State of Illinois Illinois Department on Aging

Older Adult Service Advisory Committee (OASAC) 4 Years Later Governor’s Conference on Aging Illinois Department on Aging December 2009 Sandy

PRESENTERS: Janice Cichowlas, Ph.D., JD Policy Analyst Illinois Department on Aging Sandra Alexander, MSW Division Manager Sandy

Illinois P.A. 93-1031 (SB2880) Older Adult Services Act Momentum initiated from 2003 long term care summits conducted across the state Culmination of effort conducted on behalf of aging network, senior advocacy groups and state leadership Signed August 27, 2004 Jan

P.A. 93-1031 (SB2880) Older Adult Services Act Transform and restructure Illinois’ system of care for older adults Shift focus from facility care to home and community based care Jan

Older Adult Service Advisory Committee (OASAC) Purpose: Advise Directors of IDoA, HFS and IDPH on all matters related to this Act Designate IDoA as lead agency, and appoint 32 members with each member serving a specific term Establish an Advisory Committee that meets quarterly; Executive Committee that meets monthly Jan

Organizational Chart: OASAC Illinois Department on Aging Healthcare and Family Services & Pubic Health Older Adult Services Advisory Committee Coordinated Point of Entry Service Expansion Work Force & Caregiver Finance Nursing Home Conversion Jan

Guiding Principles of OASAC 1. Rights of Older Adults All services provided to older adults, regardless of the oversight agency, should promote the right of older adults to live out their lives with dignity, retaining their autonomy, individuality, privacy, independence, and decision making ability. Sandy –

Guiding Principles of OASAC 2. Consumer Direction Right of an older adult to be fully informed of all options and to choose, decline, and have input into how any and all services are provided for which they are eligible. All programming provided for older adults using public funds, regardless of the agency providing oversight, should incorporate this concept. Sandy –

Guiding Principles of OASAC 3. Accountability and Accessibility of Information All providers of services must meet contract requirements, all applicable federal and state requirements, and program standards Appropriate sanctions shall be levied for failure to comply with regulations Information concerning sanctions should be available for public review A balanced approach to oversight must be developed Sandy

Guiding Principles of OASAC 4. Standards Maximize the program participants’ quality of care and assure the services shall be rendered in a timely manner to protect and promote the rights of older adults to live in the least restrictive settings. Sandy

The Five OASAC Workgroups Finance Services Expansion Nursing Home Conversion Coordinated Point of Entry Workforce and Caregiver Jan

Finance Workgroup: 2009 Accomplishments Gathered and analyzed data from several states on LTC services and funding mechanisms global budgeting consolidated long term care agencies reducing institutional capacity nursing home transition/diversion programs Sandy –

Services Expansion Workgroup: 2009 Accomplishments Advocated for rate increases were provided in both in-home care and adult day services Issued Medication Management issue paper Studied the Elder Economic Standard Index (EESI) to replace the Federal Poverty Level (FPL) Advocated for funding of respite services Provided oversight of the Determination of Need (DON) Study Sandy

Nursing Home Conversion Workgroup: 2009 Accomplishments Developed a pilot nursing home bed conversion program “The Nursing Home Bed reduction and Resource Conversion Program: Expanding Health care Service Options to Benefit Illinois Seniors” Explored availability of respite services statewide Jan

Coordinated Point of Entry Workgroup: 2009 Accomplishments Twenty-two standards have been developed to promote a consistent service model for CPoE sites across the state of Illinois Sandy

Workforce and Caregiver Workgroup: 2009 Accomplishments Reviewed career ladder/lattice programs to improve the recruitment and retention within the health care workforce Advocated for standardized and improved training programs Jan Successfully advocated for the addition of a track for employers dealing with issues regarding employees who are caregivers at the 2009 Family Caregiver Conference & Alzheimer’s Disease and Related Disorders Conference

2010 & Beyond P.A. 96-0248 State Plan due September 30, 2010 Facilitated planning process to develop recommendations to reform the delivery of services to older adults Review and recommend changes/improvements to workgroups Sandy

2010 Workgroup Goals (Highlights) Implement and evaluate a medication management pilot program Implement and evaluate a health and social service coordination pilot in the state Initiate a pilot for a single occupancy room bed conversion program in three areas of the state Implement the CPoE standards throughout the state Jan

2010 Recommendations Support rate increase to achieve a living wage Recommend the development of a training certificate/accreditation program - Core curriculum - Safety training Recommend career ladder/ lattice programs Jan

Conclusion Substantial, if incremental, progress is being made toward implementing the Older Adult Services Act To make real progress, Aging will need increased funding, commitment from the Governor’s office, and legislative leadership to support home and community based services Sandy

Contacts Senior HelpLine Web site 1-800-252-8966 Illinois Department on Aging http://www.state.il.us/aging/ Sandy