HHS Releases New Data About Adult Day Centers

In October the HHS’s National Center for Health Statistics (NCHS) published a study detailing medical services provided by adult day service centers (ADSCs) nationwide. The data was collected as part of the 2016 National Study of Long-Term Care Providers.

Titled “Differences in Characteristics of Adult Day Services Centers, by Level of Medical Service Provision,” the document provides estimates of the most current distribution of adult day services centers (ADSCs) and participants by the level of medical services each center provides. It also examines differences in organizational characteristics, participant characteristics, and geographical characteristics of ADSCs by medical service provision.

The following key findings come directly from the report. To download your own PDF copy, see the link below.

National estimates

In 2016, 4,560 adult day services centers served 284,300 participants in the United States. The highest percentage of centers were moderate medical (39.7%), followed by low medical (30.6%), nonmedical (16.1%), and high medical (13.5%).

Moderate medical centers served the highest percentage of participants (45.6%), followed by low medical and high medical centers (21.7% and 21.0%, respectively), and lastly nonmedical centers (11.7%).

The report classifies moderate medical centers as those that had services designed to meet both social or recreational needs and health or medical needs equally (complete information about all levels is in the report).

Average capacity and average daily attendance

Across all centers, the average capacity was 65.7 participants, and the average daily attendance was 42.0 participants.

The average capacity increased from 51.3 participants among nonmedical centers and 52.7 participants among low medical centers to 73.0 participants among moderate medical centers to 90.5 participants among high medical centers.

The average daily attendance increased from 34.2 participants for nonmedical ADSCs and 31.0 participants for low medical centers to 46.7 participants for moderate medical to 62.6 participants for high medical centers.

Staffing levels

Nationally, total staffing (RN, LPN or LVN, aide, social worker, and activity staff) levels were 2 hours and 23 minutes (2.39 hours per participant per day). Staffing levels were 55 minutes (0.92 HPPD) for aides, 43 minutes (0.72 HPPD) for activities staff, 23 minutes (0.38 HPPD) for RNs, 13.2 minutes (0.22 HPPD) for LPNs or LVNs, and 8 minutes (0.14 HPPD) for social workers.

Sources of revenue

About 59.7% of all revenue from paid participant fees among all centers was from Medicaid, followed by 14% of revenue from out-of-pocket spending; 12.8% from other federal, state, or local sources; 3.9% from “other” sources; 3.8% from VA; 2.3% from Medicare; 1.8% from Older Americans Act funding; and 1.7% from private insurance.

Additional findings

The report covers numerous other statistics, including the use of EHRs, age and race of participants, number of participants who need help with ADLs, and others, all in the context of the level of medical services provided.

You can download your own copy from the CDC website. Look for study No 45.

Source: National Center for Health Statistics, Centers for Disease Control and Prevention

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