A new study released jointly by AARP’s Public Policy Institute, The Commonwealth Fund and the SCAN Foundation shows Iowa ranks sixth in the nation on how well it performs in the delivery of long-term services and supports to older adults and people with disabilities, but also points out areas for improvements, especially in support for home and community based services.
The report, “Raising Expectations: A State Scorecard on Long-term Services and Supports (LTSS) for Older Adults, People with Physical Disabilities, and Family Caregivers”, examines four key dimensions of states’ LTSS system performance: affordability and access; choice of setting and provider; quality of life and quality of care; and support for family caregivers.
“This report card validates that overall, Iowa delivers quality long-term care, but there are areas where Iowa needs to do better, especially in improving access to home and community services and choices,” said AARP Iowa Associate State Director for Advocacy Anthony Carroll.
The report assesses Iowa’s performance as a whole and on 25 individual indicators, some of which were measured for the first time. The study ranks Iowa fifth highest in two of the dimensions – quality of life and quality of care and support for family caregivers, and twenty-second in two dimensions – affordability and access and choice of setting and provider.
While the state receives overall high performance marks, there are some areas where Iowa is in the bottom tier, including percentage of home health patients with hospital admission and percent of nursing home residents with low care needs, and functionality of Aging and Disability Resource Centers (ADRC).
The Scorecard finds that generally states with the highest level of performance have enacted public policies designed to:
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