Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing Marilyn J. Rantz, PhD, RN, FAAN a, *, Lorraine Phillips, PhD, RN b , Myra Aud, PhD, RN b , Lori Popejoy, PhD, RN b , Karen Dorman Marek, PhD, MBA, RN, FAAN c , Lanis L. Hicks, PhD d , Isabella Zaniletti, MA e , Steven J. Miller, MA b a Sinclair School of Nursing and Family and Community Medicine, School of Medicine, University Hospital Professor of Nursing, University of Missouri, Columbia b Sinclair School of Nursing, Columbia, Missouri c College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin d Health Management & Informatics, School of Medicine, University of Missouri, Columbia e Medical Research Office, University of Missouri, Columbia article info Article history: Received 25 June 2010 Revised 20 July 2010 Accepted 27 August 2010 Keywords: Aging in place Nurse care coordination Assisted living Nursing home Elderly abstract A state-sponsored evaluation of aging in place (AIP) as an alternative to assisted living and nursing home has been underway in Missouri. Cost, physical, and mental health assessment data reveal the cost-effectiveness and positive health measures of AIP. Findings of the first four years of the AIP evaluation of two long-term care settings in Missouri with registered nurse care coordination are compared with national data for traditional long-term care. The combined care and housing cost for any resident who received care services beyond base services of AIP and who qualified for nursing home care has never approached or exceeded the cost of nursing home care at either location. Both mental health and physical health measures indicate the health restoration and independence effectiveness of the AIP model for long-term care. Cite this article: Rantz, M. J., Phillips, L., Aud, M., Popejoy, L., Marek, K. D., Hicks, L. L., Zaniletti, I., & Miller, S. J. (2011, FEBRUARY). Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing. Nursing Outlook, 59(1), 37-46. doi:10.1016/j.outlook.2010.08.004. As people age, most want to remain as active and independent as possible for as long as possible, maintain an excellent quality of life, and live at home surrounded by family and friendsdnot in institutions like nursing homes. 1e4 According to a recent AARP survey, most people age 45 and older want to remain in their current residence for as long as possible. This tendency increases with age; 92% of those between the ages of 65 and 74, and almost all of those over the age of 75 (95%), want to remain at home. 5 The goal of This research was supported in part by a grant from the Centers for Medicaid and Medicare Services: Aging in Place: A New Model for Long-term Care, Grant #18-C-91036; US Administration on Aging, Technology to Enhance Aging in Place at TigerPlace, Grant #90AM3013 Parts of this paper were presented at the American Academy of Nursing’s annual conference, November 5-7, 2009, Atlanta, Georgia. * Corresponding author: Dr. Marilyn J. Rantz, Sinclair School of Nursing and Community Medicine, School of Medicine, University Hospital, University of Missouri, 2440 Shady Hills Lane, Columbia, MO 65279. E-mail address: rantzm@missouri.edu (M.J. Rantz). 0029-6554/$ e see front matter Ó 2011 Elsevier Inc. All rights reserved. doi:10.1016/j.outlook.2010.08.004 Available online at www.sciencedirect.com Nurs Outlook 59 (2011) 37 e46 www.nursingoutlook.org