Grantee produced

This paper reports the outcome of focus groups, interviews and written surveys conducted in 2003 by a consultant working for the Northern Area Agency on Aging in Wisconsin under a contract with the Department of Health and Family Services. Groups of elders, family members and long-term care professionals were asked to address the question of how, when and why older people make the decisions they do about long-term care.

Massachusetts was among the first states to receive a Real Choice grant and like many states, took a while to start the grant activities. The work of this collaboration did not always progress smoothly. Many setbacks were experienced by all parties. However, as the end of the grant drew near, key stakeholders looked back and realized that significant progress had been made. This report and a companion video documents lessons learned for policy makers and other stakeholders.

People Talking to People Building Quality and Making Change Happen accomplishes not just a system change, but also a paradigm shift. Their goal is to create a system of quality assurance and quality improvement that has consumers providing feedback. The feedback gathered during the three year period allows for system wide quality improvement by giving consumers and their family members a voice, thus able to control important choices and decisions in their own lives.

This group of presentations were offered around the state of Colorado in regional training sessions. The day focused on various aspects of consumer direction, including case managers, Medicaid options, and working with personal-care attendants. Other presentations include transitioning a child to consumer-directed health care and a presentation on the benefits, rights, and responsibilities of consumer direction.

As part of its quality management program, Wisconsin revised its Individual Service Plan (ISP) form that was required as part of the Medicaid waiver process. The new revised forms address individual outcomes. Attached forms include the ISP Instructions, Medicaid form, and Individual Outcomes.

This report provides a comprehensive framework for Wisconsin’s Functional Screen Quality Assurance. Wisconsin’s Functional Screen system (a web-based application that collects information about an individual’s functional status, health and need for assistance for various programs) is comprised of three separate screens: Adult Long Term Care Functional Screen (LTC FS), Children’s Long Term Support Functional Screen (CLTS FS), and Mental Health/AODA Functional Screen (MH/AODA FS).

Part of the Wisconsin QA/QI grant was to develop a framework to evaluate long-term care services. The framework was based on desired personal-experience outcomes. Once desirable outcomes were recorded, they were used as benchmarks for quality management and outcomes measurement.

This Request for Proposals (RFP) concerned the development of methods and training for assessing personal-experience outcomes for adults with developmental or physical disabilities and frail elders. The grant awardee would contract to develop a tool and related tasks to assess person-experience outcomes and quality of life for the above listed populations.

The “Quality Close to Home” papers are part of Wisconsin’s process to review the existing quality management system for Home and Community Based Services. The report on local practices was the result of a series of interviews conducted with local informants who conduct quality management activities. The second paper outlines the scope of quality management, challenges of quality management, federal rules and regulations, and provides a design for an improved quality management system.

The UCare website is a feature of the Utah Department of Human services and exists primarily to help caregivers and provide link to other resources. Resources are for the elderly, people with mental illness, for people with disabilities and their caregivers. Information is available on-line and through a statewide toll free number. Other features to note include provider report cards, guides, a glossary and the long-term care planning tool.