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Penn Nursing > Media > Transitional Care Model > Alliance for Long Term Care

Penn Nursing professor chairs new alliance for long-term care services 

Mary Naylor, the Marion S. Ware Professor in Gerontology, will serve as Chair of the newly created Long-Term Quality Alliance (LTQA), a group comprised of the country's leading health, consumer, and aging advocates. The mission of the alliance is to ensure that the 10 million Americans needing long-term services and supports receive the highest quality of care in whichever setting the care is delivered, including in home and community-based settings such as assisted living facilities and adult day care.

"The way we currently measure the quality of long-term care in this country focuses too much on clinical services delivered in nursing homes.  The perspectives of consumers and their family caregivers have largely been ignored," says Dr. Naylor, PhD, RN. "In this rapidly changing long-term care environment, we need to advance a set of measures that reflect what is important to consumers and apply those across all settings.  Providers also need access to best practices that will improve the quality of their services."

The Alliance will focus initially on two important healthcare issues that have been identified as national health priorities - how to improve care coordination or transitions in care  and how to avoid unnecessary hospital admissions among frail and chronically ill people.  Dr. Naylor says that these two areas offer the greatest promise for improving quality, consumer experiences, and efficiency, as well as reducing costs.

Dr. Naylor is internationally renowned for leading an interdisciplinary program of research designed to improve outcomes and reduce costs of care for vulnerable community-based elders. Since 1989, Dr. Naylor and her research team have completed three National Institute of Nursing Research (NINR)-funded randomized clinical trials focusing on discharge planning and home follow- up of high-risk elders by advanced practice nurses. She was also one of the three founders of the LIFE program, Living Independently for Elders, which provides daily care for more than 500 poor and frail residents of West Philadelphia. As a "Program of All-inclusive Care for the Elderly (PACE)," LIFE is the first PACE initiative sponsored by an academic nursing institution.    
"Although long-term services and supports have a major impact on health, health costs, and quality of life for millions of frail and chronically ill people, efforts to improve the quality and value of this sector, especially outside of the  institutional setting, have been absent from the national healthcare debate," adds Dr. Naylor. "We have seen great progress on improving nursing home care but such advances have not been matched across the broad spectrum of long-term care."  

The LTQA Board is comprised of 29 leaders from organizations representing caregivers, consumers, quality improvement, nursing homes, accreditation, aging issues, foundations, the federal government, private payers, and academia, including the former administrator for the Centers for Medicare & Medicaid Services and director of the Agency for Healthcare Research and Quality.  

The announcement was covered by C-Span and can be found at

The story has appeared in McKnight’s, Modern Healthcare, and CQ Healthbeat News:

Full coverage can be found below: 

New alliance seeks to improve long-term services across spectrum

January 06 2010

The Long-Term Quality Alliance, which was formally introduced Tuesday, is dedicated to improving the quality of long-term services and supports.

The alliance will focus on improving the quality of the experience of consumers and family caregivers in both nursing home and home healthcare settings. Current quality efforts tend to focus on clinical services delivered in nursing homes and often overlook the perspectives of consumers and family caregivers, said Alliance Chair Mary Naylor in a statement. She announced the creation of the alliance in a briefing Tuesday sponsored by the health policy journal Health Affairs.

The alliance's key priorities will include identifying promising performance and quality measures; recommending ways to implement those measures in clinical and community settings; proposing ways to reinforce current quality initiatives; and achieving improvements through pilot programs, demonstration projects and other efforts. It will focus initially on two issues: improving care transitions and reducing unnecessary hospitalizations.

The 29-member board of directors is comprised of health, consumer, and policy experts. They include Mark McClellan, the former administrator of the Centers for Medicare & Medicaid services; Larry Minnix, president and CEO of the American Association of Homes and Services for the Aging; Alan Rosenbloom, president of the Alliance for Quality Nursing Home Care; and Bruce Yarwood, president and CEO of the American Health Care Association. The board's inaugural meeting will take place Jan 28.


Alliance forms to push quality in long-term care

By Jessica Zigmond

Posted: January 5, 2010 - 5:45 pm ET

A coalition of 29 groups representing caregivers, consumers, nursing homes, academia and the federal government have formed the Long-Term Care Quality Alliance to help improve the quality of care for people who require long-term-care services.

Former CMS Administrator Mark McClellan and current Agency for Healthcare Research and Quality Director Carolyn Clancy are both members of the new alliance, which aims to: identify which performance measures and evidence-based practices are effective in assessing and improving quality of care and quality of life for people receiving long-term care; recommend ways to apply available measurement and performance improvement strategies in high-priority areas, such as care coordination; propose ways to build on or create momentum for other quality initiatives that exist currently; and achieve tangible improvements in care through pilots, demonstrations and technical collaboration.

“What makes this effort unique is the fact that such a diverse group of stakeholders has never come together to place the spotlight on long-term-care services and supports all care settings, with a primary focus on quality of life for the people served,” McClellan said in a news release. McClellan now serves as director of the Engelberg Center for Health Care Reform at the Brookings Institution in Washington; Brookings will host the alliance’s first formal meeting on Jan. 28.

Mary Naylor, director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania’s School of Nursing, serves as chairwoman of the group. The alliance also includes Mary Jane Koren, assistant vice president of the Commonwealth Fund; Paul McGann, deputy chief medical officer at CMS; Larry Minnix, president and CEO of the American Association of Homes and Services for the Aging; Susan Reinhard, senior vice president at AARP; Jeanette Takamura, dean of Columbia University’s School of Social Work; and Bruce Yarwood, president and CEO of the American Health Care Association & National Center for Assisted Living.


Jan. 5, 2010 – 3:59 p.m.

Alliance Aims to Boost Quality Care for Long-Term Services

By Melissa Attias, CQ Staff

Leaders of health, consumer and aging organizations have formed an alliance to improve the quality of long-term care for Americans across all care settings, the group’s chairwoman, Mary Naylor, announced Tuesday at the National Press Club.

Called the Long-Term Quality Alliance (LTQA), the group hopes to help develop quality measures that will improve all varieties of long-term care, extending beyond nursing homes. Approximately 11 million Americans currently receive some form of long-term services and support, Naylor said, and that number is expected to double by 2050.

“[Our mission is] to significantly accelerate quality improvement for the growing population of individuals who wake up every day requiring support for the things that all of us take for granted — bathing, eating, walking, etc.,” said Naylor, a professor of gerontology at the University of Pennsylvania’s School of Nursing. “We hope to facilitate dialogue and partnerships among all providers of long-term services and support, as well as between providers in long-term and acute-care sectors.”

LTQA’s board members include former Centers for Medicare and Medicaid Services Administrator Mark McClellan and Agency for Healthcare Research and Quality Director Carolyn Clancy. The group is currently in the process of drafting governing principles and hopes to launch its Web site by the time of its first formal meeting at the Brookings Institution on Jan. 28.

Source: CQ HealthBeat News