Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization:

Аннотация

Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life.The Centers for Medicare and Medicaid Services (CMS)Innovation Center funds projects that have potential toaffect the “triple aim,” a framework for decreasing costswhile improving health and quality of life. This article presents preliminary data from Community Aging in Place, Advancing Better Living for Elders (CAPABLE), a modelfunded by the CMS Innovation Center and designed toovercome the functional and home environmental barriersof older adults. CAPABLE is a patient-directed, teambased intervention comprising an occupational therapist, a registered nurse, and a handyman to decrease hospitalization and nursing home usage of community-dwelling olderadults with functional limitations who are dually eligiblefor Medicare and Medicaid. Activity of daily living limitations improved in 79% of the first 100 people who completed the intervention. Preliminary findings of this novelintervention may have implications for other older adults