American Society on Aging Poster Presentation


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Kristi Fuller, research associate with the Georgia Health Policy Center, presented the poster "Are Money Follows the Person Program Participants Better Off? A Pre- Post- Analysis of Quality of Life" at the American Society on Aging Conference in Washington, DC.

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American Society on Aging Poster Presentation

  1. 1. Are Money Follows the Person Program Participants Better Off? A Pre- Post- Analysis of Quality of Life Kristi Fuller, MSW; Lillian Haley, PhD, MSW; Brittney Romanson, MPH; and Glenn M. Landers, MBA, MHA RESEARCH OBJECTIVE CONCLUSIONS To evaluate the quality of life of Money Follows the Person Additionally, fewer participants living in the community With an intended outcome of providing individuals with (MFP) program participants before transition and one year reported that they had to go without a bath, meal, or the choice of community living with appropriate supports after transition at the state level. medicine when they needed it. At the post-transition and services, the MFP program has attempted to remove survey, participants reported that they had increased many barriers in order to achieve this goal successfully. access to do the things that they wanted to do outside of The 183 MFP program participants in Georgia included in STUDY DESIGN the facility or home, and a 26 percent decrease was seen in this analysis indicated that there were many areas where This study analyzed the results of quality of life surveys participants stating that they have to miss things or they were exerting increased choice and control, realizing that were conducted prior to transition from a nursing change their plans due to an inability to get around. more access to medical care and the ability to schedule home or intermediate care facility, and again plans without having to change them. These participants approximately one year after transition to a community also suggest that some barriers remain with regard to However, there were multiple indications that the setting. The pre-transition surveys were primarily accessing social activities and a feeling of community participants had less community integration or inclusion conducted in-person, and the post-transition surveys were integration which is reflected in that fewer participants post-transition. For example, at the follow-up there was a primarily conducted by telephone. Surveys were reported doing fun things in the community and more 14 percent increase in the number of participants that completed either by the participant, a proxy, or the reported feeling sad or blue during the past week. stated that they could not see friends and family when participant with assistance. they wanted to and the percentage of participants indicating that they go out to do fun things in the IMPLICATIONS FOR POLICY POPULATION STUDIED community dropped by 23 percent. Potentially reflective of these limitations, there was an increase in the The results of this study indicate that the MFP program The study population included Money Follows the Person post-transition responses measuring sadness (+8%), participants have improved quality of life post-transition. program participants in Georgia that completed a irritability (+9%), and aches and pains (+8%) in the past To further improve outcomes post-transition, state level pre-transition survey and a post-transition follow-up week. Despite some of the challenges denoted above, program policy could focus on social outlets and survey from January 2009 through December 2011. A total when asked if the participants were happy with the way community integration. This may include the provision of of 206 participants had matched surveys during this time the lived their lives, 5 percent more participants were educational opportunities, work or volunteer placement, period, but 23 respondents had passed away, thus a total happy after the transition. increased emphasis on peer support, added flexibility in of 366 surveys from two time points were analyzed. transportation services, and family meetings that elucidate realistic expectations of support and interactions with FIGURE 1: COMPARISON OF RESPONSES TO family and friends. In some cases, additional services could PRINCIPAL FINDINGS SELECTED SURVEY QUESTIONS be considered as reimbursable under the program, and in As expected, a significant decrease in the number of others additional assessments or planning prior to people living in group homes or nursing homes is transition may be useful. Further, funding for infrastructure observed post-transition. In fact, at the follow-up there such as affordable housing and transportation could was a 53 percent increase in those reporting that they had improve the number of successful transitions. Finally, it a choice in where they live, and a 33 percent increase in should be recognized that the MFP program service participants stating that they liked where they live. The period lasts 365 days, thus while the program has great participants also reported an increased ability to make opportunity for improving quality of life, the impact of choices and have control of scheduling meals, bed time overlapping long-term care programs such as Medicaid and having privacy when they chose to. and non-Medicaid home and community based services should be considered. For more information, contact the Georgia At both time points nearly all participants reportedHealth Policy Center at 404.413.0314 or visit us receiving help with bathing, dressing or preparing meals, online at often by someone who was paid to help them. However, RESEARCH FUNDERS at the post-transition follow-up there was a 35 percent The Georgia Department of Community Health through increase in the number of participants stating that they grant funding received from the Centers for Medicare and ANDREW YOUNG SCHOOL picked the people who were paid to help them. Medicaid Services. OF POLICY STUDIES