Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

Lawrence Schonfeld; Jesse Bell; Mary Goldsworthy; Kevin Kip; Amber M. Gum; Kyaien O. Conner; Ohad Green; Frank Wagoner; Katie Parkinson; Kristina A. Melling; Sandy Markwood

doi:10.1177/07334648211012508

Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

Lawrence Schonfeld, Jesse Bell, Mary Goldsworthy, Kevin Kip, Amber M. Gum, Kyaien O. Conner, Ohad Green, Frank Wagoner, Katie Parkinson, Kristina A. Melling, Sandy Markwood

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

The National Aging Network serves millions of older Americans seeking home- and community-based services, but places others on waitlists due to limited resources. Little is known about how states determine service delivery and waitlists. We therefore conducted a process evaluation and analyzed data from one five-county Area Agency on Aging in Florida, where an algorithm calculates clients’ priority scores for service delivery. From 23,225 screenings over 5.5 years, clients with higher priority scores were older, married, living with caregivers, and had more health problems and needs for assistance. Approximately 51% received services (e.g., meals/nutrition, case management, caregiver support), 11% were eligible/being enrolled, and 38% remained on waitlists. Service status was complex due to multiple service enrollments and terminations, funding priorities, and transfers to third-party providers. More research is needed regarding how other states determine eligibility and deliver services, potentially informing national standards that promote optimal health in older Americans.

Original language	English
Pages (from-to)	699-708
Number of pages	10
Journal	Journal of Applied Gerontology
Volume	41
Issue number	3
DOIs	https://doi.org/10.1177/07334648211012508
State	Published - Mar 2022
Externally published	Yes

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.

Funding

The authors wish to thank Ms. Charlotte McHenry, President and CEO of the Senior Connection Center (the Area Agency on Aging for West Central Florida) for her support of this project as well as the support of the SCC staff and its Board of Directors. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Retirement Research Foundation (RRF) Foundation for Aging (RRF Grant #2019051). The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Retirement Research Foundation (RRF) Foundation for Aging (RRF Grant #2019051).

Funders	Funder number
CEO of the Senior Connection Center
Retirement Research Foundation
RRF Foundation for Aging	2019051

Keywords

Area Agencies on Aging
home- and community-based care and services
independence
screening

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10.1177/07334648211012508

Cite this

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Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

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Keywords

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