California Community Choices Advisory Committee Meeting

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California Community ChoicesAdvisory Committee
Meeting

• January 31, 2008

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• New Advisory
• Committee Member
• Orientation

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Project Overview

• California Community Choices is focused on
  developing Californias long-term care
  infrastructure to increase access to home and
  community-based services and to help divert
  persons with disabilities and older adults from
  unnecessary institutionalization
•  

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Background

• 3 million CMS Real Choice Systems Transformation
  Grant
• Lead Agency California Health and Human
  Services Agency (CHHS)
• Grant Period September 1, 2006- September 30,
  2011

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Advisory Committees

• A 15-member stakeholder Advisory Committee was
  established to advise CHHS on development of the
  project and to monitor project activities-
• Expanded to 18 member January 31, 2008
• A State Department Advisory Group includes
  representatives from the departments of Aging,
  Rehabilitation, Public Health, Health Care
  Services, Social Services, Developmental
  Disabilities and Mental Health, Housing and
  Transportation

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Choices Mission

• We are a statewide partnership committed to
  developing an infrastructure that will increase
  access to, capacity of, and funding for home and
  community-based services to provide all
  Californians with greater choice in how and where
  they receive long-term care services, in
  accordance with the Olmstead Principles.
• The 1999 U.S. Supreme Court Olmstead Decision
  affirmed the right of individuals with
  disabilities to receive public benefits and
  services in the most integrated setting
  appropriate to their needs.

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Choices Vision

• California will have strategies and
  recommendations for its long-term care system,
  featuring replicable and sustainable models that
  empower individuals through enhanced
  opportunities for choice and independence.

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Three Project Goal Areas

• Goal 1 Improved Access to Long-Term Support
  Services
• Goal 4 Transformation of Information Technology
  to Support Systems Change
• Goal 5 Creation of a System that More
  Effectively Manages the Funding for Long-Term
  Supports that Promote Community Living Options
• Goal numbers reflect federally assigned goal
  numbers for Real Choice Systems Transformation
  Grant.

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Goal 1 Improved Access to Long-Term Support
Services

• Establish two resource centers, California Aging
  and Disability Resource Centers (CAL ADRCs) to
  provide a coordinated system of information,
  assistance and counseling for anyone seeking
  long-term services and supports (LTSS)

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Goal 1 Project Outcomes CAL ADRCs

• CAL ADRCs will perform core ADRC functions, but
  will have a more distinct focus on diversion
• establishing a triage system among community
  partners that will link at risk individuals to
  community-based LTSS

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Goal 1 Project Outcomes CAL ADRCs

• An efficient and effective system of providing
  consumers with information, referral and
  assistance
• Increased consumer awareness of and information
  about LTSS
• Strengthened systems infrastructure to reach
  at-risk consumers

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Goal 1 Implementation Timeline

• CAL ADRCs
• Release RFP Dec 2007
• Proposals Due Jan 2008
• Award 2 Contracts Feb 2008
• Execute 3-Year Contracts May 2008
• Begin ADRC Operations Oct 2008
• Contracts Ends April 2011

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Goal 4 Transformation of IT to Support Systems
Change

• Develop an integrated web portal (CalCareNet) to
  provide up-to-date information on LTSS
• Will be piloted at the two CAL ADRCs
• Commission a study to identify barriers to LTSS
  data integration at both the community and state
  levels and to identify what a model data storage
  warehouse would entail for California Data
  Warehouse Study

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Goal 4 Project Outcomes IT

• A fully developed prototype of a web-based LTSS
  information system which is fully accessible,
  comprehensive, easy-to-use, and consistently
  updated
• Potential for statewide replication
• An improved understanding of the possibilities
  for data integration among and between providers
  and systems

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Goal 4 CalCareNet Implementation Timeline

• CalCareNet Web Portal
• Release RFO Feb 2008
• Select Vendor March 2008
• Web Portal Devt March 2008
• Field Testing Nov-Dec 08
• Implement CalCareNet Jan 2009
• End Date for Activity Sept 2011

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Goal 4 Data Warehouse Study Implementation
Timeline

• Data Warehouse Study
• Develop Scope of Work June 2008
• Contract with Researcher(s)
• Initiate Study Activities July 2008
• Complete Study July 2009

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Goal 5 Creation of a System that More
Effectively Manages the Funding for Long-Term
Supports that Promote Community Living Options

• Complete a comprehensive study to improve the
  States understanding of the financial and
  structural barriers to increasing access to home
  and community-based services

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Goal 5 Project Outcomes LTC Financing Study

• Improved understanding of the financial and
  structural barriers to increasing access to home
  and community-based services 
• Recommendations for funding management reforms
  that increase consumer access to home and
  community-based services

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Goal 5 Implementation Timeline

• LTC Financing Study
• Develop Scope of Work Sept 2007
• Contract with Researcher(s) Oct 2007
• Initiate Study Activities Oct 2007
• Complete Final Report Jan 2009
• Disseminate Report Mar 2009

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Advisory Committee

• The Choices Advisory Committee
• Meets quarterly
• Is comprised of members who represent consumer
  and non-consumer stakeholders, as well as
  consumer advocacy groups, disability advocacy
  organizations, community-based health
  organizations, community-based organizations,
  aging advocates, and caregiver advocacy service
  support groups

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Role of Advisory Committee

• The primary role of the Advisory Committee is to
  provide
• Project guidance
• Project feedback and
• A grounded consumer/provider/stakeholder
  perspective

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Advisory Subcommittees

• Three subcommittees oversee each goal area
• Access Subcommittee addresses Goal 1
• IT Subcommittee addresses Goal 4
• Finance Subcommittee addresses Goal 5

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Role of Subcommittees

• The subcommittees
• Provide input on development in each respective
  goal area
• Review specific objectives, strategies, outputs
  and outcomes for goal area

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Role of Subcommittees Cont.

• The subcommittees
• Revise proposed strategies to achieve specific
  goal objectives and
• Monitor completion of goal objectives,
  strategies, outputs and outcomes and report back
  to the larger Advisory Committee

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California Community Choices

• Year One Accomplishments

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Administrative

• Stakeholder Advisory Committee Established
  January 2007
• Strategic Plan Approved by CMS July 2007
• Evaluation Plan Approved by CMS October 2007

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Goal 1 Access Subcommittee

• California Aging and Disability Resource Centers
  (CAL ADRC) Request for Proposal (RFP) Released
• RFP released Dec. 7
• Proposals were due on Jan. 14
• Intent to Award Announcement - Feb. 1

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Goal 4 IT Subcommittee

• Established CalCareNet Steering Committee
• Developed CalCareNet Business Case
• Development of Request for Offer to identify IT
  Vendor in progress
• expected release early February 2008

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Goal 5 Financing Study

• Established Scope of Work and Study Elements
• Established contract with Lead Researchers Bob
  Mollica and Les Hendrickson
• Charlene Harrington and Kate Wilber engaged to
  provide technical assistance
• Research Activities initiated Oct. 2007

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California Community Choices

• Next Steps..

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Focus 1st Quarter 2008

• CAL ADRCs
• Establish CAL ADRC contracts
• Plan for first ADRC Coalition Meeting
• Expected May 2008
• Provide TA to new CAL ADRC contractors

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Focus 1st Quarter 2008

• CalCareNet
• Execute procurement process to select IT vendor
  for CalCareNet
• CalCareNet Steering Committee begins work with IT
  vendor (March 2008)
• IT subcommittee begins work on Data Warehouse
  Study component

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Focus 1st Quarter 2008

• Finance Study
• Plan and Hold Community Forums
• March 25-28, 2008

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LTC Financing Study

• Robert Mollica, EdD, National Academy for State
  Health Policy
• Les Hendrickson, PhD, Rutgers Center for State
  Health Policy

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Community Forum Schedule

• Tuesday, March 25
• AM-Grass Valley/Video Conference with Fresno
• PM-Sacramento
• Wednesday, March 26
• AM-Sacramento
• PM-Bay Area

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Community Forum Schedule

• Thursday, March 27
• AM- Los Angeles (1000-100)
• PM- Orange (evening begin 4 or 5 pm)
• Friday, March 28
• AM-San Diego

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Community Forum Target Audience

• Statewide Organizations and Advocacy Groups
  (Sacramento)
• AARP, California Foundation for Independent
  Living Centers (CFILC), Protection and Advocacy,
  Inc., California Association of Public
  Authorities for IHSS (CAPA), California In-Home
  Supportive Services Consumer Alliance (CICA), CA
  Welfare Directors Association, California Mental
  Health Directors Association (CMHDA),
  Californians for Disability Rights, Inc.,
  Disability Rights Education Defense Fund (DREDF),
  World Institute on Disability (WID), ADAPT,
  California Association of Area Agencies on Aging
  (C4A), California Advocates for Nursing Home
  Reform, California Assoc. of Health Services at
  Home, California Senior Legislature, CA Network
  of Mental Health Clients, Gray Panthers, Older
  Womens League (OWL), Congress of CA Seniors, CA
  Assoc. of Area Agencies on Aging, CA Seniors
  Coalition, CA Alliance for Retired Americans
  (CARA), Coalition for the Blind, National
  Federation for the Blind-CA, National Assoc. of
  Social Workers, Case Management Society, CA State
  Assoc. of Counties, CA Childrens Hospital Assoc.

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Community Forum Target Audience

• Providers, Local Groups, Consumers
• Area Agencies on Aging, Independent Living
  Centers, Home Health Agencies, Personal Care
  Services Agency and consumers, Adult Day Care
  Centers and consumers, Multipurpose Senior
  Services Programs (MSSP), TBI Community/TBI
  Pilots, Senior Centers, Senior Center Nutrition
  Programs, People First Chapters, Managed Care
  Providers, HIV/AIDS Providers , Developmental
  Disabilities System

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Community Forum Agenda

• Review and Discuss Community Forum Agenda and
  Format
• See Handout- Community Forum Draft Agenda

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Community Forums- Planning

• Identify partner organizations early February
  2008
• Create target audience distribution lists
• Determine feasibility of conference link with
  Fresno
• Indentify location and room for each session
• Establish equipment needs

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Community Forums- Planning Cont.

• Determine registration process
• limit of 2 persons per organization?
• Issue First Notice announcing Forums- Save the
  Date mid-February 2008
• Plan for special accommodation needs
• Send Second Notice- March 2008
• Confirm and finalize all logistics

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Announcement- HFCIS Launched

• Health Facilities Consumer Information System
  (HFCIS) website
• Provides health care consumers and general public
  with information about licensed long-term care
  facilities throughout California
• Includes information on each long-term care
  facility and their performance
• Locate a facility by inserting a zip code, city,
  or county which will then detail the location
  with a map of the surrounding area
• https//hfcis.cdph.ca.gov

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Visit the Choices project website for updates
and information

• http//communitychoices.info
• Karol Swartzlander, Project Director
• kswartz2_at_chhs.ca.gov
• 916.651.6693