Design Elements for a Quality Management System for Long-Term Care Functional Screening

The Wisconsin Department of Health & Family Services is designing an integrated state-local quality management system for the state’s HCBS long-term care programs. The Long Term Care Functional Screen (LTCFS) is a key element of their program, used for eligibility determination and rate settings. This paper explores ways to discover accuracy in the Level of Care determination process and describes an approach to LTC FS building on enhancements of current efforts and incorporating new activities.