Aging/Older Adults

This presentation gives a brief overview of Idaho’s Real Choice grant and Money Follows the Person grant. The goals of the project were to: reduce the stigmatization of people with disabilities, complete and economic analysis of the current Medicaid system, community development, and to complete and effectiveness study. Review their key activities, methodology, and evaluation.

In September 2004, Minnesota’s Real Choice Systems Changes grantees presented at the Illinois 2004 Systems Change Seminar. Presentations covered the Minnesota’s Personal Assistance Care Program, QA/QI grant, ADRC grant, and its Senior Health Insurance Program. A variety of topics covered include quality assurance, stakeholder involvement and personal assisted services

The following information was presented at the Illinois 2004 Systems Change Seminar. Topics presented included: trends in long-term care, progress on the Illinois Community-based Treatment Alternatives for Children (CTAC) grants, the Illinois Housing Development Authority and how its work pertains to persons with disabilities, and Michigan’s progress on its Real Choice Systems Change grants.

This brief recognizes the issues that face home care workers – including low wages, difficult work, and few, if any, benefits. At the same time, demands for home health care are increasing. This document, written on behalf of the Service Employees International Union, advocates on behalf of home health workers to raise wages in order to encourage participation in a workforce that assists Illinois vulnerable populations.

Special Needs Plans (SNPs), authorized by the Medicare Modernization Act, offer state Medicaid programs a new potential vehicle for coordinating Medicare and Medicaid benefits for dual eligibles. This report investigates the degree to which states (and plans) are using this option to develop more fully integrated Medicare-Medicaid models for dual eligibles needing long-term care services.

Forty-three states and territories have received three-year competitive grants since the ADRC program was launched. This report details findings at the overall ADRC level and the pilot level on the outcomes, accomplishments, and contributions of the ADRC program over the grant period, including more immediate results related to key consumer and program outcomes. It also documents lessons learned and program and policy implications at the pilot, state, and national level.

ADRCs can be affected by both external and internal changes in leadership. Organizations that plan for and carefully manage a leadership transition, however, can minimize disruption and even use the change to shift direction and strengthen organizational capacity. This issue brief offers suggestions for ways ADRCs can manage transition and position themselves to take advantage of opportunities to strengthen collaboration and advance the goals of the ADRC program.

Creating a single assessment tool to be used across age and disability has been an interest of states, policy makers, and providers for years. An interest also exists to develop a consumer-driven participatory assessment where consumers take a more active role. Following review and input from a diverse work group, this tool was piloted for 16 months and a qualitative evaluation was conducted to determine its utility. The development process yielded key findings and recommendations.

Is there a growing recognition that loneliness, helplessness, and boredom plague long-term care? This report examines six issues facing policymakers: financing and insurance, supporting and educating caregivers, the challenges of changing the physical and organizational environments in which services are delivered, recruiting and retaining a qualified workforce, designing a more effective regulatory control system, and adapting and integrating health information technology to long-term care.

This report describes examples of more narrowly focused state legislation that is setting the policy and infrastructure for consumer direction, expanding the direct care workforce, and supporting persons who return to the community after living in institutions. The Appendix includes the specific legislative language of selected bills covered in the report.