Download presentation
Presentation is loading. Please wait.
0
South Carolina Access Plus Planning Retreat
January 14-15, 2004 Karen Linkins and Sharon Zeruld, The Lewin Group Susan Reinhard, Rutgers Center for State Health Policy
1
SC Access Plus Planning Retreat
Introductions
2
Overview of SC Access Plus Planning Retreat
Goals To develop a shared vision and values to guide ADRC design and operation To identify, evaluate and decide on different design options Outcomes Partnership between the Aging and Disability communities Common understanding about federal requirements and expectations Shared expectations about ADRC outcomes Identification of strengths and resources of all partners Foundation for the local advisory board Identification of next steps toward pilot implementation
3
Overview of SC Access Plus Planning Retreat, continued
Agenda Day 1 Historical and current perspective of South Carolina’s system Overview of AoA/CMS vision and expectations for ADRCs Small group session: SC Values and Principles Small group session: SC Vision Development Day 2 Synthesis of SC’s shared visions and values ADRC design options Small group session: evaluation of design options, identification of resources, opportunities and challenges Next steps toward implementation Expectations of Small Group Discussion
4
SC Access Plus Planning Retreat
Where We’ve Been and Where We Are
5
SC Access Plus Planning Retreat
Overview of National Vision and Expectations
6
Overview: National Vision & Expectations
Context of Aging and Disability Resource Center (ADRC) Program Background of collaborative initiative Functions of an ADRC National vision for ADRC program National expectations
7
Context of ADRC Program
Person Philosophy of self-direction and individual control in legislation, policies, and practices Community Life Access Comprehensive information, simplified eligibility, and single access points Financing A seamless funding system supporting individual choice Services Responsive supports across settings and provider types Quality Improvement Comprehensive systems that assure quality of life and services Coherent Systems Management DHHS Systems Framework
8
Context of ADRC Program, continued
ADRC Activities Within AoA and CMS Initiatives and Goals Initiatives Systems Change Goals/Impacts Access Efficiency Effectiveness Consumer Focus CMS AoA Real Choice System Change Grants Systems Change Conference Other CMS Programs/Initiatives Community Living Exchange Collaborative Visibility/Awareness Activities by CMS & AoA (websites, town forums, conferences) Aging & Disability Resource Center Grants Aging & Disability Resource Center Technical Assistance Exchange Projects with the National Governor’s Association/National Conference of State Legislatures NASUA I&R Support Center AoA Prevention Initiative RTI Case Studies Current Long Term Support Services Sustained by multiple funding streams Administered by multiple agencies Have complex, fragmented and often duplicative intake, assessment and eligibility functions (consumers are handed off from one worker to another, being asked the same questions repeatedly) Confusing for consumer to know how to obtain services (public and private supports) Consumers uninformed about long term support options other than institutional services Value of an ADRC Provide “one-stop shopping” for information, counseling, and access to long term support A single point of entry for accessing public long term support programs and services Minimize confusion and support citizen choice and informed decision-making Improve a state’s ability to: Manage public resources Monitor program quality, cost and outcomes Respond to system problems Improve services Limit unnecessary use of high-cost services, including nursing facility services
9
Background of Collaborative Initiative
ADRC Program announced March 2003 Grants issued as cooperative agreements by AoA and CMS Joint effort that provides states with an opportunity to effectively integrate their long term support resources for consumers into a single coordinated system
10
FY 2003 ADRC Grantees Aging & Disability Resource Center Grantees
FY 03 Awardees: LA, ME, MD, MA, MN, MT, NH, NJ, PA, RI, SC, WV Aging & Disability Resource Center Grantees
11
Definition of an ADRC An ADRC is a visible and trusted place at the community level where people can turn for information and counseling on all available long term support options and a single point of entry to public long term support services. The ADRC program enables people to make informed decisions, provide streamlined access to long term supports, and organize the long term support system.
12
Functions of an ADRC Awareness & Information Assistance Access
Public Education Information on Options Assistance Options Counseling Benefits Counseling Employment Options Counseling Referral Crisis Intervention Planning for Future Needs Access Eligibility Screening Private Pay Services Comprehensive Assessment Programmatic Eligibility Determination Medicaid Financial Eligibility Determination One-Stop Access to all public programs
13
National Vision for ADRC Program
To truly embrace the vision of the Americans with Disabilities Act (ADA) – serve all ages & income levels To continue the vision of President Bush’s New Freedom Initiative To create synergies between the Aging Network and CMS to implement consumer-directed care To increase visibility of long term support within state government To offer a variety of different models for other states to replicate
14
National Expectations for ADRC Program
Broad mandate Information & Awareness, Assistance and Access Serve people of all ages and income levels of identified target groups Specific expectations Seamless system for consumers Integrated access – streamlined eligibility Shift of institutional bias – critical pathways Meaningful involvement of consumers & other stakeholders Partnership between Aging Network and Medicaid Investment in MIS that supports goals of ADRC Performance measurement – CQI, outcomes Sustainability #2- Centralized LOC determination #3 - Critical Pathways – create formal linkages among major pathways to long term support #7 - Feds ask that grantees concentrate on both the formative (make adjustments along the way because grant is part of larger systems change) and impact (collect data related to performance outcomes) evaluations Work plan needs to reflect goal to be fully operational with all identified target populations by Year 3
15
Common Elements of Success
Adopt a civic process and develop state & local partnerships Public and private sector integration Leverage other grants Real Choice Systems Change, AoA Family Caregiver, HUD, Medicaid Infrastructure Grants, etc. Develop program based on shared, underlying values Need to develop a disability expertise Foster good relationship with Medicaid Emphasize performance management & flexibility Leverage other grants – SC is already doing this by building upon earlier CMS Real Choice grant Performance Measurement – be flexible, learn along the way – measure outcomes
16
Common Elements of Success, continued
Plan for sustainability Need for cultural competence in both outreach and options counseling Decide information needs from the beginning Establish attainable short term goals and objectives but keep sight of the long term goals
17
Common Elements of Success: Lessons Learned from Wisconsin RC Experience
9 pilot Resource Centers in WI 3 – county Departments on Aging 1 – combination of county Public Health Department & Department on Aging 2 – county Social Service agencies 2 – county Human Service agencies 1 – split between county Social Service agency & agency for Developmental Disabilities Services
18
Lessons Learned from Wisconsin RC Experience: RC Contact Needs, 2002
Referral to private LTC services 1% Referral to APS 2% Follow up contact from staff 4% Referral to Emergency Services 0.3% Basic Info on Medicaid 15% Short term CM 9% Referrals to other public services 7% LTC related services 29% Referrals to functional Screen 14% Basic Info on Other Services 19%
19
Common Elements of Success: Lessons Learned from Wisconsin RC Experience
Be willing to give up organizational turf to work as team and to put people first Focus on streamlining eligibility determination Completed in 2-4 days, < 24 hrs. when needed Protocols on sharing eligibility information with consumers and other providers Recognize needed skills and training of ADRC staff ADRC is a business that serves customers/customer satisfaction Ability to serve different target groups - “disability specialists” Public image of “aging” services or “welfare agency” Eligibility- Communication and collaboration between all local entities involved in eligibility is vital to make process work for consumers. Having written access plans or MOUs between parties is helpful in having common ground to refer back to. IT – takes a lot of time and resources to keep the resource database updated
20
Common Elements of Success: Lessons Learned from Wisconsin RC Experience
Invest in comprehensive IT systems that support ADRC Treat options counseling as process, not as event Leverage experience from agencies that serve individuals who can private pay
21
SC Access Plus Planning Retreat
Underlying Values & Vision Development
22
Contact Information Karen Linkins Vice President The Lewin Group 3130 Fairview Park Dr. Suite 800 Falls Church, VA 22042 (703) Sharon Zeruld Senior Manager The Lewin Group 3130 Fairview Park Dr. Suite 800 Falls Church, VA 22042 (703)
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.