Reports

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States Experiences Implementing Consumer-Directed Home & Community Services: Results of the 2004 Survey of State Administrators, Opinion Survey & Telephone Interviews

The report contains findings from a 2004 survey of state administrators, an opinion survey, and telephone interviews, and responds to the questions: To what extent have consumer-directed home and community based services for older people taken root across the country? What are the characteristics of these programs and how do state aging administrators view consumer-directed programs working in their state? Report findings document the scope and characteristics of consumer-directed services.

Short URL: http://www.advancingstates.org/node/50409

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The State of the States in Family Caregiver Support: A 50-State Study

This report focuses attention on a growing issue facing the nation: how to support & sustain those who are the cornerstone of our LTC system—the dedicated families & informal caregivers. This national study is the first to examine publicly funded caregiver support programs throughout all 50 states. The report identifies key findings, describes state approaches to providing caregiver support services, offers state-by-state profiles, pinpoints challenges, & expands recognition of caregiver needs.

Short URL: http://www.advancingstates.org/node/50407

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MA Department of Mental Retardation--Quality Assurance Report Fiscal Year 2002/2003

In March ’01 the Department of Mental Retardation (DMR) began a strategic management planning process to develop a quality management and improvement system. The 2002-03 report derives information from a variety of quality assurance systems and databases. It is intended as starting point in the collective review & analysis of service quality. The data provided should be viewed as an opportunity to point out areas where the program is doing well as well as areas where improvements are needed.

Short URL: http://www.advancingstates.org/node/50406

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Promising Practices in Long Term Care Systems Reform: Common Factors of Systems Change

Medstat identified common factors of system change in a six-page brief, based on a review of organization transformation literature and, more importantly, the experiences of eight state long-term support systems that were the subject of a series of case studies on comprehensive system reform.

Short URL: http://www.advancingstates.org/node/50403

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Quality Management and Improvement Practicesfor Home and Community-Based Care: A Literature Review

This paper reviews literature and provides a summary of CMS initiatives in the area of quality measurement and improvement over five years up until 2002. This review applied a wide lens to identify quality strategies in settings of care and delivery systems both within and outside long term care. This paper will serve as background for a meeting with policymakers and experts to assess the relevance and limitations of identified methods to improve the services and outcomes in HCBC programs.

Short URL: http://www.advancingstates.org/node/50402

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Promising Practices: Engaging Physicians…Supporting Family Caregivers

This report is designed to help Area Agencies on Aging (AAAs) and Title VI–Native American aging programs share their success stories about an innovative physician outreach program, Making the Link: Connecting Caregivers with Services through Physicians. The practices highlighted can have widespread application, the strategies can be adapted by other community-based organizations and AAAs, Title VI programs will find ideas that can be applied to workforce, PTAs, and other venues.

Short URL: http://www.advancingstates.org/node/50395

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CMS Regional Office Protocol for Conducting Full Reviews of State Medicaid Home and Community-Based Services Waiver Programs

The purpose of The Protocol is to provide the CMS Regional Office staff responsible for reviewing 1915(c) waiver programs, i.e., the state Medicaid Home and Community Based Services (HCBS) waiver programs, with standardized and comprehensive procedures for assessing the quality of care and services provided through these programs. This Protocol was developed for reviews of all waivers and all waiver target groups.

Short URL: http://www.advancingstates.org/node/50394

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Home and Community Based Services & Supports Quality Indicator Database Website and Framework

The Muskie School of Public Service maintains this database as a public source of information on quality measures that have been developed for home and community based services. You may search this database in a number of ways to find indicators of interest. <br>*Search the quality indicator database by HCBS quality domains, age groups, populations, and data sources <br>*Browse the quality indicator database by quality indicator developer <br>*Browse quality-related surveys by developer

Short URL: http://www.advancingstates.org/node/50391

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Promoting Self-Determination for Individuals with Psychiatric Disabilities through Self-Directed Services

This paper subtitled: A Look at Federal, State and Public Systems as Sources of Cash-Outs and Other Fiscal Expansion Opportunities, examines promising interconnections between the concepts of recovery, self-determination, and self-directed care. It reviews the five principles of self-direction and explores the major systems that can serve as sources of cash-out funding. The paper concludes with a series of recommendations for next steps in adopting this mental health care financing mechanism.

Short URL: http://www.advancingstates.org/node/50388

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What Can We Count On To Make and Keep People Safe?

The question—What can we count on to make and keep people safe?— frames an important perspective on the continuing work of building communities that offer people with developmental disabilities full and dignified lives. This report subtitled, Perspectives on Creating Effective Safeguards for People with Developmental Disabilities has recently been re-released. WRead on to see what strategies offer ways to constructively engage people.

Short URL: http://www.advancingstates.org/node/50387

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