Indiana RCSC Summary | advancingstates.org

<A NAME=\"INRC\"></A> <P ALIGN=\"RIGHT\"><EM>Real Choice Systems Change</EM></P> <H2 ALIGN=\"CENTER\">INDIANA</H2> <H3>Identified Problems with Indiana's Long-Term Care System</H3> <P> <UL> <LI>Lack of a unified vision across state agencies to support community integration.</LI> <LI>Limited funding for community services.</LI> <LI>Lack of focus on consumer choice and control.</LI> <LI>Inadequate quality assurance mechanisms, prompting the need for improvements in licensure and certification, ongoing monitoring, system-wide oversight, and consumer access to ombudsman services and complaint procedures.</LI> <LI>Variability in the systems' ability to provide services to non-elderly persons with disabilities.</LI> </UL> </P> <H3>Perceived Strengths</H3> <P> <UL> <LI>A well-designed community services program that includes the IN-Home Services Program, a locally and nationally recognized program.</LI> <LI>The state is one of a few states in the county with a public/private partnership long-term care (LTC) insurance program. Indiana has made LTC insurance a pretax insurance option for all employees. LTC insurance coverage includes both home and community services and nursing home coverage.</LI> <LI>Seven home and community-based services (HCBS) waiver programs.</LI> <LI>Established the Bureau of Quality Improvement Services to improve quality-focused activities.</LI> <LI>In September 2000, prior to the award of this grant, then Governor Frank O'Bannon signed an Executive Order to ensure that Indiana moves forward on its plans for assuring community integration for every individual who can benefit from it.</LI> </UL> </P> <H3>Primary Focus of Grant Activities</H3> <P> <UL> <LI>To develop community capacity in the areas of community living arrangements, housing, transportation, supported employment, and caregiver support.</LI> <LI>To develop systems that support consumer choice and consumer-directed care.</LI> <LI>To develop innovative approaches to systems change through mini-grants.</LI> </UL> </P> <H3>Goals, Objectives, and Activities</H3> <P><STRONG>Overall Goal.</STRONG> Create an enduring infrastructure to support consumer-directed and controlled community services and supports for all persons with disabilities who desire to live and participate in their communities.</P> <P><STRONG>Goal.</STRONG> Address barriers to community integration and consumer control.</P> <P><STRONG><EM>Objectives/Activities</EM></STRONG> <UL> <LI>Conduct a best practices study of community integration and consumer direction initiatives.</LI> <LI>Conduct a studyjointly with major transportation providersof counties' transportation accessibility, and develop transportation options as needed.</LI> <LI>Develop accessible housing through implementation of the Assisted Living Waiver Marketing plan and the implementation of Adult Foster Care certification standards.</LI> </UL> </P> <P><STRONG>Goal.</STRONG> Bring stakeholders together to develop a plan for changing the current LTC system to foster community integration for people of all ages with all types of disabilities.</P> <P><STRONG><EM>Objectives/Activities</EM></STRONG> <UL> <LI>Create and support a Governor's Commission on Home and Community-Based Care, which will develop recommendations in four broad areas: (1) rebalancing the LTC system, (2) removal of barriers, (3) creating community capacity, and (4) addressing children at risk.</LI> </UL> </P> <P><STRONG>Goal.</STRONG> Involve consumers in the state's quality assurance restructuring initiative.</P> <P><STRONG><EM>Objectives/Activities</EM></STRONG> <UL> <LI>Meet with consumers and include them in discussions regarding the development of HCBS provider standards.</LI> </UL> </P> <P><STRONG>Goal.</STRONG> Identify innovative ways to deliver home and community services and supports.</P> <P><STRONG><EM>Objectives/Activities</EM></STRONG> <UL> <LI>Award mini-grants to develop and implement innovative approaches.</LI> <LI>Based on the reports of mini-grantees, identify approaches that can be replicated throughout the state.</LI> <LI>Assist mini-grant project award winners in identifying resources to fund mini-grant projects when the grant ends.</LI> </UL> </P> <P><STRONG>Goal.</STRONG> Improve access to information about HCBS for consumers, families, providers, and other stakeholders.</P> <P><STRONG><EM>Objectives/Activities</EM></STRONG> <UL> <LI>Make resources available for advocacy DANICs to implement a software system-DANIC-that will enable consumers and families to access information regarding providers, services, and supports.</LI> </UL> </P> <H3>Key Activities and Products</H3> <P> <UL> <LI>Facilitation of regional systems change demonstration projects through mini-grant awards.</LI> <LI>Development of an information system about HCBS for consumers and their families, providers, and other stakeholders.</LI> <LI>Recommendations for legislative and policy changes.</LI> </UL> </P> <H3>Consumer Partners</H3> <P>Consumers will serve on the grant's Consumer Advisory Committee, which is a subcommittee of the Governor's Commission on Home and Community-Based Care. Participation on the committee will ensure consumer input and involvement in grant activities.</P> <H3>Consumer Partners and Consumer Involvement in Planning Activities</H3> <P>Consumers provided input and wrote letters of support for the grant application.</P> <H3>Consumer Partners and Consumer Involvement in Implementation Activities</H3> <P>Consumers will be involved in grant activities in several capacities. They will: <UL> <LI>Serve on committees and workgroups.</LI> <LI>Serve on the mini-grant selection and review teams.</LI> <LI>Provide input in developing initial and long-term goals for the Commission's report.</LI> <LI>Serve as peer mentors/trainers as mini-grant practices are propagated across the state.</LI> <LI>Provide input in the quality assurance process through Consumer Satisfaction Surveys.</LI> </UL> </P> <H3>Public Partners</H3> <P> <UL> <LI>Division of Family and Children, the Division of Disability, Aging, and Rehabilitative Services, and the Division of Mental Health Administration.</LI> <LI>State Department of Health.</LI> <LI>Department of Transportation.</LI> <LI>Education Department.</LI> <LI>Housing Finance Authority.</LI> <LI>Department of Commerce.</LI> <LI>Department of Workforce Development.</LI> <LI>Commission for Higher Education and the Civil Rights Commission.</LI> <LI>Other public partners who are serving on the Governor's Commission include members of the Indiana Legislature, a county prosecutor, a city mayor, and executive officers representing a fiscal policy institute.</LI> </UL> </P> <H3>Private Partners and Subcontractors</H3> <P> <UL> <LI>Area Agencies on Aging.</LI> <LI>Centers for Independent Living.</LI> <LI>The membership of the Governor's Commission on Home and Community-Based Care includes representation of local community entities such as executive officers and presidents of a private university, a hospital corporation, a United Way organization, a local mental health center, a community foundation, a physician, a minister, and private citizens who are advocates.</LI> <LI>The grant subcontractor is Health Evolutions, Inc., a consulting company that will staff the Commission and its subcommittees.</LI> </UL> </P> <H3>Public and Private Partnership Development/Involvement in the Planning Phase</H3> <P><STRONG><EM>Public Partners</EM></STRONG></P> <P>Public partners did not participate in the development and planning phase of the project. They did not provide input for the RCSC Grant application. The Division of Disability, Aging, and Rehabilitative Services worked with private partners to develop the grant application.</P> <P><STRONG><EM>Private Partners</EM></STRONG></P> <P>Several consultants worked with the Bureau of Developmental Disabilities to write the grant application. They reviewed the application and were involved in meetings to discuss the project.</P> <H3>Public and Private Partnership Development/Involvement in Implementation</H3> <P>Representatives from all of the public and private entities listed above will participate in the activities of the Governor's Commission on Home and Community-Based Care. Those listed above are members of the Commission and/or consultants to the Commission.</P> <P><STRONG>Existing Partnerships That Will Be Utilized to Leverage or Support Project Activities</STRONG></P> <P>Several divisions of the Family and Social Services Administration will support the Division of Disability, Aging, and Rehabilitative Services in implementing the goals of the Real Choice grant.</P> <H3>Oversight/Advisory Committee</H3> <P>The Governor's Commission on Home and Community-Based Care will provide oversight and monitoring of the Real Choice Grant.</P> <H3>Formative Learning and Evaluation Activities</H3> <P> <UL> <LI>State staff and consultants will evaluate the current data available for tracking grant activities, create a mechanism and process for compiling this information for the Commission's use, and identify areas where additional development of data collection and tracking are needed.</LI> <LI>The State of Indiana and the Commission will review reports from the mini-grantees to identify innovative practices that can be replicated statewide.</LI> </UL> </P> <H3>Evidence of Enduring Change/Sustainability</H3> <P>The Commission will prepare a report for the Governor with recommendations for legislative and policy changes that will bring about enduring systems change.</P> <H3>Geographic Focus</H3> <P>Statewide.</P>