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Reducing Readmissions Learning Collaborative & Action Network Enhanced Services Programs

This initiative focuses on Georgia’s Aging and Disability Resource Connection (ADRC) network, highlighting how individuals access essential services through local Area Agencies on Aging. We discuss key services and programs that aid older adults in maintaining healthy, independent lives, thereby reducing hospital readmissions. Additionally, we explore the Enhanced Services Program (ESP), a vital tool for identifying resources, and emphasize the role of licensed Home Care Providers in serving individuals with mental health diagnoses. Overall, Georgia fosters connections to resources that empower individuals and families.

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Reducing Readmissions Learning Collaborative & Action Network Enhanced Services Programs

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  1. Reducing ReadmissionsLearning Collaborative & Action NetworkEnhanced Services Programs Explain Georgia’s Aging and Disability Resource Connection (ADRC) network structure and the way individuals are connected to resources and services through their local Area Agency on Aging. 2. Discuss how major services and programs for older adults that support healthy, independent and enriched living which can have an impact on the reduction of hospital readmission. 3. Connect older adults and/or their caregivers to the tools and appropriate resources. 4. Describe how the Enhanced Services Program (ESP) is a professional tool used in Georgia by the Aging and DBHDD network to locate specific services and programs. 5. Discuss the importance of how licensed Home Care Providers and Personal Care Homes self report in the ESP database if they can serve persons having a mental health diagnosis.

  2. Programs • Services • Connections Georgia is…

  3. Georgia is… Connected – there is “no wrong door.” Connections to the right services at the right time inthe right place.

  4. Georgia is… A State where people are connected to thousands of services & resources. • 25,000 listings in 300 service areas • 1,000 users • All 12 Area Agencies on Aging

  5. Georgia is… Providing… • Information and referral for older adults & persons with disabilities. • Care Transitions. • Options counseling. • Money Follows the Person. Connected by Georgia’s Aging and Disability Resource Connection.

  6. Georgia is… Connected through a highly organized taxonomy. Mental Health Developmental Disabilities Information and Referral Community Care Home-Based Services Wellness Programs

  7. Georgia is… Connected through technology

  8. Georgia is…Connected

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