255254 Are Money Follows the Person Program Participants Better Off? A Pre- Post- Analysis of Quality of Life

Tuesday, October 30, 2012 : 4:30 PM - 4:50 PM

Glenn Landers, Sc.D., MBA, MHA , Georgia Health Policy Center, Georgia State University, Atlanta, GA
Kristi Fuller, MSW , Georgia Health Policy Center, Georgia State University, Atlanta, GA
Brittney Romanson, MPH , Georgia Health Policy Center, Georgia State University, Atlanta, GA
Lillian Haley, MSW, PhD , Georgia Health Policy Center, Georgia State University, Atlanta, GA
This study analyzed the results of quality of life surveys that were conducted with Money Follows the Person program participants prior to transition from a nursing home or intermediate care facility, and again approximately one year after transition to a community setting. The pre-transition surveys were primarily conducted in-person, and the post-transition surveys were primarily conducted by telephone. Surveys were completed either by the participant, a proxy, or the participant with assistance. The study population included 179 program participants in Georgia that completed a pre-transition survey and a post-transition follow-up survey from January 2009 through September 2011. The participants reported an increased ability to make choices and have control of scheduling meals, bed time and having privacy when they chose to. In addition, at the follow-up there was a 44 percent increase in those reporting that they had a choice in where they live, and a 29 percent increase in participants stating that they liked where they live. However, there were multiple indications that the participants had less community integration or inclusion post-transition. For example, at the follow-up there was a 14 percent increase in the number of participants that stated that they could not see friends and family when they wanted to and the percentage of participants indicating that they go out to do fun things in the community dropped by 21 percent. Despite these challenges, when asked if the participants were happy with the way they lived their lives, 15 percent more participants were happy after the transition.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Public health or related public policy
Public health or related research

Learning Objectives:
1. Compare the pre- and post-transition quality of life outcomes of participants in the Money Follows the Person program. 2. Discuss the potential barriers that might limit the number of successful transitions. 3. Discuss opportunities to improve the participantsí transition from a nursing home or intermediate care facility to a community setting. 4. Describe the potential impact of overlapping long-term care services such as Medicaid and non-Medicaid home and community based services.

Keywords: Medicaid, Long-Term Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Glenn Landers is an Associate Project Director at the Georgia Health Policy Center, where he has led projects focused on long-term care and aging since 1999. His projects include analysis of the costs and outcomes of Georgia Medicaid's nursing facilities and home- and community-based services, evaluation of the Aging and Disability Resource Connection, and the Money Follows the Person program. His research has appeared in Community Mental Health Journal, Hospital Topics, and Long-term Care Interface.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.