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Long-Term Care - Illinois General Assembly

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elderly. It provides low-income elderly with options that allow them to live independently but<br />

in an environment that provides support activities such as cleaning, cooking, transportation,<br />

etc. State regulations that might prohibit or impede such conversions should be eliminated.<br />

AARP<br />

ADMINISTRATION<br />

• All services, whether home-delivered meals, prescription drug coverage, housing with<br />

services, or skilled nursing care, should be accessed through one entry-point and<br />

coordinated by a unified case management system. This single-point-of-entry should be<br />

consistent community-by-community. A unified case manger system that links a senior with<br />

a case manager who remains with them regardless of the type or setting of services they<br />

need is imperative. While the Senior Helpline in the Department on Aging does yeoman’s<br />

work as a phone-based one stop shop, this concept must now be extended to the<br />

community level. AARP<br />

• Right now individuals spend considerable time just learning how to navigate the system.<br />

Many become frustrated and finally enter the system with negative attitudes about how they<br />

have been treated. Dealing with health issues of family members is stressful enough<br />

without complicating it further. The unification of case management activities would benefit<br />

customers, providers, and the state by streamlining the process. Any such process should<br />

ensure the fair representation of all types of appropriate services available to the customer,<br />

disclosure of the estimated costs of those services, and a clear determination of the<br />

personal, health and medical needs of the customer. <strong>Illinois</strong> Health <strong>Care</strong> Association<br />

• A searchable, user-friendly internet database should be developed to allow seniors and their<br />

families to quickly identify what services are available in their area. The web-site should<br />

provide families with quality indicators to help them evaluate the various providers. The site<br />

should also permit users to access information regarding specific diseases and treatment<br />

centers, care techniques, and caregiver support services available in <strong>Illinois</strong>. AARP<br />

• The web-site should include an assessment tool to gauge the needs of the prospective<br />

customer, an explanation of the costs of the service options, and a directory of the full range<br />

of services available by geographic area. As the site is developed, it could be expanded to<br />

include the results of customer satisfaction surveys, quality standards, staffing information,<br />

and comments from residents and family members about the service delivered in each<br />

setting so that individuals searching the site can get a balanced view. It would be necessary<br />

to determine the most appropriate state entity to host and maintain the site, dialog with<br />

interested parties about the content of the site and give consideration to what consumer<br />

satisfaction information should be contained on the site and the most appropriate method for<br />

collecting such data. <strong>Illinois</strong> Health <strong>Care</strong> Association<br />

• While in some ways the website of the <strong>Illinois</strong> Department of Public Health regarding nursing<br />

homes is helpful, the majority of violations are not posted, despite the legal mandate that<br />

they be there. IDPH should either do the work itself, or contract with an entity able to do the<br />

job. <strong>Illinois</strong> Citizens for Better <strong>Care</strong> (ICBC)<br />

• The state could also help consumers make sound health care decisions by developing<br />

resident and family customer satisfaction surveys, sharing these results with the public<br />

through the internet or by publishing a consumer guide on choosing a nursing home. These<br />

13

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