Long-Term Care - Illinois General Assembly

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•"Encourage nursing homes to convert structures and adapt progressive practices to accommodate current needs of frail and disabled populations. • Assisted living; • Adult day services; • Single bed rooms; • Recreation and rehabilitation care enhancements; • Independent living accommodations; and • Pioneer movement, offering residents control over their daily routines. •Assist nursing home residents who express a desire to leave the home to move to more independent housing. • Develop programs based on successful models throughout country. ≡ ≡ Short-term retention of Social Security payments. Case coordination assists seniors and family caregivers. • Encourage development of affordable housing options for seniors throughout state. • Expand affordable assisted living opportunities. •Expand comprehensive delivery systems that integrate acute and chronic care and demonstrate cost savings compared to existing fee-for-service models. • Program for All-Inclusive <strong>Care</strong> for the Elderly (PACE). • Social HMOs. • New integrated delivery system models. •Develop coordinated information, referral, and entry resources (single point of entry) for all long-term care services available in a community. • Identify existing models of cost effective information, referral, counseling, and entry to various financing and service delivery options. May include: ≡ Expand role of Case Coordination Unit to cover all long-term care options. ≡ Significantly improve access to and information available from existing telephone hotlines, assuring access during days, evenings, and weekends. ≡ Integrate services available from Area Agencies on Aging with other designated entry points. ≡ ≡ Greatly increase efforts to inform families and seniors of resources. Increase use of automated programs to ascertain benefits and eligibility information. • Coordinate government eligibility to facilitate application process. 69
≡ Eliminate asset tests for home care where possible to shorten length of application and documentation needed to qualify. ≡ Coordinate eligibility guidelines so clients may complete a single application to determine all programs for which they may qualify. •Pay adequately for care provided by state government. • Gradually increase nursing home rates to some standard, e.g., Midwest median, comparing like components, targeting additional funds to assure quality and staffing. • Immediately increase home and community based service rate to achieve living wage and health benefits for their employees. • Establish programs, as described above, to demonstrate cost-effectiveness of alternative service delivery and financing arrangements. • Stabilize payments. •Assure adequate supply of caregivers to meet future increased demand for services. • Increase 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 paraprofessional 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 scheme to pay for above reforms. • Utilize funds from nursing home diversions to fund increase of nursing home and home and community based services rates. ≡ Target 15,000 current nursing home residents who report in the MDS to want to leave their home. (20% of $2 billion = $400 million at 5% per year from diversion = $100 million additional funds for home and community care enhancements and expansion for 4 years.) ≡ Plan to assist 3,750 per year for 4 years. ≡ Reduce current placement rates by 10%. 70
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Speaker’s Summit on Senior Servic
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PANELISTS AT STATE SUMMIT MEETING G
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Interoffice Memorandum January 2004
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This 2nd stage of the summit focuse
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PRIMARY RECOMMENDATION ILLINOIS DEP
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ENCOURAGE NURSING HOMES TO CONVERT
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financial participation, as well as
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as the “baby boomers” reach the
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• Expand the range of services av
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materials should emphasize 3 key ar
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• 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
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: 8/26 Palatine State Representative
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
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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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