Participant-Directed Core Competency Project Aging In America - - PowerPoint PPT Presentation
Participant-Directed Core Competency Project Aging In America Conference 2011 Presenters Lori Gerhard Jim Wironen Director Director of Product Development & Consulting Services Office of Program Innovation & Demonstrations
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Use research to develop a LTSS system that delivers participant-directed programs
Through various AoA programs Core Programs, ADRC, EBDP, VD-HCBS, and LTSS Core Competency drive the culture and systems changes that enable participant direction to be the primary way people access, obtain, and receive LTSS
Participant-directed programs are available in every community in the nation
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Informed, Activated Patient
Productive Interactions
Prepared, Proactive Practice Team Delivery System Design: Care Mgt Decision Support Clinical Information Systems Self- Management Support
Health System
Resources and Policies
Community
Health Care Organization: Case Mgt
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AAA/ADRC
Hospital Nursing Facility
Primary Care Physician
Rehab Center
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ADRC AAA Assessment Care Management
Home
Modification Homemaker Services Personal Care Services CDSMP Transportation Caregiver Support
Service Plan/Care Plan
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2008 Veterans-Directed Home and Community -Based Services Program 2001 New Freedom Initiative 2005 Deficit Reduction Act 2010 Affordable Care Act 2006 Reauthorization of Older Americans Act 2007 Aging and Disability Resource Center Program 2010 Affordable Care Act
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Environmental Scan and Literature Review
Stakeholder Involvement
Identify Core Competencies Develop Workforce Self- Assessment Tool Catalog Course Curriculum to Develop Core Competencies
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Participant Needs are assessed Asked questions Informed of resources Given an
agencies Assigned hours of services Provides feedback to the agency
Traditional Services
Participant Makes decisions based on budget Hires, manages, dismisses workers Trains, or arranges for training of, workers Evaluates workers Assigns hours of service Determines goods and services purchased
Participant-Directed Services
Comparative effectiveness research on participant-directed programs found:
No increase of fraud or abuse
Participants were up to 90% more likely to be very satisfied with how they led their lives Significantly reduced unmet personal care needs More positive health
Cost effective -can decrease use of more expensive services over long term
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States with employer authority PD programs States with employer and budget authority PD programs States with employer authority PD programs and VD-HCBS programs States with employer, budget authority PD programs, and VD-HCBS programs
WA AK OR CA NV ID MT WY AZ CO NM TX OK KS NE SD ND MN IA MO AR LA MS TN KY IL WI MI IN
WV
AL GA FL SC NC VA PA NY
DC MD DE NJ RI MA NH VT ME
OH
CT
Hawaii
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Department of Labor Long-Term Supports and Services Competency Model
The Participant Direction Competency Model builds on the Department of Labor Long-Term Supports and Services Competency Model (LTSS-CM [Figure 1]). The LTSS-CM consists of a set of nine tiers of work force
essential for successful job related performance. The tiers include:
specific to supervisory and managerial occupations.
requirements such as certification, licensure, and specialized educational degrees, or physical and training requirements.
skills required for work in a specific occupation.
knowledge areas required for work in a specific occupation.
included in this domain represent the knowledge, skills, abilities and other characteristics needed by all occupations within an industry segment (e.g. AAAs, ADRCs).
included in this domain represent the knowledge, skills and abilities needed by all occupations within an industry (e.g. LTSS).
represent those skills and abilities that allow individuals to function in an
generally applicable to a large number of occupations and industries on a national level.
writing, etc apply to all organizations represented by a single industry or industry association nationwide.
the base tier because they are essential for all life roles not exclusive to the competencies needed for a successful career or role in the workplace.
Figure 1: Long-Term Supports and Services Competency Model
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Relationship of Participant Direction Core Competencies Project to Other Participant-Directed Activities
DHHS: AoA-NRCPDS: Consumer Direction Core Competencies Project
Identify the competencies necessary to assist and support participants in managing their services effectively through informed decision-making
DHHS: AoA ADRC DHHS DHHS: CMS DHHS: Office of Minority Health DHHS: Office of Disability DHHS: SAMHSA Veterans Health Administration
Supports Options Counseling National Standards Project Supports DHHS Provisions of Patient Protection and Affordable Care Act Supports Taxonomy Supports National Standards on Culturally and Linguistically Appropriate Services (CLAS) Supports Community Living Initiative Activities Complements developing recovery competencies for individuals working in behavioral health care project Supports the Veteran- Directed Home and Community-Based Services Program (VD-HCBS) Develop national minimum standards to guide how
counseling is delivered Section 2402(a): Common framework establishing principles and process elements supporting participant direction; the Community Living Assistance Services and Supports (CLASS) Program; Community First Choice (Section 1915(k)), and revisions in the 1915(i) authority; Money Follows the Person (MFP) ; Aging and Disability Resource Centers (ADRCs); Care Transitions; Health Homes Information and assistance in support
direction (supports brokerage) The CLAS standards are primarily directed at
individuals are also encouraged to use the standards, to make their practices more culturally and linguistically accessible: the Participant Direction Core Competencies Project supports Standards 1 (respectful and appropriate care), 3 (ongoing training and education), 6 (oral communication), 7 (written communication), and 12 (participatory, collaborative partnerships) Affirming the right of persons with disabilities to
the “most integrated setting appropriate” to meet their needs Identifying competencies needed of staff to
guiding principles
(including being person-driven) in everyday practice VD-HCBS is a program that purchases a package
directed services from an entity in the Aging Network; through VD-HCBS, Veterans decide for themselves what mix
will best meet their needs to live independently in the community
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Relationship of Participant Direction Core Competencies Project to Other Participant-Directed Activities
DHHS: AoA-NRCPDS: Consumer Direction Core Competencies Project
Identify the competencies necessary to assist and support participants in managing their services effectively through informed decision-making The National Association
Developmental Disabilities Services (NASDDDS) National Council on Independent Living (NCIL) National Association of States United for Aging and Disability (NASUAD) World Institute on Disability (WID)
The National Core Indicators Project Strategic Plan Strengthening the Aging Network (SAN) Health Access Initiative Develop a standard set of performance measures used by states to manage quality, set benchmarks, compare findings with other states, and compare with national findings Develop a measurement system that demonstrates NCIL’s effectiveness in its mission through efficient utilization of resources Special initiative aimed at increasing the capacity of state agencies across the country to enhance their ability to play leadership roles in the development and implementation of cutting edge long term services and supports (LTSS) systems Trains doctors and medical staff in culturally competent health care and in how to make services and equipment accessible
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