From ISAC Meeting, Aug. 12, 2015 Challenges Demographics The Role - - PowerPoint PPT Presentation
Provider Alliance August 28 th th From ISAC Meeting, Aug. 12, 2015 Challenges Demographics The Role of Families Reaching the Unserved and Underserved Quality Doing and Measuring What Matters Strengths and Opportunities 1 2
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From ISAC Meeting, Aug. 12, 2015
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13% 16.1% 19.3% 20% 20.2%
1 in 5 Americans over 65
MORE PEOPLE WILL NEED MEDICAID FUNDED LONG TERM SUPPORTS & SERVICES. THE WORK FORCE IS NOT GROWING AS FAST AS THE NEED FOR SUPPORT STAFF.
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15,000,000 30,000,000 45,000,000 60,000,000 75,000,000 2000 2005 2010 2015 2020 2025 2030
Source: U.S. Census Bureau, Population Division, Interim State Population Projections, 2005
Females aged 25-44 Individuals 65 and older
Larson, Edelstein
*Based on 1.49% prevalence of Pa citizens, US Census
190,330 estimated Pennsylvanians with Developmental Disabilities*
Receiving Services Not Receiving Services
Out of Home 16,010 30% In Home [VALUE] [PERCENTAGE]
People in Service April, 2015 Total 53,237
Receiving ODP Residential Services Out-of-Home Receiving ODP Services In- Home
ODP Total Enrollment includes Consolidated Waiver, P/FDS Waiver, Adult Autism Waiver, ACAP, Base, SC Services Only, Private ICFs/ID and Public ICFs/ID (State Centers).
16,010 8% 37,228 20% Unserved Emergency 2,436 1% Unserved Critical 3,038 2% 131,619 69% Not Receiving Services Living with Families?
Peo eople in in PA with ith IDD IDD Total 190,333
Receiving ODP Residential Services Out-of-Home Receiving ODP Services In- Home Not Enrolled in ODP
*Based on 1.49% prevalence of Pa citizens, US Census
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As with climate change, if we don’t do something, the consequences will be felt – by families.
5,000 10,000 15,000 20,000 25,000 30,000 Group Homes Family Living Private ICF/ID State Center P/FDS Waiver 11,689 1,287 2,085 956 11,949 $11,581 $5,021 $11,213 $26,591 $1,666
In Investment Decis Decisions Li Living Arr rrangement/ t/Program and and Aver erage Cos Cost t per per Per erson April pril,2015
Persons Ave Cost/Mo.
P/FDS $20,000 Family Living $60,252 Group Homes $138,972 Private ICF/ID $134,556 State Center $319,092
Type of Service Annual 5 years 10 years 20 years P/FDS $30,000 $150,000 $300,000 $600,000 Family Living $60,252 $301,260 $602,520 $1,205,040 Group Homes $138,972 $694,860 $1,389,720 $2,779,440 Private ICF/ID $134,556 $672,780 $1,345,560 $2,691,120 Public ICF/ID $319,092 $1,595,460 $3,190,920 $6,381,840
51% choose where they live 38% chose whom they live with
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88% 4.4 times per month 64% 2 times per month
57% 6.4 times in the past month
Strong self-advocacy Strong family advocacy Strong provider community Powerful history of accomplishment Strong desire to do improve on our past $3 Billion + Renewing 3 Medicaid waivers New HCBS regulations New models to support people living with family and friends Technology breakthroughs Breakthroughs in developmental neurology
Goals Policies Procedures/Practices Financing Training & TA Service Innovation Outcome Data Outcomes
Leadership Values Listening to self- advocates and families
Interagency and Stakeholder Collaboration
Adapted from Hall et al (2007)