Site Visit

Transitions along the Continuum of Care: Elderly and Disabled Persons in New York
March 4–5, 2002


Lisa Sprague, MBA & Nora Super


This site visit examined transitions along the continuum of care for elderly and disabled persons in New York. The state offers its residents an extensive array of services, including nursing homes, home health care, personal care, and community-based services. New York spends more than any other state on its Medicaid program, which is reflected in a comprehensive benefit package, full-cost reimbursement of hospitals, high nursing home rates, and extensive coverage of personal care services. Site visitors were briefed on the history and development of long-term care in the state as well as the various care settings available. Panels discussed transitions in and out of acute, subacute, and long-term care settings and variations in managed long-term care. Discussions included strategies to improve the quality of care provided to nursing home residents, individuals living at home, and those nearing the end of life. Site visitors traveled to the Visiting Nurse Service of New York, the largest nonprofit home health care agency in the country. They also toured a long-term care facility with a large Chinese population and discussed multicultural competency, staffing, and reimbursement.

Related Materials

For details on participants' impressions, see the Site Visit Report.

Other related Forum programming includes "National Spending for Long-Term Services and Supports (LTSS), 2012," (The Basics, March 27, 2014); Forum sessions on Medicaid managed long-term care (April 25, 2008), consumer direction and Money Follows the Person (November 7, 2008), and informal caregiving (September 21, 2007); and reports from the site visits to Wisconsin (Madison and vicinity in August 2007, and Milwaukee in August 2008) and Fairfax, Virginia (March 2007).

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