2001 Real Choice for Systems Change Grants

MICHIGAN

Grant Information

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Name of Grantee

Department of Community Health, Long Term Care Programs

Title of Grant

Michigan's Real Choice Systems Change Grant

Type of Grant

Real Choice Systems Change

Amount of Grant

$2,000,000

Year Original Funding Received

2001

Contact Information

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Micheal Ezzo, Ed.D, Project Director
517–373–3626
ezzom1@michigan.gov

Michael Daeschlein, Project Coordinator
Long Term Care Programs
320 South Walnut Street
Lansing, MI 48913
517–335–5106
daeschleinm@michigan.gov

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Subcontractor(s)

To be identified through RFP processes during the second year.

Target Population(s)

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The first two initiatives target the general LTC population: working age adults with disabilities and elderly adults. The Consumer Cooperative Initiative targets individuals with developmental disabilities or mental illness within a pilot community.

Goals

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The grant has three distinct components: the LTC Outcomes and Evaluation Systems Initiative, the Virtual Organization Initiative, and the Consumer Cooperative Initiative.

• LTC Outcomes and Evaluation Systems (OES)
• Strengthen consumer/family input into the LTC OES
• Develop a model for vertically integrated OES across state and local agencies
• Improve outcomes through the use of quality indicators across LTC settings (nursing facilities, home care, and acute/primary care)
• Virtual Organization (VO) Initiative
• Use modern information technology and systems design to support an LTC delivery system that empowers consumers
• Provide consumers opportunities to use assistive technologies
• Use e-business technologies within system administration
• Obtain real-time feedback on satisfaction, cost/benefit analyses, and performance improvement efforts
• Consumer Cooperative Initiative
• Develop organizational governance to ensure consumer control of the cooperative
• Establish process to ensure consumer control over access and management of services and supports

Activities

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• Include consumers on HCBS site monitoring teams.
• Select/develop quality indicators for use across LTC settings.
• Develop a method for assessing consumer satisfaction.
• Develop web-based options for determining eligibility and accessing services.
• Develop practice guidelines for use of assistive technologies.
• Contract with a community mental health board to pilot the consumer cooperative model.
• Develop the organizational structure and operations for the cooperative.
• Conduct a participatory evaluation of the cooperative.

Abstract

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The grant proposal builds upon Michigan's plan for developing an integrated LTC system, as described in the Michigan LTC Report and Recommendations. The LTC Outcomes and Evaluation System Initiative seeks to strengthen our quality assurance and improvement systems by expanding the roles of consumers and family members in system design, implementation, and evaluation; by developing outcomes and quality indicators for the continuum of services; by developing effective methods for assessing consumer satisfaction; and by supporting quality improvement initiatives in local agencies.

The Virtual Organization Initiative will develop a model for administering an integrated system of long-term care, in which access and service delivery are coordinated across primary/acute care, home and community based services, and nursing facilities. The VO is a business model that allows consumers to use telephone or web technology to identify and arrange services, communicate needs and satisfaction with services, and allows providers to electronically link into a full service network to better serve customers.

The Consumer Cooperative Initiative will develop a model in which consumers and family members will collectively assume responsibility for their outcomes and take control of the resources needed to achieve them. The Co-op will allow members to design and obtain the services they prefer, with more creativity, responsiveness, and cost-effectiveness. This model offers an exciting advancement in systems changes in support of consumer-directed services.