Resource Center

The purpose of this report is fourfold: 1) to present a brief overview of the results of the Systems Change grants awarded from FY 2001 through FY 2004, 2) to describe the remaining challenges to community living that Grantees identified, 3) to provide Grantees’ recommendations for actions needed at the state and federal level to further improve their long-term care systems, and 4) to discuss the key lessons learned regarding factors that are needed to improve states’ long-term care systems.

CMS awarded the fourth round of 3-year grants for RCSC in Sept 2004. Three categories of grants were awarded: Research and Demonstration grants (40), Technical Assistance grants (10), and Feasibility Study and Development grants (2). This report focuses on the outcomes and Enduring Systems Improvements in Housing, Comprehensive Systems Reform, Mental Health Systems Transformation, Quality, Rebalancing, and Family to Family Grantees.

This updated issue brief defines Veterans and the new Veterans Directed Home and Community Based Services (VDHCBS) programs to enhance home-based supports for veterans. Also included are sucessful state collaboration examples and a list of resources. Appendix A provides an overview of the VA Priority Groups. Appendix B shows estimated VA Expenditures by state.

Risk management embraces all the decisions we make and activities we undertake with the intent of improving our health and safety and the environment. This document consists of excerpts from the 2007 Michigan Department of Community Health Contract Requirements for Care Management Performance Criteria and Waiver Program Operating Standards. Review this protocol as an example.

How do consumers interactions with agencies change when an ADRC is added to the community. The following two examples show how consumer’s flow before and after implementation. Refer to the descriptions and diagrams from Texas, one from Lubbock County and the other from Harris.

What is the process for eligible Veterans to be screened and enrolled in the VD-HCBS program? This flow chart illustrates the scenarios and process for all parties including the roles of the VAMC and CLP grantee agencies. Important for both Veterans Affairs Medical Centers and AAA or ADRCs.

RTI is preparing a series of reports to document outcomes from the Systems Change grants. Divided into six parts, the first four provide an overview of the enduring improvements, continuing challenges, lessons learned, and recommendations of the 48 Research & Demonstration Grantees, organized by the four types of grants: CPASS, MFP, IP, & QA/QI. Part 5 provides summaries of the FTF Grants. Part 6 reviews the Respite for Adults and Children and Community-Based Treatment Alternatives for Children.

Known as "Mississippi GetHelp", this ADRC is a statewide service. Review their website which offers a self-assessment tool. There logo is also attached.

The Institute for Disability Studies (IDS) conducted three focus groups in the Central Mississippi Planning & Development District/AAA service area. The groups gathered information from individuals with disabilities and older individuals concerning the status of HCBS programs and independent living related services. Discussion was facilitated by IDS and focused on AoA factors impacting successful ADRC implementation: visibility and trust, ease of access, responsiveness, and effectiveness.

IPAWS is a modernization and integration of the nation’s alert and warning infrastructure. This paper serves to demonstrate how IPAWS addresses the challenges of reaching the whole community, including the 25% of our population who might need assistance. It offers evidence that while IPAWS doesn't solve all of the challenges, it can certainly mitigate them, particularly with greater stakeholder engagement and public awareness. Emerging technologies that could improve accessibility are reviewed.