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Biomedical subjects

F E Netting

Publications and source records attributed to F E Netting.

At least 19 recordsLinked to original sources
PubMed2001

Data from long-term care ombudsman programs in six states: the implications of collecting resident demographics.

PURPOSE: This article focuses on why it is important for longterm care ombudsmen to collect resident demographics. DESIGN AND METHODS: The authors analyzed a cross-sectional, 6-state database to show the importance of ombudsman programs' collecting demographic information about the residents of long-term care facilities whom they serve. To demonstrate the importance of collecting demographic data about residents, the authors examined the relationships between race, gender, and types of complaints lodged, verified, and fully resolved. RESULTS: A higher percentage of complaints lodged on behalf of racial minorities was verified, yet a lower percentage was fully resolved. IMPLICATIONS: Ombudsman databases are a potential resource for identifying residents' characteristics that increase their vulnerability in long-term care settings.

Black or African American↗
PubMed2001

National standards for the long-term care ombudsman program and a tool to assess compliance: the Huber Badrak Borders Scales.

PURPOSE: We propose national standards previously recommended for the Long-Term Care Ombudsman Program by an Institute of Medicine program evaluation committee, and introduce a tool to measure the compliance of local ombudsman programs to those standards: the Huber Badrak Borders Scales. METHODS: The best practices for ombudsman programs detailed in the committee's report were adapted to 43 Likert-type scales that were then averaged into 10 infrastructure component scales: (a) program structure, (b) qualifications of local ombudsmen, (c) legal authority, (d) financial resources, (e) management information systems, (f) legal resources, (g) human resources, (h) resident advocacy services, (i) systemic advocacy, and (j) educational services. The scales were pilot-tested in 1996 and 1999 with Kentucky ombudsmen. RESULTS: The means of 9 of these 10 scales were higher in 1999 than in 1996, suggesting that local ombudsman programs were more in compliance with the proposed standards in 1999 than three years earlier. IMPLICATIONS: The development process consisted of 10 adopt-test-revise-retest steps that can be replicated by other types of programs to develop program compliance tools.

Guideline Adherence↗
PubMed2000

Expanding the boundaries of primary care for elderly people.

This article reports the results of a qualitative evaluation of the Generalist Physician Initiative, designed to enhance the care of older people provided by primary care physicians in nine demonstration projects around the country. A theme entitled "Pushing the Comfort Zone" examines activities in which physicians engage before collaboration: selecting elderly patients, "opening cans of worms," recognizing patient and family expectations, and going outside the comfort zone. A second theme called "Linking with Collaborators" reveals activities in which physicians engage as they collaborate: teaming, using intervention agents as eyes and ears, communicating, and tracking patients. Findings indicate that social workers are logical collaborators with primary care physicians as contemporary practice is expanding to be more holistic.

Aged↗
PubMed1999

Geriatric case managers: integration into physician practices.

Integration of case management proved to be a key variable in a national demonstration at nine sites of alternative models designed to enhance primary care of frail elders. Numerous semistructured interviews of participants revealed a number of areas important to achieving successful integration. These areas include making favorable first impressions, building relationships, learning to collaborate, having proximity and contact, communicating, and demonstrating benefits to patients and physicians.

Aged↗
PubMed1997

When people with pre-existing disabilities age in place: implications for social work practice.

We focus on a population of people with disabilities who are "aging in place," that is, individuals aging with pre-existing physical disabilities. We distinguish between those who experience prolonged aging and others who experience accelerated aging. A brief overview of people aging with disabilities and selected background information on the increasing linkages between the aging and disability communities is provided. Four case examples illustrate the practice implications faced by social workers in partnering with people with pre-existing disabilities and in being sensitive to their desires concerning aging in place.

Aging↗
PubMed1996

Case manager-physician collaboration: implications for professional identity, roles, and relationships.

The backdrop for this article is the continuing drama of changing roles and relationships among health care professionals. This article reports the results of a study of the professional identities, roles, and relationships of case managers in nine demonstration sites around the United States. Funded by the John A. Hartford Foundation, the demonstration projects use diverse personnel to enhance the role of primary care physicians in practice with elderly people. Implications for health care social workers, educators, and community-based providers are presented.

Aged↗
PubMed1995

Volunteer and paid long term care ombudsmen: differences in complaint resolution.

Data are reported from a pilot study of the ombudsman reporting system in one southeastern state. The focus of this article is the relationship between types of complaints investigated and resolved by both paid and volunteer long-term care ombudsmen operating under various auspices. Statistically significant differences exist between the resolution of complaints by volunteer and paid ombudsmen. Data are discussed in terms of the implications of these differences for the implementation of a federal mandate to increase citizen participation in long-term care facilities.

Aged↗
PubMed1995

Elder rights and the Long-Term Care Ombudsman Program.

Since 1975 the Long-Term Care Ombudsman Program has grown and developed under the Older Americans Act (OAA) of 1965. With the passage of the Older Americans Act Amendments of 1992, this program was combined with other advocacy functions and placed in Title VII--Vulnerable Elder Rights Protection Activities. This article provides a historical overview of the policy, programmatic, and research issues that surround OAA and explains the activities of ombudsmen in their local communities and the roles many social workers perform under the auspices of long-term care ombudsman programs.

Aged↗
PubMed1995

Coordinated care partnership: case management with physician practices.

This article describes the Coordinated Care Partnership Project, operated by The St. Joseph Healthcare System. Funded as one of several demonstration sites by The John A. Hartford Foundation, this project places social work and nurse care managers in selected primary care physician practices in Albuquerque, NM. Lessons learned from the first year of operation are presented, along with implications for the role of case management in primary care practice.

Aged↗
PubMed1994

Determinants of client termination in hospital-based case management programs.

Increasing attention is being focused on hospital-based programs that address the needs of the frail elderly. This article reports results from a demonstration of hospital-based case management (HBCC). Baseline, 3-, 6-, and 12-month assessment data are analyzed to determine why clients terminated from HBCC programs. Subsamples of community- and hospital-originated clients are examined to determine what factors predict case management termination. About half of both hospital- and community-originated clients left case management within 12 months because of death, nursing home placement, referral to another case management agency, relocation out of the service area, or discharge as self-sufficient. Hospital-originated clients were more likely to die within the first 6 months after entering case management than were community-originated clients. Cognitive and functional abilities were important predictors of termination status.

Activities of Daily Living↗
PubMed1993

Critical factors for successful hospital-based case management.

Six hospitals were funded to develop programs for long-term case management. Factors that should be considered when developing hospital-based case management are discussed within three areas: organizational placement, program management, and financial viability.

Arizona↗
PubMed1992

Hospital-based case management: results from a demonstration.

The Flinn Foundation Hospital-based Coordinated Care case management demonstration was designed to help patients discharged from six participating hospitals be linked to community services by a case manager. One unexpected result was that about half of the clients served were referred from the community, not from the hospital. We examine the characteristics of hospital-based case management clients, the predictors of their continuation in case management, and their health status over 1 year, focusing on the differences between hospital- and community-referred clients.

Aged↗
PubMed1992

The Long-Term Care Ombudsman Program: what does the complaint reporting system tell us?

Using paid staff and/or volunteers, long-term care ombudsman programs are charged with resolving complaints and solving problems that affect elderly persons in a variety of long-term care settings. This paper reports the results of a content analysis of annual ombudsman program reports sent to the Administration on Aging from 49 states in 1990. We found substantial variation in the documented information at both state and local levels and recommend revising the reporting system.

Aged↗
PubMed1992

State unit on aging involvement with continuing care retirement community (CCRC) legislation.

State units on aging (SUAs) from 29 states with continuing care retirement community (CCRC) legislation were surveyed to (a) assess staff familiarity with CCRC legislation, (b) examine interdepartmental working relationships surrounding such legislation and ask what role(s) ombudspersons are playing in CCRC oversight, (c) determine what role(s) aging units have had in developing legislation, and (d) gain insights regarding legislative impact. Results indicate that SUAs have been active in legislative development but vary greatly in the intensity of their involvement with the implementation and enforcement of CCRC regulation and in their perception of legislative impact.

Aged↗
PubMed1991

Accommodation and relocation decision making in continuing care retirement communities.

Accommodations and relocations in continuing care retirement communities (CCRCs) affect the lives of staff and residents. This article defines the CCRC concept and reviews the literature relevant to accommodation and relocation changes within CCRCs. Implications for health and human services practitioners who work with older CCRC residents, along with specific issues, are discussed.

Aged↗
PubMed1991

Swing-beds: the Arizona experience.

Swing-beds are acute-care hospital beds temporarily used for long-term care. A demonstration program was developed to evaluate the effectiveness of using swing-beds as catalysts for the expansion of rural hospitals into community health centers to respond better to the needs of older persons in their respective communities. We examined the background and implementation issues of the swing-bed demonstration program in six rural Arizona hospitals.

Aged↗