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Plan for the Closure of Lanterman Developmental Center

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The health care planning and development will ensure:<br />

• Access to <strong>the</strong> full array <strong>of</strong> required services by qualified providers, including<br />

primary health and specialty medical care, optometry and ophthalmology,<br />

pharmacy, support services such as occupational and physical <strong>the</strong>rapies, and <strong>the</strong><br />

provision <strong>of</strong> medical equipment and supplies.<br />

• Comprehensive case management is provided to each consumer which includes<br />

coordination and oversight <strong>of</strong> <strong>the</strong>ir individualized health services to assure <strong>the</strong><br />

provision <strong>of</strong> all services identified as medically necessary by <strong>the</strong>ir primary care<br />

physician.<br />

• Coordination among <strong>the</strong> regional center, <strong>the</strong> health plan and o<strong>the</strong>r health service<br />

providers to ensure efficient access to quality services.<br />

Outpatient Clinic Services<br />

As an additional measure <strong>of</strong> bridging <strong>the</strong> transition from <strong>Lanterman</strong> into <strong>the</strong> community,<br />

and to ensure <strong>the</strong> continuity <strong>of</strong> medical care and services to <strong>Lanterman</strong> residents, <strong>the</strong><br />

Department will operate an outpatient clinic at <strong>Lanterman</strong>. The outpatient clinic will<br />

provide medical, dental and behavioral services to <strong>for</strong>mer <strong>Lanterman</strong> residents to assist<br />

in stabilizing <strong>the</strong> person in <strong>the</strong>ir new setting while <strong>the</strong>y are in <strong>the</strong> process <strong>of</strong> transferring<br />

care to a new healthcare provider. The clinic will operate until all residents have moved<br />

from <strong>Lanterman</strong> and <strong>the</strong>ir health care transition has been completed.<br />

QUALITY MANAGEMENT SYSTEM<br />

Use <strong>of</strong> quality assurance systems to ensure a safe and successful transition from<br />

<strong>Lanterman</strong> is not only a commitment <strong>of</strong> <strong>the</strong> Department but has been widely stated as a<br />

need by many stakeholders who provided testimony in <strong>the</strong> public hearing and within<br />

o<strong>the</strong>r meetings. Over <strong>the</strong> past 10 years, Cali<strong>for</strong>nia has moved steadily toward a more<br />

integrated, value-based quality management and improvement system that produces<br />

desired consumer outcomes. The quality management system (QMS) is based upon<br />

<strong>the</strong> <strong>Center</strong>s <strong>for</strong> Medicare and Medicaid Services’ (CMS) Quality Framework. At <strong>the</strong> core<br />

<strong>of</strong> <strong>the</strong> model is <strong>the</strong> consumer and family; <strong>the</strong> central goal is “doing <strong>the</strong> right thing” <strong>for</strong> <strong>the</strong><br />

people served by <strong>the</strong> system. Quality management starts with establishing clear<br />

expectations <strong>for</strong> per<strong>for</strong>mance (design), collecting and analyzing data to determine if <strong>the</strong><br />

expectations are met (discovery), and finally, taking steps to correct deficiencies or<br />

improve processes and services (remediation and improvement).<br />

Through action taken by <strong>the</strong> Administration and Legislature in July 2009 (ABX4 9,<br />

Chapter 9, Statutes <strong>of</strong> 2009), <strong>the</strong> Department consolidated <strong>the</strong> Life Quality Assessments<br />

and <strong>the</strong> Evaluation <strong>of</strong> People with <strong>Developmental</strong> Disabilities Moving from <strong>Developmental</strong><br />

<strong>Center</strong>s into <strong>the</strong> Community Study into a single quality assessment tool and data collection<br />

ef<strong>for</strong>t. This ef<strong>for</strong>t is called <strong>the</strong> National Core Indicators and will provide quantifiable data to<br />

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