Long-Term Care - Illinois General Assembly

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The nursing home industry in Maine deserves credit. They could have easily dug their heels in and said: ”No way.” It's a sign that people agreed that you just can't raise wages in one sector of this system and not expect it to create problems in others. In order to contain system costs, there have been sacrifices in some of the flexibility that existed in the past. There are very tight service authorization guidelines — down to how many minutes a person gets if he or she needs a bath. This sounds a little obsessive/compulsive, but it is an important method for assuring some equity in how limited resources are allocated and used. There is a challenge of rising expectations. In a sense, the better and more accomplished, the more the legislature expected to squeeze out additional savings. Most of the savings have been pretty much wrung out of the system. Another issue is managing high acuity consumers at home, people with behavior problems. These are individuals who, without a second thought, used to go into the nursing home. Now, there is an expectation and a system that says: “You don't go into the nursing home until you really need that level of care.” So the people being served at home are not used to being called the nice little “blue rinse crowd,” the nice little old lady who just wanted her knickknacks dusted. Services are being provided to very high acuity people, and that's a challenge to do that at home. Because Maine is experiencing the same financial problems that many others are, it is, once again, facing a situation where State-funded home care programs have a significant waiting list, and it's hard to tell people that they have a choice when, in fact, one of their choices isn't available because there isn't sufficient funding. The charts below are basically what were used with legislators. It's just so simple. People understand it. They can look and say: “Okay, in 1995 this is where we were serving people, and in 2002, this is where people are getting services. It's something that most people can understand. It has been very effective in working with legislators to get them to see and continue to have confidence in the policy reforms. Maine is making progress. Long-Term Care in Maine Where are People Receiving Services? Total Persons Served: 19,742 Total Persons Served: 25,650 31
State and Medicaid Spending Total Expenditures: $284,715,157 Total Expenditures: $333,133,826 Source: Source: Bureau of Medical Services, 12/02 Edmund S. Muskie School of Public Service, 9/12/02 * adjusted for Gross Receipts Tax, 1993-1998 32
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 and 12: ENCOURAGE NURSING HOMES TO CONVERT
Page 13 and 14: financial participation, as well as
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: Personal care was provided as an op
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
Page 63 and 64: providers, and the state by streaml
Page 65 and 66: Steve Nussbaum Life Services Networ
Page 67 and 68: We have a program that many of our
Page 69 and 70: Putnam County has 1,264 seniors, wi
Page 71 and 72: our director. We went back into the
Page 73 and 74: 8/26 Palatine State Representative
Page 75 and 76: ≡ Eliminate asset tests for home
Page 77 and 78: The escalating demand for long-term
Page 79 and 80: changes that can improve health; he
Page 81 and 82: • In 2002 Medicaid rates were cut
Page 83 and 84: Additionally, it is far more cost e
Page 85 and 86: modern, quality living space for re
Page 87 and 88:
• Make doing home care, and worki
Page 89 and 90:
ILLINOIS HEALTH CARE ASSOCIATION Th
Page 91 and 92:
• The Supportive Living Program n
Page 93 and 94:
homes is important. In-home care se
Page 95 and 96:
STATE FARM INSURANCE 100% of LTC co
Page 97 and 98:
• Seek expansion of the Medicaid
Page 99 and 100:
Develop a mental health system whic
Page 101 and 102:
Minnesota’s Long-Term Care Reform
Page 103 and 104:
Who Provides Long-Term Care? 5% 95%
Page 105 and 106:
Long-Term Care in Minnesota State o
Page 107 and 108:
Long-Term Care Issues Minnesota Lo
Page 109 and 110:
Long-Term Care Policy Directions
Page 111 and 112:
Reshaping Long-Term Care Highlights
Page 113 and 114:
Reshaping Long-Term Care How long-t
Page 115 and 116:
Long-Term Care Benchmarks Benchmar
Page 117 and 118:
Percent of Public LTC Spending on E
Page 119 and 120:
Percent of older persons in nursing
Page 121 and 122:
Other Measures of Success Paradi
Page 123 and 124:
Conclusions Promoting non-governme
Page 125 and 126:
Principles of Reform Choice Offer m
Page 127 and 128:
What’s Working • 39% of LTC bud
Page 129 and 130:
Other Essential Ingredients • Goo
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Long-Term Care - Illinois General Assembly

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