San Diego Long Term Care Integration Project - PowerPoint PPT Presentation

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San Diego Long Term Care Integration Project

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MediCal Aged, Blind, and Disabled offered voluntary enrollment in LTC Integrated Plan ... Joint focus on disabled above poverty. Join Padres Disability Awareness Day ... – PowerPoint PPT presentation

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Title: San Diego Long Term Care Integration Project


1
San Diego Long Term Care Integration Project
  • LTCIP Planning Committee
  • June 14, 2006

2
San Diego Stakeholder LTCIP Vision for Elderly
Disabled
  • Develop system that
  • provides continuum of health, social and support
    services that wrap around consumer w/prevention
    early intervention focus
  • pools associated (categorical) funding
  • is consumer driven and responsive
  • expands access to/options for care
  • Utilizes existing providers

3
Stakeholder Vision (continued)
  • Fairly compensates all providers w/rate structure
    developed locally
  • Engages MD as pivotal team member
  • Decreases fragmentation/duplication w/single
    point of entry, single plan of care
  • Improves quality is budget neutral
  • Implements Olmstead Decision locally
  • Maximizes federal and state funding

4
Strategies Developed to Support Vision
  • Healthy San Diego Plus
  • Physician Strategy
  • Aging Disability Resource Center

5
Healthy San Diego Plus (HSD)
  • MediCal Aged, Blind, and Disabled offered
    voluntary enrollment in LTC Integrated Plan
  • Models of care integrated across funding the
    health and social services continuum
  • Private entities to contract with State and CMS
    through RFP with local pre-qualification
  • Healthy San Diego Health Plus Plans to develop
    program details with consultant resources

6
HSD Update
  • Governors proposal/AB 2979
  • Supported by
  • Medicare Modernization Act (SNPs)
  • Budget Deficit Reduction Act (enhancements that
    used to require waivers now available through
    State Plan approval)
  • GMC rates tied to SNF ADHC

7
Physician Strategy
  • Partner w/physician champions
  • Develop interest/incentive for support of after
    office services (HCBC)
  • Identify care management resources to link
    physicians/office staff to patients
  • Train on healthy aging, geriatric/chronic disease
    protocol, pharmacy, HCBC supports

8
Physician Strategy Update
  • CA Endowment Planning Grant report and request to
    fund Implementation
  • Finalize/deliver team-building for community care
    management for health and social service
    providers
  • Link resources and decision support tools
  • Develop, evaluate outcome measures
  • Enhance IT infrastructure supports
  • Collaborate w/SD-MINE

9
Aging Disability Resource Center (ADRC)/Network
of Care
  • Beta testing with
  • consumers and caregivers
  • community based organizations
  • MDs, other providers, Call Center staff
  • To develop continuous quality improvement
    program
  • Measure behavior changes of providers and
    consumers
  • Funding Federal Aging Disability Resource
    Center grant application

10
CaliforniaAging and Disability Resource Center
Grant Program
  • Lora Connolly, Director
  • CA Department of Aging

11
ADRC Grant Goals
  • Promote public awareness of public private LTC
    support options especially among underserved,
    hard-to-reach populations
  • Provide Information Counseling on ALL available
    LTC supports
  • Help consumers assess potential public LTC
    service eligibility
  • Determine programmatic eligibility for public LTC
    programs, including Medicaid nursing home
    eligibility
  • Provide short term assistance or care management
  • Provide IR
  • Help consumers plan for future LTC needs
  • Organize, simplify, and ensure one-stop
    shopping for access to all public LTC support
    programs

12
Grant Goals Vision
  • Empower individuals to make informed choices
  • Streamline access to LTC services
  • Assist individuals in planning for future LTC
    support needs
  • Resource for LTC professionals others who
    provide services to older adults persons with
    disabilities
  • Provide information counseling to private-pay
    individuals

13
Grant Requirements--Target Group
  • Older adults (age 60) and at least one of the
    following other major target group by Year II
  • Individuals with physical disabilities
  • individuals with serious mental disabilities
    and/or
  • individuals with mental retardation/developmental
    disabilities.
  • Individuals with traumatic brain injuries may be
    a targeted group

14
Californias Project Goals
  • Identify promising practices in providing
    outreach to reach populations
  • Determine viability of physical one stop
    resource centers given states diverse geography
  • Identify how web based technology can be best
    employed to support this effort
  • Create an environment that fosters tangible
    collaboration between aging and independent
    living services with shared products outcomes.

15
Need for Disabled Community Involvement (Ben
Harville)
  • National, State, and local needwhy Im here!
  • The opportunity revise Year 3 Work Plan to be
    more inclusive of disabled community
  • Equal focus on aging and disabilities
  • Louis Frick, local ILC Director, will begin
    conversation a little later

16
San Diego ADRC Key Goals (Dr. Mark Meiners)
  • Build on existing AIS Call Center
  • Build/merge resource database, NOC
  • Improve consumer linkages/access to LTC
    information and services
  • Outreach to broad community and
    underserved/underutilizing populations
  • Complete above with stakeholder input
  • Evaluate outcomes develop CQI

17
Specific Activities to Meet Goals
  • Surveys
  • Call CentersAIS and 211
  • Consumers
  • Caregivers
  • Community-based organizations
  • Care management
  • Independent Living Center Consumer Advocates

18
Survey Findings
  • Survey tool difficulties
  • Service directory could be more user-friendly,
    more up-to-date
  • need closer relationship w/211
  • Too many clicks to get info
  • Translations need cultural input
  • Needs of different users Call Centers, MDs, care
    managers, consumers, caregivers, et al

19
Response to Findings
  • Evaluation leads to
  • Call Center input toward enhancements and updates
  • 211 collaboration/joint protocols
  • NOC enhancements

20
Indicators of Increasing Satisfaction
  • More use of web site builder
  • Customized site developed for AIS Call Center
  • Improved community-wide calendar
  • Fall Prevention site ready for feedback
  • Increased satisfaction with finding information
    on NOC

21
NOC Enhancements for SD ADRCby Afshin Khosravi
of Trilogy Integrated Resources
  • Site wide search powered by Google Enterprise
    Appliance
  • 10,000 culturally adopted and hand translated
    Spanish articles
  • Medicare section
  • Print Search Results
  • Call Center Application

22
Practical Suggestions for Local Work Plan(Louis
Frick)
  • Joint focus on disabled above poverty
  • Join Padres Disability Awareness Day
  • Joint involvement of management/goals
  • Access Center web site linked on NOC
  • NOC as communication tool for ILC clients
  • Joint participation in deinstitutionalization
    project
  • Outreach w/InfoVan to include disability expert

23
Goals for Lunch Meeting
  • Brainstorm potential activities for ADRC in
    support of disabled community
  • Decide which are most important to incorporate
    into Year 3 Work Plan
  • Prioritize activities of Year 3 Work Plan

24
Current Year 3 Work Plan Activities
  • CQI process for database maintenance
  • Complete web site enhancements
  • Develop My Folder as LTC Options Counselor
  • Broad community outreach and education
  • Target underserved, underutilizing populations

25
www.sdltcip.org
  • Get on LTCIP mailing list for updates
  • Attend Planning Committee meetings
  • Log onto website for background info
  • Call or e-mail input/ideas 858-495-5428 or
    evalyn.greb_at_sdcounty.ca.gov or 858-694-3252 or
    sara.barnett_at_sdcounty.ca.gov
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