Community-Integrated Personal Assistance Services and Supports

OKLAHOMA

Grant Information

Name of Grantee

Oklahoma Department of Human Services

Title of Grant

Oklahoma's CD-PASS Project

Type of Grant

Community-Integrated Personal Assistance Services and Supports

Amount of Grant

$850,000

Year Original Funding Received

2001

Completed

Contact Information

Carey Garland
Interim Director
Oklahoma Department of Human Services Aging Services Division
2401 NW 23rd, Suite 40
Oklahoma City, OK 73107-2413
405-522-4509
carey.garland@okdhs.org

Patrice Pratt, Project Manager
Long-Term Care Authority of Tulsa
130 North Greenwood
Tulsa, OK 74120
918-583-3336
ppratt@ltca.org

Subcontractor(s)

Long-Term Care Authority (LTCA) of Tulsa
Deborah Karns
918-583-3336

Target Population(s)

Frail elderly and adults with physical disabilities.

Goals

  • Create infrastructure that supports the availability of personal assistance services in a manner that affords consumers maximum control over the selection of individuals working on their behalf and the manner in which services are provided.
  • Develop Independent Living Center (ILC)-based Intermediary Services Organizations (ISOs) to serve as consumers' business agents and consultants for employer responsibilities.
  • Evaluate and recommend revisions to the Home Care Act and/or Nurse Practice Act to enable implementation of the CD-PASS program.

Activities

  • Guide the creation of CD-PASS infrastructure and develop an ISO implementation plan.
  • Produce recommendations for continuous quality improvement (CQI) contracting requirements as conditions of provider participation for CD-PASS ISOs.
  • Develop CD-PASS infrastructure, implement CQI CD-PASS ISO contracting conditions of provider participation, and CD-PASS ISO startup operations providing consumers CD-PASS.
  • Evaluate and recommend modifications to the Nurse Practice Act provisions for delegation of nursing tasks to nonlicensed persons.
  • Produce a comprehensive evaluation of all grant infrastructure development activities.
  • Establish infrastructure to implement an interactive voice response authentication/
    verification (IVR_A/V) system to track caregiver time. The system will provide timely and accurate records of CD-PASS service delivery time for billing, service delivery management, and quality assurance monitoring.

Abstract

The Oklahoma Department of Human Services (DHS) Aging Services Division and Developmental Disabilities Service Division are the state agencies responsible for administering Oklahoma's 1915(c) waiver programs. The LTCA of Tulsa is a local public trust authority that is the administrative agent for the ADvantage Program, the statewide waiver that serves over 11,000 frail elderly and adults with physical disabilities and developmental disabilities without cognitive impairment. Ability Resources is an ILC that has been a case management provider in the ADvantage Program since 1995. These entities are partnering to provide leadership to achieve the goals and objectives of this project, which will focus on four major areas.

Consumer/community valued service delivery system. The project will promote accountability of the service delivery system to consumers, providers, and policy makers through development of infrastructure modifications that afford consumer/community control in the design, implementation, and quality monitoring of personal assistance services (PAS) and CD-PASS service delivery.

Consumer-directed personal assistance services. The project will create an infrastructure that supports the availability of personal assistance services in a manner that affords consumers maximum control over the selection of individuals working on their behalf and the manner in which services are provided. Infrastructure includes development of the ILC-based ISOs to serve as consumers' business agent and consultant for employer responsibilities.

Available, reliable, appropriate, and quality CD-PASS. The project will produce a service delivery infrastructure that supports a CQI system that accords premium value for ISO provider and program evaluation and improvement of CD-PASS service delivery.

Flexible, accountable delegation of nursing tasks. The project will recommend Nurse Practice Act language that supports appropriate delegation of nursing tasks to unlicensed staff or to family or friends who have received training from, and demonstrated skill attainment to, a registered nurse.