Nursing Facility Transition

Call hosted by the Community Living Exchange Collaborative at Rutgers Center for State Health Policy with CMS and grantees to explore the potential use of the MDS section Q1 to identify people in nursing homes who want to relocate. We were joined by a member of our National Advisory Committee, Bob Kafka. We invited Money Follows the Person grantees and Nursing Home Transition grantees.

On September 17, 2003, CMS sent a letter to state Medicaid directors addressing the principles of Money Follows the person. This letter is a follow up to the August 13, 2004 letter. Because the concept has been widely discussed in “Open Door” forums, this letter provides additional examples and clarification of the concept.

You Have a Choice! DVD in four formats: standard, with English subtitles, with Spanish subtitles, and audio described. The video is excellent for informing consumers about their options to leave a nursing home and to educate nursing home staff, family members and the general public about the option of transition. Produced by the Nursing Facility Transition project at the Center for People with Disabilities in Boulder, CO. To recieve a copy of the DVD please contact Sharon Finney.

A booklet for individuals who want to leave a nursing facility and move to the community. This condensed booklet will give people basic information to plan their move to the community and get the needed supports.

Alabama Discharge Planner Training Manual used to train hospital discharge planners on community based resources available to individuals with dementia to avoid premature placement within the nursing home. The Workbook is written as a resource for all professionals involved in the ADSS Elderly and Disabled Medicaid Waiver Program

This report provides a summary of the partnership development activities undertaken by the 52 Grantees that were awarded a Systems Change Grant in 2001. It describes the ways that Grantees involved consumers and public and private partners in the development of Grant applications and their plans for involving them in implementation activities. In addition, the report includes a more in-depth description of partnership involvement for nine Grantees (three from each Grant type).

Of the Real Choice Systems Change grantees awarded funding under CMS’s Fiscal Year (FY) 2001 solicitation, 20 have one or more initiatives to improve the recruitment and retention of direct service workers. This report focuses on the workforce initiatives of these 20 Grantees, with an in-depth look at 7 Grantees (AR [2 grants], KY, MT, NH, NC, VT, with whom RTI conducted site visits).

A transcript and summary of the primary options for covering case management as discussed during a call on 11/10/03 with Mary Jean Duckett are provided here. The three options states may use to cover case management under Medicaid that are relevant to NFT were discussed. These included: 1915 (c) home and community based waivers; Targeted cased management services; and Administrative activity.

This self-assessment form helps consumers determine what supports they would need to transition out of a nursing home and into the community.

This link to the National Academy for State Health Policy (NASHP)website contains the presentations from the 2004 CMS Conference held March 2-3, 2004.