follow-up. The Index can be cross-walked to MDS 3.0 items. Conclusions The Q + Index, applied to MDS 3.0 assessments, can identify a population closely resembling persons who have transitioned in the past. Given the US Government's mandate that states consider all transition requests and the limited staffing available at local contact agencies to address such referrals, this algorithm can also be used to prioritize among persons seeking assistance from local contact agencies and MFP providers.

Published also in French. ; Title taken from portfolio. ; In portfolio. ; At head of title: Permanent International Association of Navigation Congresses. X. Congress--Milan, 1905. ; 1. Rapid increase in the dimensions of steamers and sailing vessels. Draught of water of these. Effect of the increase on the harbours, canals and approaches. 4 v.--2. The use of liquid fuel for purposes of navigation. 2 v.--3. The transport of cargo by "ferryboats". 4 v.--4. Report of the most recent works carried out in the principal seaports. 13 v.--5. Responsibility of ship owners in regard to private parties or public administrations. 3 v.--6. Coast signals, lightships, wireless telegraphy. 5 v.--7. Measures adopted by the different governments for the protection of ocean navigation. Bounties, reduced railway tariffs for merchandise intended to be transported by sea. 5 v. ; Mode of access: Internet.