Long-Term Care

This eighth edition of this reference report presents comparable state- and national-level data for more than 140 indicators on long-term services and supports from a wide variety of sources. Published approximately every two years, the series was developed to help inform policy discussions among public and private sector leaders. This publication presents the most up-to-date data available at the time of production, and is displayed in easy-to-use maps, graphics, tables, and state profiles.

Family responsibilities discrimination (FRD) occurs when workers are unfairly penalized based on family responsibilities, such as caring for a family member that is older or disabled. Despite the growing number of workers with such responsibilities and the dramatic increase in FRD lawsuits, policies in most states do not yet address it. Find here more information on FRD, a summary of proposed and existing state laws, and resources for further research.

This cross-disability synthesis white paper presents an overview of direct service workforce (DSW) challenges and practices across sectors and provides a call to action regarding these issues. Little has been written about how DSW jobs vary by population served. Beyond demographics and challenges, the authors also examine the development of different service models, promising practices and areas for planning and action. The appendix catalogs core competencies for each group.

Models, innovations, and best practices in case management and support coordination for persons with disabilities are described here. Policy issues, the CMS Quality Framework, and types of case management and differences in service by waiver group are given. The brief also links to innovative programs in 7 states and England.

The Quality Management Committee has released this second draft on the quality management plan for the last eight to ten months. A first draft was prepared and disseminated to a series of public forums. Based on the comments from the forums a second draft has been developed, which is what the Panel referred to for this report.

This quality services review consists of direct feedback from individuals who receive services, record reviews, observations, and discussions with agency staff. Agencies are reviewed against clear benchmarks and receive feedback from review staff throughout the process. Quality Action Plans address areas for improvement and are completed by each agency with technical assistance provided by the Quality Management Unit.

This resource guide gives consumers information about quality in long term care services, outcomes expected from services, and information about how the state of Vermont assures and improves its services. It also discusses the how consumers can receive more information or assistance and their role in assuring and improving quality of services. Other states can use this as a template when designing their own quality programs.

Revisit the material presented at the 2008 HCBS Conference. The DSW Intensive provided an overview of the direct service workforce challenges and the initiatives being researched and developed to address them. Intensive materials posted include a planning document, trends in policy and recommendations for data collection.

Several culture change models are well-established in skilled nursing, but how can they be adapted to home and community-based services? Here is a look at how providers are putting culture change to work for their clients, with a special emphasis on building engagement and fighting isolation for clients still living in their own homes.

While Programs for All-Inclusive Care for the Elderly (PACE) began as an urban model, CMS has now provided its first grants to expand the program to rural areas. Read this article to as an introduction to three rural PACE programs that have launched in South Carolina, Oklahoma, and Montana. The article concludes with lessons learned and contact info for staff that work on these programs.