Open One Door, Make Every Connection

1. Open One Door, Make Every Connection

2. Welcome Mid-East Community Resource Connection …an innovative network that will help you better connectwith and serve consumers August 2012

3. CRC Mission & Vision • Mission:  To be a consumer-centered network providing easy access to aging and disability information and services in Region Q (Beaufort, Bertie, Hertford, Martin, Pitt). • Vision:  Service access without confusion for all consumers.

4. Target Population • The CRC program will target: • Seniors age 60 and over • Persons with disabilities of all ages • Caregivers • Health and long term care professionals • Others who provide services to seniors and persons with disabilities

5. LTC System Challenges Purpose and Background of Aging and Disability Resource Centers Fragmented Institutional bias Lacks focus on consumer Confusing Increase in population = $$$$$ CRC Reform Strategy

6. CRC Place in LTC Reform History 1990 – Americans with Disabilities Act (ADA) 1999 – Olmstead Decision 2001 – New Freedom Initiative (NFI) 2003 – Aging and Disability Resource Centers 2006 – Older Americans Act Reauthorization 2007 – Community Living Program 2008 – Veterans-Directed HCBS 2009 – Year of Community Living

7. Funding History of ADRC/CRC in NC • 2004 - Awarded AoA ADRC 3-yr Grant (DAAS) • 2006 - NC receives CMS Systems Transformation 5-yr Grant Office of Long Term Services & Supports (OLTS) • 2007 - AoA ADRC Supplemental 2-yr Grant (DAAS) • 2009 - CMS Person-Centered Hospital Discharge Planning Model Grant (39 months) (OLTS) • 2009 - AoA ADRC Expansion Grant (36 months) (OLTS) 7 DHHS Office of Long Term Services & Supports

8. National Vision for CRCs To have Aging and Disability Resource Centers in every community serving as highly visible and trusted places where people of all incomes and ages can turn for information on the full range of long-term support options and a single point of entry for access to public long-term support programs and benefits.

9. Every Community? ADRC Coverage June 2011 100%of state population 25-50%of state population 75-99%of state population 1-25%of state population 50-75%of state population 0%of state population Alaska ME WA VT WI MT ND Northern Mariana Islands MN NH OR NY MA SD ID WY RI MI CT PA IA NE DE NV OH IL IN MD UT CO WV VA DC CA KS MO KY NC TN OK SC NM AR MS AL GA Guam AZ LA FL Hawaii TX Puerto Rico

10. Opportunity: This initiative creates the opportunity to re-frame long-term care policy, and to focus at the national and state level on consistent data outcomes, which assist (North Carolina) states with transforming our long-term care system. DHHS Office of Long Term Services & Supports

11. Opportunity: Slowing the rate of growth and expenditures in the states’ Medicaid programs will help our state prepare for future fiscal and capacity demands that will be imposed as baby boomers age and build a more efficient and effective long-term services and supports system. DHHS Office of Long Term Services & Supports

12. Opportunity: This initiative targets services to non-Medicaid consumers who are at risk for spending down their assets. CRCs have the potential to help our state to slow the rate of growth and expenditures in our Medicaid program. DHHS Office of Long Term Services & Supports

13. CRC Program Goals • Develop a “one-stop” system of relevant, accessible, and up-to-date information and provide counseling on long-term support services and eligibility determination for community programs/services • Promote collaboration: linkages between and among consumers, caregivers, and health and social service providers • Increased awareness of long-term support services to empower consumers to make more informed decisions about their care

14. How CRCs Operate Home and Community Based Services Employment Services One-Stop Access Options Counseling Public Programs Private Services Health Promotion Peer Counseling Nursing Homes/ Institutions

15. Required CRC Functions Information and Awareness Options Counseling Streamlined Access Person-Centered Hospital Discharge Planning Quality Assurance and Evaluation DHHS Office of Long Term Services & Supports

16. Open one door, make every connection

17. Options counseling provides consumers with the tools and knowledge they need to choose the best path for themselves. Options Counseling Overview of CRCs: Operational Components

18. Overview of CRCs : Operational Components Streamlined Access -- from the consumer’s perspective  Go somewhere else “no wrong door” or “one stop shop” access to services and supports  Call another organizationor agency seamless referral to other agencies; consumers do not need to make another phone call  Repeat same information over and over information systems designed so that information collected at the initial point of contact populates multiple forms Worry about getting “lost in the system.” follow-up after referrals are made

19. nComponents Person-Centered Hospital Discharge Planning (Care Transitions) • Create linkages that ensure people have the information • -- to make informed decisions • -- to understand their support options • as they pass through critical health and LTC transition points • -- hospital discharge • -- nursing or rehab facility admission or discharge

20. al Components Quality Assurance and Evaluation • Measure: consumer outcomes • system efficiencies • costs • Use results: improve services • identify and meet needs • strengthen programs

21. How Does the CRC Help the Consumer? • Easy access • Multiple access points (“no wrong door”)** • Seamless process – one contact by consumer • Decision-making support for consumer • Increased awareness of service options • Opportunity for case management • Improved quality of service • More effective crisis intervention • Long-term care planning assistance

22. How Does the CRC Help the Service Provider? • Promotes and improves relationships among providers • Extends reach of services to more clients and a more diverse clientele • Creates in-person and virtual opportunities to share “best practices” • Increases visibility in the community • Better outreach for services • Increases credibility in the community

23. Local Levels of Participation • Local Levels of Participation • Affiliating Agency • Collaborative Operating Entity (COE)

24. Affiliating Agency • An agency or organization within the community that supports the concept of developing a uniform consumer access portal for long-term services and supports and mission of the CRC.  • Affiliating Agencies are organizations that will not participate in the delivery of assistance and access to consumers on behalf of the CRC, but whose participation in the collaborative serves the common good of the community. DHHS Office of Long Term Services & Supports

25. Collaborative Operating Entity • Individual organizations/agencies (whether physical or virtual) making up the Collaborative; the majority of which will be responsible for delivering the required CRC functions(Information and Awareness, Assistance, Access, and Person-Centered Hospital Discharge Planning) on behalf of the Collaborative DHHS Office of Long Term Services & Supports

26. Effective CRC partnerships • Regular communication • Written agreements • Written referral protocols • Co-location of staff • Regular cross-training of staff • Compatible IT systems • I&R resources are shared • Collaboration on client services • Client data are shared • Joint marketing and outreach activities

27. The CRC Is NOT… • a separate physical location, • a change to existing service eligibility criteria, or • a change or replacement of services.

29. We’re Still Evolving • This is a Process “in progress” • The Network is Expanding • Increased Understanding of Partner Capabilities = A Stronger Network = Enhanced Consumer Service Quality = Cost-Effective Resource Allocation