Workbooks

This guidebook is written to provide information about Minnesota’s Personal Care Assistance (PCA) program and the many options consumers have. The state strives for a consumer directed service model. Sections in this guidebook define services, help consumers develop skills and provide resources to help take more control of the important services that allow independent living. This guidebook is current as of September 2004.

Passport to Independence is a federally-funded pilot project led by Delaware Health and Social Services’ Division of Services for Aging and Adults with Physical Disabilities (DSAAPD). The overall goal of the program is to identify, inform and assist nursing home residents, especially those who are Medicaid-eligible, who want to move to a new home by offering individualized case management to accomplish the goal. Review the Program Brochure Nursing Home Transition Brochure and Transition Guide.

The ADRC Pilot Site in Broward County Flordia shared a plan used to measure the agency's goals, strategies, and progress towards provision of culturally competent services. The plan offers guiding principles: responsibilities, implementation period:and outcomes for each of the strategies.

This database, developed under Maine's QA/QI grant, helps to organize program design and QM system information in a way that is compatible with both CMS's Quality Framework and Review Protocol. Once information is entered into the system, the database can generate one page snapshots of a state's QM structure. <br> Please Note: You must download either database to your computer in order to run.

The State of West Virginia has shared a number of sample forms for their MR/DD waiver programs. Tools include a variety of evaluations, forms, reports worksheets, summary sheets and applications.

Washington’s automated, comprehensive, person centered assessment and planning tool measures the personal care needs of anyone receiving services at home or in a residential setting and develops a care plan. The tool contains 60 different screens, some relate to risk. Participant selects a service setting and then the program computes eligibility, need and a service plan that crosses settings. The package contains: CARES Training Manual, CARES Assessment, Eligibility & Rates for LTC Services.

Developed by Oregon’s Office of Home & Community these tools include consideration of 43 areas of risk and illustrates the state’s risk tracking documentation in Q&A format. They also provide instruction to staff with loops back to participant preference and guidance to protocols to address identified risks. Forms included: ISP Addendum, Financial & Individual Support Plan, Personal Focus Worksheet, Risk Training, Protocol for Aspiration, Constipation, Dehydration, Seizure and Signature Sheet.

This handbook, drafted by Jane Schiele and edited and revised by Laura Hershey (HCPF Systems Change Section), is designed to help other advocates or agencies to inform many more individuals about their right to live in the community, and to assist those who desire a transition back to their community. The report defines transition and offers the nuts and bolts of the program and lastly overs tips for moving day and beyond.

This guidebook/workbook is designed to help caregivers work with their families to share information, get organized and plan for the future. The packet includes lots of important information to help families become, and stay, organized and informed, keeping much-needed information available for quick, organized access. Much of the information is about healthcare and medical records as well as other important numbers for bank accounts, real estate holdings, property titles, and service providers.

This document provides an overview of essential elements of a non-profit business plan for the ADRC. Sections II and III are written to serve as a template that can be easily adapted by each ADRC. This should only require filling in information in certain sections and modifying text to better fit your effort. Sections IV through VIII contain discussions and tools to complete each of these sections. They will require more effort and original writing to complete.