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 Listed below are selected printed materials and websites that offer information on nursing
facility diversion and transition activities.
Materials:
- Diversion and Transition Services in the U.S., Promising Practices and Options
for the Future. Darlene O’Conner, Linda Long, Emma Quach, Laurie Burgess, Ellie Shea-Delaney. Center for Health Policy and Research, University of Massachusetts Medical School. February 2006.
http://hcbs.org/files/84/4184/DiversionInventory_NationalReport.pdf.
An overview of diversion and transition initiatives across the country. Discusses the
need for increased public awareness about available community options for persons
with disabilities or chronic conditions. This report provides valuable information on
federal policy changes to support diversion and transition activities, including new
initiatives under the Deficit Reduction Act such as expanded access to home and
community based services, self-directed personal assistant services and Money
Follows the Person demonstration grants. Of particular interest is how states are
using assessment and care coordination activities to transition individuals back to the
community. The report identifies how states are using relocation workers (OR), case
managers (WA) and transition counselors (FL, NJ, PA, AR, MI, CO, TX) to facilitate
the transition of residents back to the community as quickly as possible.
- Money Follows the Person Toolbox. Robert Mollica, Susan Reinhard, Jennifer
Farnham, Michael Morris. Rutgers Center for State Policy, National Academy for
State Health Policy. August 2006.
http://www.cshp.rutgers.edu/Downloads/6610.pdf.
Designed to help states applying for a Money Follows the Person grant, this tool box
contains a wealth of information on states’ promising transition practices. It
examines issues such as identifying consumers for transition services, states’ uses of
assessment instruments, barriers to transition and evaluating and sustaining transition
efforts. The chapter on nursing facility transition services contains useful background
information on the financing of transition activities including types of activities that
can be reimbursed, how transition services can be paid for, and how to help persons
maintain their housing in the community.
- Nursing Facility Transition Initiatives of the Fiscal Year 2001 and 2002
Grantees: Progress and Challenges: Final Report. (June 2005) Prepared for CMS
by Janet O’Keeffe, RTI International.
http://hcbs.org/files/74/3655/NFT_final.htm.
Provides an overview of the NFT initiatives of the 18 FY 2001 and 2002 grantees.
Offers a table with data of each grantee’s primary focus and approach. Appendices
provide data on the number of persons transitioned and diverted. Also identifies key
steps needed to set up sustainable transition/diversion programs and implications for
states as they move forward with rebalancing efforts that include diversion and
transition as key components of those systems.
- Nursing Facility Transition Toolbox. (revised October 2005). Prepared for CMS
by Susan Reinhard of Rutgers Center for State Health Policy and Jennifer Gillespie of
the National Academy for State Health Policy.
http://www.hcbs.org/files/80/3964/NFT-Toolbox10-12-05WEB.pdf.
Designed for Money Follows the Person grantees, the Toolbox identifies resources
that address transition components, including: identification of persons for transition;
financing one-time transition costs; financing case management costs; relocation preparation; evaluation of NFT and outcomes; and state infrastructure and policy issues.
Websites:
These websites contain a wealth of information about nursing facility transitions and the Money
Follows the Person demonstration grants are:
Ombudsman Program Involvement in Nursing Facility Transition Initiatives
Money Follows the Person - The Texas Experience
Money Follows the Person - The Texas Experience (PowerPoint)
Resources on Nursing Facility Transition
PowerPoint Presentations
2007 Money Follows the Person Grant Awardees
Relocation Materials
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