Publications

Publications

Healthy Aging

A look back at the journey of the Vital Seniors Initiative—and where it’s heading next

Washtenaw County seniors are a rapidly growing population, expected to more than double by 2040. And many face everyday challenges—such as social isolation, food insecurity, and transportation. In 2018, the Vital Seniors Initiative, managed by the Ann Arbor Area Community Foundation (AAACF) and funded by the Glacier Hills Legacy Fund, was developed to address these challenges. Over $1 million in …

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Family caregiver support: learn about policy and programmatic solutions developed by state and federal agencies

More than 43 million U.S. adults, 13 percent of Americans, provide unpaid care to family members or friends. These care providers administer medical care, run errands, provide transportation, manage finances, and help with household chores, among other activities. While most family caregivers are not reimbursed for their efforts, they are a significant component of the nation’s long-term care system. In …

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The COVID-19 pandemic has added significant new stressors for family caregivers – here’s why that matters

Nearly 40 percent of all family caregivers find their caregiving situation to be emotionally stressful. When caregivers feel they have no choice in assuming their caregiving duties, this increases to 53 percent. Left unaddressed, caregiver stress can worsen physical, mental, and emotional health, as well as social and financial well-being. The COVID-19 pandemic has created an incredibly challenging environment for …

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King and Rontal published in the Annals of Family Medicine on annual wellness visit use among persons with disabilities

Persons with disabilities often face challenges accessing healthcare, despite having increased health needs. Annual wellness visits (AWV) and other preventive care may increase the overall health of persons with disabilities, but they can be unaffordable when they require out-of-pocket copays. One purpose of the Patient Protection and Affordable Care Act (ACA) was to improve  health outcomes and use of preventive …

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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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