Long-Term Care - Illinois General Assembly

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• Target nursing home rate increases to assure quality and adequate staffing. • Stabilize payments so providers can apply funds to meet current costs, without incurring high debt payments. ASSURE ADEQUATE SUPPLY OF CAREGIVERS TO MEET FUTURE INCREASED DEMAND FOR SERVICES. While there are shortages of skilled and semi-skilled workers today the demographics portend massive shortages in the next five to 10 years. The state should implement policies that will attract qualified workers into this industry. • Assure adequate wages and benefits. • Establish career ladder for paraprofessionals from unskilled, to semi-skilled to skilled professionals. • Coordinate efforts with community colleges to assure adequate supply of staff. • Develop incentives for worker-owned cooperative paraprofessional businesses. • Consider enhancing responsibilities of nurse aides and homemakers through courses equivalent to those taken by higher-level personnel. • Consider expanding responsibilities of higher-level nurses to maximize human resource efficiency. DEVELOP FINANCING MECHANISM TO COVER COSTS OF REFORMED LONG-TERM CARE. Without new general revenue the state must target existing appropriations to assure seniors are cared for in appropriate settings. Advocacy groups citing the Olmstead decree promote the principle of money following the individual. Applying this principle to frail elderly nursing home residents, the state could dramatically increase services available to seniors who are in or otherwise would be admitted to nursing homes. Studies document that approximately one quarter of all residents do not need the level of care available in nursing homes. This additional funding for home and community based services for residents coming out and staying out of nursing homes would assure adequate, high quality community care to meet their needs and support adequate rates for all providers. Through the MDS, DPA has identified more than 2,000 of their nursing home residents who want to return home and identify a family member who can help care for them. Federal demonstration programs in other states have found more than 3,000 nursing home residents per year can be cared for at home if creative and aggressive programs are in place to accommodate their residential and personal care needs. Other studies document that up to 25% of nursing home residents do not need that level of care. If <strong>Illinois</strong> were to establish such a program, it may be possible to relocate as many as 15,000 residents over the next five years. With the money following the individual home, this could generate $75 million per year for home and community based services. During this period, the state must identify additional sustainable revenue sources to maintain regular rate increases at end of four-year period. Other elements in a financing plan would include targets to reduce current nursing home placement rates by 10% increase federal 7
financial participation, as well as aggressive efforts to encourage purchase of long-term care insurance by those who can afford it at younger ages. DEVELOP ADMINISTRATIVE STRUCTURE TO ASSURE QUALITY, FACILITATE COORDINATION, COOPERATION, AND INTEGRATED SERVICE DELIVERY. States that have reformed their long term care priorities have routinely established a task force, council, or high level locus of responsibility to lead and report on progress on long-term care reform. To achieve and maintain this rebalancing, <strong>Illinois</strong> must encourage transfer of funds from institutional to home and community-based service line items during the budgeting and appropriation process to reflect changing client demand. To accomplish this, a governor’s office-level task force or mandate to integrate long-term care responsibilities among the various state agencies will be needed. 8
Page 1 and 2: Speaker’s Summit on Senior Servic
Page 3 and 4: PANELISTS AT STATE SUMMIT MEETING G
Page 5 and 6: Interoffice Memorandum January 2004
Page 7 and 8: This 2nd stage of the summit focuse
Page 9 and 10: PRIMARY RECOMMENDATION ILLINOIS DEP
Page 11: ENCOURAGE NURSING HOMES TO CONVERT
Page 15 and 16: as the “baby boomers” reach the
Page 17 and 18: • Expand the range of services av
Page 19 and 20: materials should emphasize 3 key ar
Page 21 and 22: • Develop a state medication tech
Page 23 and 24: The changes in occupancy seem to be
Page 25 and 26: eligibility determinations. Most of
Page 27 and 28: didn't matter if he or she had a lo
Page 29 and 30: folks are looking at other kinds of
Page 31 and 32: Trying to get just workers and acco
Page 33 and 34: There is also an automated pre-admi
Page 35 and 36: Personal care was provided as an op
Page 37 and 38: State and Medicaid Spending Total E
Page 39 and 40: Most of all, we want to make sure t
Page 41 and 42: Rick Dees Illinois Department of Pu
Page 43 and 44: dialog with the federal government
Page 45 and 46: enables the person to more easily a
Page 47 and 48: • Take care of the caregiver. For
Page 49 and 50: • Services available in Illinois
Page 51 and 52: Julie Sampson Citizen Action The Lo
Page 53 and 54: The United States healthcare system
Page 55 and 56: • Make doing home care, and worki
Page 57 and 58: documented the assaults, but nobody
Page 59 and 60: The SEIU report, “Facing a Crisis
Page 61 and 62: offered to facilities to convert mu
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providers, and the state by streaml
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Steve Nussbaum Life Services Networ
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We have a program that many of our
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Putnam County has 1,264 seniors, wi
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our director. We went back into the
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8/26 Palatine State Representative
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≡ Eliminate asset tests for home
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The escalating demand for long-term
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changes that can improve health; he
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• In 2002 Medicaid rates were cut
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Additionally, it is far more cost e
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modern, quality living space for re
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• Make doing home care, and worki
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ILLINOIS HEALTH CARE ASSOCIATION Th
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• The Supportive Living Program n
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homes is important. In-home care se
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STATE FARM INSURANCE 100% of LTC co
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• Seek expansion of the Medicaid
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Develop a mental health system whic
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Minnesota’s Long-Term Care Reform
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Who Provides Long-Term Care? 5% 95%
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Long-Term Care in Minnesota State o
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Long-Term Care Issues Minnesota Lo
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Long-Term Care Policy Directions
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Reshaping Long-Term Care Highlights
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Reshaping Long-Term Care How long-t
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Long-Term Care Benchmarks Benchmar
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Percent of Public LTC Spending on E
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Percent of older persons in nursing
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Other Measures of Success Paradi
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Conclusions Promoting non-governme
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Principles of Reform Choice Offer m
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What’s Working • 39% of LTC bud
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Other Essential Ingredients • Goo
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Long-Term Care - Illinois General Assembly

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