Publications

Publications

Healthy Aging

The hidden cost of unpaid caregiving: The case for supporting unpaid caregivers across the state of Michigan

There are 1.4 million unpaid caregivers across Michigan. The work they do keeps residents from needing more costly forms of health care. But Michigan’s unpaid caregivers often do not receive the support they need. Unpaid caregivers help friends, family members, and neighbors in many ways, including activities that allow individuals to maintain their independence, like household chores, managing finances, and …

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Learn how states are combatting social isolation and loneliness in adults with disabilities during the COVID-19 pandemic

Forty percent of adults with a debilitating disability or chronic condition report feelings of loneliness or being socially isolated. The significant risk factors for social isolation include living alone, mobility disabilities, major life transitions, and emerging health problems – all which become more prevalent in older age. The health risks associated with social isolation and loneliness are troubling, and include …

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Veteran health care

Michigan health care and mental health care providers need more training, support to serve the state’s aging veterans

Only 6.7 percent of Michigan health care and mental health providers are fully prepared to serve Michigan’s aging veteran population according to a new report by the Center for Health and Research Transformation (CHRT) at the University of Michigan. This finding is based on CHRT’s statewide assessment of the readiness and capacity of Michigan health care providers to serve older …

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CHRT report evaluates Michigan’s COVID-19 nursing home strategy and provides recommendations for future approaches

The Center for Health and Research Transformation (CHRT) is releasing its summary analysis of the state of Michigan’s nursing home hub strategy along with evidence-based recommendations to help improve the care and safety of residents and staff in the state’s long term care system during the COVID-19 pandemic. Findings support state’s initial strategy and identify additional approaches that can be …

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Reforms needed after systemic flaws in nursing homes worsen COVID-19: Read our piece in ABA journal on law and aging

A new piece by CHRT staff, “Reforms needed after systemic flaws in nursing homes worsen COVID-19,” appears in this month’s BIFOCAL, a journal of the American Bar Association Commission on Law and Aging. The article by Marianne Udow-Phillips, founding executive director, and Robyn Rontal, data analytics director, explores the need for systemic change in nursing homes and long-term care facilities. …

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covid-19, elderly, nursing

COVID-19 rapid response brief: Best practices for protecting populations in nursing homes, long-term care settings

Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for the Michigan Department of Health and Human Services, we explore best practices for protecting populations in long-term care settings such …

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Managed long-term services and supports: Michigan Department of Health and Human Services research report

In the 2017-2018 state budget, the Michigan Legislature asked the Michigan Department of Health and Human Services (MDHHS) to explore implementing managed long-term services and supports (LTSS). The department hired the Center for Health and Research Transformation (CHRT), Health Policy Matters (HPM), and Public Sector Consultants (PSC) to conduct an analysis of the state’s existing long-term services and supports system …

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Advance Care Planning: Tying a Community Perspective to the National Conversation

Advance care planning (ACP) is a process where people talk with family members and doctors about their end-of-life care preferences and designate someone to carry out their wishes. ACP helps people plan for future medical treatment in the event of a serious illness. Controversies associated with ACP—perhaps most famously the accusations of “death panels” that demonized the Affordable Care Act—have …

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Acute care readmission reduction initiatives: An update on major programs in Michigan

Inpatient hospitalizations account for 32 percent of the total $2.9 trillion spent on health care in the United States. In the majority of cases, it is necessary and appropriate to admit a patient to the hospital. However, patients returning to the hospital soon (e.g., within 30 days) after their previous stay account for a substantial percentage of admissions. Research has …

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Price transparency in health care: Federal and state initiatives, ongoing challenges, and opportunities for the future

This brief provides an overview of price transparency initiatives in health care by federal and state governments and private entities; discusses the challenges associated with achieving the current goals of price transparency efforts; and highlights opportunities for moving forward to effectively achieve such goals. In recent years, consumers have assumed an increasing share of health care spending through high deductible …

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