Focus on the Future Project 2011 ANCOR Leadership Summit: Navigating Managed Care and Other Funding Strategies October 24-25, 2011

FOCUS ON THE FUTURE Long term care is changing State is considering changes necessary for a sustainable system Opportunity for stakeholder input

FOCUS ON THE FUTURE PROJECT PLAN Project Plan Development, Identify Steering Committee, Ongoing Monitoring of Plan Focus Groups (Phase I) Workgroup Meetings (Phase II)

PHASE I – FOCUS GROUPS Five Focus Groups Participant Demographics 84 Total Participants – 63 female; 25 male 68% self-advocates (11) or family member (57) 32% Other Stakeholders Age Range 27 – 73 Median age Focus Group Topics Service System Access Living in Colorado Working in Colorado Health and Wellness Provider Capacity and Quality Community Integration Focus Groups (Phase I)

COMMON THEMES AND ISSUES Service System Access Systems Provider Capacity and Quality Health and Wellness Advocacy Focus Groups (Phase I)

PHASE II MEETINGS Workgroup Focus: Recommendations for System Re-design How Alliance members can affect positive change State the Problems: System is too complex System focus is not first and foremost the person We don’t have mechanisms to self direct DD services Global resources are not allocated in a way that meets people’s needs We don’t have data infrastructure to assess/evaluate our system

PHASE II MEETINGS System Redesign Combine Waivers – reduce complexity and confusion Managed Care – integrate acute care 1115 Demonstration Waiver – explore potential for efficiency Must address Waiting List Support Self Direction

PHASE II MEETINGS Review draft recommendations for system re-design “Legitimize” recommendations Finalize recommendations Draft implementation plans Devise a plan to implement and monitor change

NEXT STEPS Vet draft recommendations with: – Stakeholders – Alliance Board Final Report – November 2011 Implement Evaluate