The Long-Term Care Statistics Branch is pleased to release adult day services-specific state web tables, using data from the first wave of the National Study of Long-Term Care Providers (NSLTCP) conducted in 2012. NSLTCP is a new initiative by the National Center for Health Statistics (NCHS) to provide reliable, accurate, relevant and timely statistical information to support and inform long-term care services policy, research, and practice. The main goals of NSLTCP are to: (1) estimate the supply and use of paid, regulated long-term care services providers; (2) estimate key policy-relevant characteristics and practices; (3) produce national and state-level estimates, where feasible; (4) compare estimates among sectors; and (5) monitor trends over time.

View the state web tables here:  http://www.cdc.gov/nchs/nsltcp.htm

NSLTCP comprises two components: (1) survey data collected by NCHS on adult day services centers and assisted living and similar residential care communities; and (2) administrative data on nursing homes, home health agencies, and hospices obtained from the Centers for Medicare & Medicaid Services. The restricted 2012 survey data files for adult day services centers and residential care communities are available through NCHS’ Research Data Center (http://www.cdc.gov/nchs/nsltcp/nsltcp_new_data_release.html).

The four adult day services-specific state web tables complement Data Brief #164 and Data Brief #165. Table 1 provides state estimates of the characteristics presented in Data Brief #164 and Table 2 provides the standard errors for those estimates. The same applies to Tables 1 and 2 for Data Brief #165.

Data are presented in the state web tables only if they meet NCHS’ confidentiality standards. Footnotes are included in the state web tables to indicate if estimates do not meet NCHS’ confidentiality standards. Estimates are presented as percentages, except for average daily attendance in Table 1 for Data Brief #165. No estimates are presented for the District of Columbia, Idaho, and Wyoming because the number of respondents to the survey was fewer than the number required to meet NCHS’ confidentiality standards. There are other states in the tables where estimates for selected characteristics are not presented because they do not meet NCHS’ confidentiality standards. The data sources and methodology used to develop the state web tables are the same as that used for NCHS Data Briefs #164 and #165. For more information on the data source and methodology, please see the “Data source and methods” section on p.7 in the data briefs.

The adult day services center survey was conducted between September 2012 and February 2013. NSLTCP used a multi-mode survey protocol with mail, web, and telephone follow-up for nonresponse. The questionnaires included survey items on provider characteristics such as ownership, size, number of years in operation, services offered, and selected practices, in addition to aggregate user characteristics, such as age, sex, race, and the number of participants with selected medical conditions and the number of participants needing assistance with selected activities of daily living (ADLs). The 2012 mail questionnaires are available at: http://www.cdc.gov/nchs/nsltcp/nsltcp_questionnaires.htm. Survey data were collected by RTI International under contract to NCHS. Survey documentation is available at: http://www.cdc.gov/nchs/data/nsltcp/NSLTCP_survey_methodology_and_documentation.pdf.

Using a sampling frame obtained from the National Adult Day Services Association (NADSA) and additional centers that self-identified during data collection, a total of 5,254 adult day services centers were included in the survey. About 9% (476) of the adult day services centers were found to be invalid or out of business. All remaining centers (4,778) were assumed eligible and of these centers, 3,212 completed the survey, resulting in a response rate of 68%.

If you have any questions, please contact the Long-Term Care Statistics Branch at (301) 458-4747.