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PASSPORT consumer eligibility
Get PDFThis report examined the PASSPORT population for nursing home level of care and Medicaid financial eligibility. In addition, factors impacting length of stay in PASSPORT and transfer to nursing home are explored
Periodic orbits in systems with backlash: Stability, classification & observability
Get PDFBacklash, clearance or dead zone is a common feature of many mechanical systems and can undermine the performance of the system, since it has a large influence on the dynamics and control of systems. It can be caused by intended clearance necessary for assembly and operation, but may also be the result of operational wear and tear. Systems with backlash form a subclass of discontinuous mechanical systems and can be modeled as piecewise linear systems. In this work, both stiffness and damping are modeled with piecewise characteristics. A single and multiple degree-of-freedom model with backlash are analyzed for their harmonic periodic orbits as a function of excitation frequency and amplitude. The systems are modeled as tri-linear systems, with no stiffness in the backlash gap. This leads to a rigid body motion in this region. To calculate the flow of the piecewise linear systems, a simulation method is used that utilizes the knowledge of the analytical solutions for linear systems. This method also allows for analytical calculation of the fundamental solution matrix. This is beneficial for applying this simulation method in the multiple shooting method, which is used to calculate the periodic orbits. First, both the single and multiple degree-of-freedom system are characterized by their response diagram for a fixed excitation amplitude. Here, the amplitude of both stable and unstable periodic orbits are calculated. The response diagram shows a combination of branches that is characteristic for a hardening oscillator, with multiple solutions in some frequency ranges. The periodic orbits are characterized by their number of subspace boundary crossings in excitation frequency and amplitude plane. Next to the number of boundary crossings, the periodic orbits are characterized by the maximum absolute value of the Floquet multipliers. The Floquet multipliers jump when the number of subspace boundary crossings changes, so this characterization gives the same information. However, the classification by Floquet multipliers also distinguishes symmetric and asymmetric periodic orbits and therefore gives more information. These conclusions hold for both systems. When a system with backlash is used in practice, often only the output is measured. Information on the other states, especially the backlash gap, may however be relevant for analysis and control. Therefore, an observer is designed for the multiple degree-of-freedom system. Simulations of the observer show that it converges to an error much smaller as was expected. Yet, the convergence rate is low. Further research is needed to analyze the discrepancy between theory and simulations and to increase the performance of the observer
Evaluation of Ohio's assisted living Medicaid waiver program : Assessment and service plan development process
Get PDFThis report is one among four that represents an evaluation of Ohio s Assisted Living Medicaid Waiver program. This part assessed how well the program performed in developing and delivering services. Specifically, the evaluation addressed the effectiveness of the service plan process in preserving the consumers independence, privacy, and choice. It also looked at the factors that lead to service tier change in the first 90 days after enrollment and those that result in a permanent tier re-assignment
Development and Testing of a Resident Satisfaction Survey for Ohio's Residential Care Facilities: Final Report
Get PDFPASSPORT assessment and services
Get PDFThis report examines the PASSPORT assessment and services processes through thirty case studies: ten new assessments; ten ongoing consumers; and ten disenrolled consumers. We used a combination of observation; interviews with consumers, family caregivers, assessors, and case managers; consumer records review; and one focus group of PASSPORT Administrative site directors or their designees. We evaluated the accuracy and comprehensiveness of assessments; the appropriateness of service plans; and the extent to which consumers and their family members made informed decisions about their care and services
PASSPORT evaluation : Accountability for finances, compliance, and fairness
Get PDFThis research is an evaluation of the mechanisms and processes in place to assure that PASSPORT funds are managed properly and procurements are undertaken in a fair and open manner
Changing face of long-term care : Ohio's experience 1993-2005
Get PDFThis report details trends in Ohio long-term care service utilization over 12 years. It also provides information about the characteristics of those in different settings such as PASSPORT, nursing homes, and residential care facilities
Implementation of the 2006 Ohio nursing home family satisfaction survey: Final report
Get PDFIn 2006, the Scripps Gerontology Center conducted the second annual nursing home family satisfaction survey under a contract to the Ohio Department of Aging.
Refinements to the survey instrument showed continued high reliability of domain areas and the instrument as a whole. Changes in instructions to families, and a number of processes were changed this year that resulted in fewer family and facility calls requesting assistance from the toll-free hotline operated by the Margaret Blenkner Research Institute at Benjamin Rose.
Comparisons of 2001 and 2006 responses show some significant improvements statewide, with more items showing statewide averages of 90 and above. Among facilities that participated both years, a number of areas also showed statistically significant improvements.
The family satisfaction survey is one important component of the comprehensive nursing home information shown on the Ohio Long-Term Care Consumer Guide (www.ltcohio.org)