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that Information Service can provide the connective tissue between the various projects and the network of community services by virtue of its wealth of information. It serves as a sensitive barometer for documenting need for services for the chronically ill and aging.

At the completion of its three-year existence as a demonstration project, the Information Service was established as a permanent community information service financed by the State health department and several voluntary health agencies.

Chronic Illness Center

The Chronic Illness Center of Cuyahoga County, Ohio, was established in January 1962 by the County Commissioners under the County Hospital Board as a result of cooperative study and endeavor by the County Coordinator of Chronic Illness, the Academy of Medicine (County Medical Society), the Committee on Chronically Ill, Health Council, Welfare Federation, and the six health officers within the county.

Its functions are:

• To establish an information, receiving, referral, and replacement center, located in a central community facility, to be the focal point for accepting any chronically ill person, referred by self, physician, hospital, social agency, etc., for the purpose of providing information, consultation, screening and referral to, or placement in, a facility, public or voluntary, whether for more intensive medical evaluation or for care and treatment.

To compile statistical and other records, and provide a laboratory for social research.

To develop a cooperative relationship with community facilities, public and voluntary, and including acute and chronic hospitals, nursing homes, home care programs, etc., so that placement can be assured and coordination facilitated.

The information and referral part of the program is underway. A citizens' Steering Committee and a professional Medical Advisory Committee have been formed and are working on the development of other functions. An inpatient-outpatient diagnostic unit is planned for Metropolitan General Hospital with a direct tie-in to the Center. Cooperative arrangements with other facilities are being developed.

Under consideration by the Center staff are the following:

• Plans for more rapid placement of patients and for more efficient transfer from institution to institution as individuals' needs change.

• Increased community planning for the services that enable patients to stay in their own homes, ì.e., extension of organized home care, Meals-onWheels and homemaker programs.

• Increased social counseling oriented to the chronically ill.

• Work with other community groups on: 1) improved training in longterm care for health personnel; 2) broader public education in prevention and rehabilitation; 3) development of better nursing homes and adequate public financing of nursing home care for the indigent.

Appendix C

Selected Bibliography

Chronic Illness and Disability

1. Commission on Chronic Illness. Chronic Illness in the United States-Cambridge, Massachusetts, The Commonwealth Fund.

Vol. I. Prevention of Long-Term Illness. 1957. 338 pp.

Vol. II. Care of the Long-Term Patient. 1956. 606 pp.

Vol. III. Chronic Illness in a Rural Area. 1959. 440 pp.

Vol. IV. Chronic Illness in a Large City. 1957. 620 pp.

2. Haldeman, Jack C., M.D. Long-Term Care: A Backdrop of Facts. Hospitals 36:417 45, January 16, 1962.

3. U.S. Department of Health, Education, and Welfare, Public Health Service, National Health Survey. Health Statistics, Washington, D.C., U.S. Government Printing Office. Chronic Conditions Causing Limitation of Activities: United States, July 1959-June 1961. Series B-No. 36, October 1962. 39 pp.

Disability Days: United States, July 1959June 1960. Series B-No. 29, September 1961. 50 pp.

Duration of Limitation of Activity Due to Chronic Conditions: United States, July 1959June 1960. Series B-No. 81, January 1962.

36 pp.

Limitation of Activity and Mobility Due to Chronic Conditions: United States, July 1957June 1958. Series B-No. 11, July 1959. 40 pp.

Older Persons: Selected Health Characteristics: United States, July 1957-June 1959. Series C-No. 4, September 1960. 76 pp.

Persons Receiving Care at Home: United States, July 1958-June 1959. Series B-No. 28, October 1961. 30 pp.

Economic Aspects

4. American Hospital Association. Major Federal Aid Programs for Community Hospitals. Chicago, The Association, 1962.

5. Odoroff, Maurice E.; Baney, Anna Mae; and Stageman, Anne B. Costs of Operating Nursing Homes and Related Facilities. PHS Publication No. 754, Washington, D.C., U.S. Government Printing Office, May 1960. 38 pp.

6. Sibley, Hiram. Financing Construction. Hospitals 36: 50-52, January 16, 1962.

7. U.S. Department of Health, Education, and Welfare, Social Security Administration, Bureau of Public Assistance. Summary Information on Medical and Remedial Care Provided in Approved State Public Assistance Plans. Washington, D.C., June 1960. 20 pp. Processed.

8. U.S. Department of Health, Education, and Welfare, Social Security Administration, Division of Program Research. The Health Care of the Aged: Background Facts Relating to the Financing Problem. Washington, D.C., U.S. Government Printing Office, 1962, 159 pp.

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General

9. Council of Jewish Federations and Welfare Funds. The Community Plans for Its Chronically Ill and Aged. New York, The Council, 1961. 64 pp.

10. Knott, Leslie W., M.D. Community Health Services to the Aged and Chronically Ill. Public Health Reports 77:1-6, January 1962.

11. Morris, Robert. Expansion of Cooperative Relationships between Hospitals and Nursing Homes. Public Health Reports 75:1110-1114, December 1960.

12. Stageman, Anne and Baney, Anna Mae. Hospital-Nursing Home Relationships: Selected References Annotated. PHS Publication No. 930-G-2. Washington, D.C., U.S. Government Printing Office, June 1962. 25 pp.

13. U.S. Department of Health, Education, and Welfare, Public Health Service. Guide to Making a Survey of Patients Receiving Nursing and Personal Care. (A joint project of Public Health Service and Commission on Chronic Illness.) PHS Publication No. 454. Washington, D.C., U.S. Government Printing Office, 1955. 55 pp.

14. U.S. Department of Health, Education, and Welfare, Public Health Service. Planning of Facilities for Mental Health Services: Report of the Surgeon General's Ad Hoc Committee on Planning for Mental Health Facilities. PHS Publication No. 808. Washington, D.C., U.S. Government Printing Office, January 1961.

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Planning for Hospitals and Related Health Facilities: Report of Joint Committee of the American Hospital Association and Public Health Service. PHS Publication No. 855. Washington, D.C., U.S. Government Printing Office, May 1961. 56 pp.

17. U.S. Department of Health, Education, and Welfare, Public Health Service, Division of Public Health Methods. Care of the LongTerm Patient: Sourcebook on Size and Char acteristics of the Problem. PHS Publication No. 344. Washington, D.C., U.S. Government Printing Office, 1954. 123 pp.

Institutional Resources

18. American Hospital Association. АНА Listing Program for Inpatient Care Institutions Other Than Hospitals. Chicago, The Association, 1961.

19. American Hospital Association. Background Statement on the Role of Hospitals in Long-Term Care. Chicago, The Association, 1962.

20. American Hospital Association. Hospitals: Part II, Guide Issue, August 1962.

21. American Hospital Association. Proceeding of Workshop on Hospital-Nursing Home Relationships. Chicago, The Association, 1960.

22. Building Types Study Number 234: Buildings for the Aging. Reprinted from Architectural Record, May 1956. pp. 191-226. (Copyright 1956 by F. W. Dodge Corporation.)

23. Goldmann, Franz, M.D. Chronic Disease Hospitals and Related Institutions, March 1959. (Processed report V of series on findings from Study of Coordination of Health Services for Patients with Long-Term Illness.)

24. Nicholson, Edna E. Planning New Institutional Facilities for Long-Term Care. New York, G. P. Putnam's Sons, 1956. 358 pp.

25. Mathiasen, Geneva and Noakes, Edward H. (Editors). Planning Homes for the Aged. F. W. Dodge Corporation, New York, 1959. 119 pp.

26. Solon, Jerry and Baney, Anna Mae. Inventory of Nursing Homes and Related Facilities. Public Health Reports 69:1121-1132. Washington, D.C., U.S. Department of Health, Education, and Welfare, December 1954.

27. Solon, J.; Roberts, D. W.; Krueger, D. E.; and Baney, A. M. Nursing Homes: Their Patients and Their Care. PHS Publication No. 503. Washington, D.C., U.S. Government Printing Office, 1957. 58 pp.

28. The Nursing Home-A Health Care Resource. Hospitals (Journal of the American Hospital Association) 36:41+, January 16, 1962. (Special issue including articles by Fred C. Diamond; John A. Hackley; Jack C. Haldeman, M.D.; Jack Kleh, M.D.; Eleanor C. Lambertsen; Hiram Sibley; Roland H. Simmons; Charlotte E. Smith; John H. Westerman; and Kenneth Williamson.)

29. U.S. Department of Health, Education, and Welfare, Public Health Service, Division of Hospital and Medical Facilities. Hill-Burton State Plan Data: A National Summary as of January 1, 1962. PHS Publication No. 930F-2. Washington, D.C., U.S. Government Printing Office, 1962. 90 pp.

30. U.S. Department of Health, Education, and Welfare, Public Health Service, Division of Hospital and Medical Facilities. Planning and Equipping the Nursing Home. (Reprinted from Modern Hospital 86:69–81, 144+, March 1956.)

31. U.S. Department of Health, Education, and Welfare, Public Health Service, Division of Special Health Services, Chronic Disease Program. Selected Articles on Nursing Homes. PHS Publication No. 732. Washington, D.C., U.S. Government Printing Office, 1960. 287 pp.

32. U.S. Department of Health, Education, and Welfare, Public Health Service, National Vital Statistics Division. Number and Type of Medical Care Institutions in the United States, 1958. Vital Statistics-Special Reports 47:327-364, November 1, 1961.

33. U.S. Senate, Committee on Labor and Public Welfare, Sub-committee on Problems of the Aged and Aging. The Condition of American Nursing Homes. (Committee Print.) 86th Congress, 2d sess. Washington, D.C., U.S. Government Printing Office, 1960. 27 pp.

Out-of-Institutional Resources

34. Bryant, Zella. Report on Nursing Care of the Sick at Home. PHS Publication No. 901. Washington, D.C., U.S. Government Printing Office, 1962. 31 pp.

35. Littauer, David, M.D.; Flance, I. Jerome, M.D.; and Wessen, Albert F., Home Care. American Hospital Association Hospital Monograph Series No. 9. Chicago, Illinois, The Association, 1961. 110 pp.

36. Stewart, William H.; Pennell, Maryland Y.; and Smith, Lucille M. Homemaker Services in the United States, 1958: A Nationwide Study. PHS Publication No. 644. Washington, D.C., U.S. Government Printing Office, 1958. 91 pp. with Appendix.

37. U.S. Department of Health, Education, and Welfare, Public Health Service. A Study of Selected Home Care Programs. PHS Publication No. 447. Washington, D.C., U.S. Government Printing Office, 1955. 127 pp.

38. U.S. Department of Health, Education, and Welfare, Public Health Service. Directory of Homemaker Services. PHS Publication No. 928. Washington, D.C., U.S. Government Printing Office, 1962. 217 pp.

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