Everyone's talking about it, but does it work? nursing home diversion and transition

Anthony R. Bardo, Robert A. Applebaum, Suzanne R. Kunkel, Elizabeth A. Carpio

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). Nearly 3,800 individuals, 60 years old and older, participated in Ohio's statewide nursing home diversion and transition initiative between March 2010 and May 2011. This research tracked outcomes for consumers and evaluated the implementation of the new program. Nearly 80% of diversion and transition participants who were still living at the time of their 6-month follow-up were residing in the community. An agency-level process analysis revealed innovative intervention strategies, promising practices, and barriers. Process results found that Area Agencies on Aging (AAAs) have become more proactive in working with high-risk individuals, with agencies identifying new at-risk consumers through hospital and nursing home interventions.

Original languageEnglish
Pages (from-to)207-226
Number of pages20
JournalJournal of Applied Gerontology
Issue number2
StatePublished - Mar 2014

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Ohio Department of Aging.


  • Area Agency on Aging
  • diversion
  • nursing home
  • process evaluation
  • transition

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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