In stitu tion a l Leve l of Ca re Asse ssm e n t Proje ct We b ex - - PowerPoint PPT Presentation

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In stitu tion a l Leve l of Ca re Asse ssm e n t Proje ct We b ex - - PowerPoint PPT Presentation

Dec 23, 2022 38 likes •149 views

In stitu tion a l Leve l of Ca re Asse ssm e n t Proje ct We b ex Public Listening Session #2 April 22, 2020 5:00-7:00pm Helping People Live Better Lives. Me e tin g Age n d a I. I. Introductions Introductions II. II. Project Overview:

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Helping People Live Better Lives.

In stitu tion a l Leve l of Ca re Asse ssm e n t Proje ct We b ex

Public Listening Session #2 April 22, 2020 5:00-7:00pm

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SLIDE 2

Helping People Live Better Lives.

Me e tin g Age n d a

I. I. Introductions Introductions II.

  • II. Project Overview: Intermediate Care Facility (ICF) Level of

Project Overview: Intermediate Care Facility (ICF) Level of Care (LOC) Assessment Tools Care (LOC) Assessment Tools III.

  • III. Research

Research

a) a) National Perspective National Perspective b) b) Peer States Peer States

IV.

  • IV. Standardized Tools

Standardized Tools V.

  • V. Next Steps

Next Steps VI.

  • VI. Contact Information

Contact Information

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Helping People Live Better Lives.

Proje ct Ove rview

Goal: Goal: To design the most appropriate and effective institutional level of care assessments to ensure alignment with our mission of helping people live better lives. Directive: Directive: Review the current ICF LOC assessment tools to determine if they:

  • Comport with best practices; and
  • Achieve Nebraska’s policy goals for those potentially eligible to receive

ICF services.

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Helping People Live Better Lives.

Na tion a l Pe rsp e ctive

Federal Requirements for ICF Level of Care for HCBS Waivers & ICF Placements: Federal Requirements for ICF Level of Care for HCBS Waivers & ICF Placements:

  • Person has a diagnosis of intellectual or developmental disability and requires

the level of service provided by an ICF

  • LOC must be assessed initially and periodically
  • May have different LOC tools for initial assessment and redeterminations
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Helping People Live Better Lives.

Na tion a l Pe rsp e ctive

States Use Different Tools to Assess LOC States Use Different Tools to Assess LOC

Home Grown Tools: Home Grown Tools:

  • Widely used: 49 of 51 states
  • 28 states also use a standardized tool

Standardized Tools Standardized Tools:

  • 28 states are using one or more tools that are developed independently
  • User manuals and training materials available
  • Electronic data collection
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Helping People Live Better Lives.

Pe e r Sta te s

Research: Research:

Literature review and review of tools used in 7 peer states: CO, ID, IA, KS, MO, ND and SD

Home Grown Tools Home Grown Tools:

:

  • Colorado: Uniform Long-Term Care Instrument
  • Kansas: Developmental Disability Profile
  • Missouri: Missouri Critical Adaptive Behavior Inventory
  • North Dakota: Program Assessment Review

Standardized Tools Standardized Tools:

  • Idaho: Scales of Independent Behavior
  • Revised (SIB
  • R)
  • Iowa: Supports Intensity Scale (SIS)
  • South Dakota: Inventory for Client and Agency Planning (ICAP)
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Helping People Live Better Lives.

Leve l of Ca re Asse ssm e n t Tools

Promising tools for cross disability assessment: Promising tools for cross disability assessment:

  • interRAI Suite of Assessments
  • MnCHOICES
  • Functional Assessment Standardized Items (FASI)

Most frequently used I/DD assessment tools: Most frequently used I/DD assessment tools:

  • Supports Intensity Scale (SIS)
  • Inventory for Client and Agency Planning (ICAP)
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Helping People Live Better Lives.

Su p p orts In te n sity Sca le (SIS)

  • Designed to measure pattern and intensity of supports need and inform the

provision of individualized supports

  • Used by 26 states but not typically for ICF LOC
  • Online, training material available, reliable and validated
  • Regularly updated
  • Costs for software, tool use, licensing, and administration
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Helping People Live Better Lives.

In ve n tory for Clie n t a n d Age n cy Pla n n in g (ICAP)

  • Used in Nebraska to determine funding level
  • Widely used for ICF LOC: AK, AL, DE, HI, MA, MS, SD, WV and WY
  • Measures adaptive and maladaptive (problem) behaviors
  • Short, easy to use, standardized
  • No process for updates
  • Strong psychometric properties
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Helping People Live Better Lives.

Next Ste p s

Statewide Presentation Statewide Presentation – Intermediate Care Facility Level of Care: Intermediate Care Facility Level of Care:

  • June
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Helping People Live Better Lives.

dhhs.ne.gov dhhs.ne.gov

@NEDHHS @NEDHHS NebraskaDHHS

Project Manager, Optumas Optumas

Megan Frenzen Megan Frenzen

megan.frenzen@optumas.com