The development of a rational long-term care system is stymied by a disjointed array of federal and state policies that reimburse and regulate residential as well as home- and community-based long-term care services. At the same time, powerful market forces, responding to consumer demand, are causing providers and policymakers to rethink how the long-term care needs of the frail elderly might best be met. This project will undertake the first comprehensive survey of experts in the long-term care field to focus on what policy changes are the most important and viable, and what are most likely to make a difference in the type of services delivered to frail elders. Working closely with Fund staff, the investigators will identify the sample, construct the instrument with input from a project advisory committee, and conduct the Web-based survey. At the conclusion of the survey, project staff will convene three focus groups of critical stakeholders to discuss how the survey findings might inform policy action.