ADRCs: North Carolinas No Wrong Door into Long Term Services and Supports

1
ADRCs North Carolinas No Wrong Door into Long
Term Services and Supports

• National Aging and Disability IR/A Symposium
• Jacksonville, FL

2
Lay of the Land

• 8.5 million residents
• 1.4 million are 60 and older (12.1)
• 14.4 of those 21-64 live with a disability
• 43 of those 65 and older live with a disability
• 543 miles from mountain to the coast
• Persons per sq mile 165.2

3
Uniform Portal of Entry

• Determined in 2000 Long-Term Care Plan for North
  Carolina
• Uniform Portal of Entry System
• Common Information Assistance, Screening, level
  of service assessment, and care planning
  assessment tools
• Automated sharing between agencies
• Entry functions are easy to understand and
  accessible to consumers
• Simplification of financial eligibility
• Web based IR system

4
Entry IntoLong Term Services and Supports
NC care LINK
ADRCs Public Agencies
Access for Long Term Services and Supports
Intake IA Consumer Choice
Benefits Counseling
Web-based screening
Screening for Long Term Services Functional
Medical Screening Consumer Choice
Level of Care Approval
Other automated case management tools
Case Management Assess
Person Centered Plan Monitor Educate
Self-Management Self-Directed Supports
Information
Tools Counseling or Care Advice
NC Self Care
Quality Management Tracking Services Used
Outcomes Health and Safety
5
Why not Single Point of Access?

• 17 Area Agencies on Aging
• Over 350 local aging providers
• 100 County DSS (Local Administered/State
  Supervised)
• Centers of Independent Living in 35 counties
• Statewide/State operated VR IL program

6
ADRC Administration

• Office of Long Term Services and Supports
• State Unit on Aging and Medical Assistance
• Implement 2 Pilots (Forsyth Surry Counties)
• Develop and Implement NC careLINK
• Expand volunteer benefits counseling program

7
Two Models

• Forsyth A voluntarily level of participation of
  multiple providers
• Surry Co location in multiple locations
• Note
• Functions define an ADRC not the agency or
  location
• Built on existing services

8
Forsyth County Plan

• Allows agencies to choose their own levels of
  participation in the project

• Provides all required components of ADRC

• Links to stations electronically

• Affiliates with system to inform consumers

9
Affiliate Level

• Awareness and Information
• Community-based and in-home services
• Institutional services
• Short-term options
• Long-term options

10
Link Level

• Assistance Through Intake and Tracking of Clients
• Gather all client information
• Assess problems to be addressed
• Direction in application process
• Coordinate care with other service providers

11
Station Level

• Access to All Services
• Conduct comprehensives assessments (including
  financial)
• Screen for eligibility into all public benefits
  and services
• Provide seamless linkage for all eligibility
  determination including Medicaid
• Care manage as needed

12
Surry County

• Co Location of ADRC and DSS Eligibility Worker
• ADRC Lead in Chronic Case Management program for
  Adult Medicaid recipients
• Multiple ADRC Locations
• Chatham Woods Senior Housing - Elkin
• Congregate Nutrition Site - Lowgap
• Pilot Mountain Senior Center - Pilot Mountain
• Surry County DSS- Dobson

13
NC careLINK

• Web portal for community health and human
  services
• Special sections for older adults and persons
  with disabilities
• LTC Decision Support Tool
• Person centered, consumer choice and health
  management information, tips and fact sheets

14
Future Expansion

• Now Vendor for web base assessment and care
  planning tools are being selected
• Summer 2007 Community Readiness Assessment
• October 2007 Web Based Uniform Screen
  Implemented
• January 2008 RFP for expansion for 4 more
  ADRCs

15
Contact Information

• Heather Burkhardt
• NC DAAS
• 919.733.8400
• Heather.Burkhardt_at_ncmail.net

16
Minnesotas Aging and Disability Resource Center

• AIRS Conference, Jacksonville
• May 8, 2007

17

• The Aging and Disability Resource Center (ADRC)
  Grant Program
• A cooperative effort of
• Administration on Aging (AoA) and
• Centers for Medicare Medicaid Services (CMS)
• Developed to help states create a single,
  coordinated system of information and access for
  persons seeking long term support to
• minimize confusion,
• enhance individual choice, and
• support informed decision-making.

18

• Aging and Disability Resource Center Initiative
  began in 2003 and now rolled out in 43 states.

2003 2004 2005
19

• The ADRC in Minnesota is called the MinnesotaHelp
  Network
• The MinnesotaHelp Network provides information to
  individuals, their families and caregivers who
  need personalized assistance to find and access
  the long-term care services they need, free of
  charge.

20
(No Transcript)
21
The No Wrong Door Approach

• There is no one stop shop
• Build on existing network of Helping
  Organizations and Systems
• Provide existing network with tools and training

22
MinnesotaHelp NetworkComponents

• Face to Face Assistance
• Long-Term Care Consultation (LTCC)
• Outreach Sites
• Access Points
• Telephone Assistance
• Senior LinkAge Line
• Disability Linkage Line
• Online Assistance
• MinnesotaHelp.info

23
Face to Face Assistance-Long-Term Care
Consultation

• Long-Term Care Consultation is
• A service provided by County staff for any person
  (regardless of eligibility for public programs)
• The pre-admission screening program for MN
• In-depth assistance to persons needing help with
  long-term care decision making

24
Face to Face Assistance-Outreach Sites

• An Outreach Site is
• A Community-based organization (such as dining
  sites, clinics, service providers, libraries,
  etc.)
• That maintains a kiosk of information about
  Network resources

25
Face to Face Assistance-Outreach Sites

• Tool Kit includes
• Initial Staff training in Referral Protocols
• Information about tools available for referral to
  clients
• Kiosks with cards on relevant topics with
  referrals to single point of entry

26
Face to Face Assistance-Access Points

• An Access Point is
• A highly visible critical pathway location
  (i.e. clinics, hospitals, faith communities,
  senior centers, etc.)
• That maintains a kiosk of information about
  Network resources AND
• That has trained staff on hand that can help
  people use Network tools, answer questions and
  find resources

27
Face to Face Assistance-Access Points

• Tool Kit includes
• Training materials
• Staff training and agreement to referral
  protocols
• Access to and training in tools to help people
  identify needs, locate community services, and
  make decisions about care

28
Face to Face Assistance-Access Points

• Tool Kit includes (contd)
• Kiosks with cards on relevant topics with
  referrals to single point of entry
• Posters
• Signage

29
Telephone Assistance-Senior LinkAge Line

• Senior LinkAge Line is
• A statewide service of the Minnesota Board on
  Aging and Area Agencies on Aging
• One number answered by paid staff at 7 regional
  call centers, supported by community outreach
  staff and over 400 volunteers

30
Telephone Assistance-Senior LinkAge Line

• Senior LinkAge Line Niche Areas
• Medicare (Part A, B, C and D)
• Health Insurance Counseling
• Prescription Drug Expense Assistance
• Long-term Care insurance
• Grandparents Raising Grandchildren
• Caregiver planning, support and training
• Long-term care planning assistance

31
Telephone Assistance-Disability Linkage Line

• Disability Linkage Line is
• A statewide service of the Minnesota DHS
  Disability Services Division and 2 Centers for
  Independent Living
• One number answered by paid staff at 4 regional
  call centers

32
Online Assistance-
33
Online Assistance-

• Service of the MN Board on Aging
• 1999 legislative mandate for a long-term care
  database
• Online since 2001
• A Web-based means of finding information about
  social services in Minnesota

34
Online Assistance-

• Located at www.MinnesotaHelp.info
• Resource Database shared with the Linkage Lines
• 27,000 services
• 11,000 providers
• 16,000 sites
• Over 40,000 unique visitors in 2006

35
Online Assistance-

• Recently redesigned
• Simplified, Google-style search capabilities
• Search for services statewide or locally by topic
  or keyword
• Save, print and email searches and plans
• View results charted on a map

36
Online Assistance-
37
Online Assistance-

• Step-by-step decision making tool
• Interactive
• Easy to use
• Available on www.MinnesotaHelp.info Web site

38
Online Assistance-

• Helps people figure out what they need to live
  well and age well,
• Guides them to resources in their community, and
• Creates a plan specifically for them, their
  parent or spouse or friend.

39
(No Transcript)
40
(No Transcript)
41
(No Transcript)
42
(No Transcript)
43
(No Transcript)
44
(No Transcript)
45
(No Transcript)
46
Online Assistance-

• Long-term Care Choices is the first of several
  decision-making and planning tools available on
  MinnesotaHelp.info.
• Coming soon
• Youth Resource Advisor
• Decision Tool for People with Disabilities

47
MinnesotaHelp NetworkVision for the Future

• Data connection between Consumer Decision Tools
  and Long-Term Care Consultation (at consumers
  request)
• Unified consumer tracking database to avoid
  duplication of information collection
• Implement secure online chat on
  MinnesotaHelp.info
• Establish at least one Access Point per county
• Expand on the network of 280 Outreach Sites
• Evaluate and re-architect access to public
  programs to streamline consumer access (As Is/To
  Be models)

48
As Is (Current HCBS Architecture)
49
To Be (Future HCBS Architecture)
50
Contact Information

• Tom Gossett
• MinnesotaHelp.info Project Manager
• Tom.L.Gossett_at_state.mn.us
• 651-431-2601