Open One Door, Make Every Connection

Welcome

Mid-East

Community Resource Connection

…an innovative network that

will help you better connect with

and serve consumers

August 2012

CRC Mission & Vision

Mission:  To be a consumer-centered network providing easy access to aging and disability information and services in Region Q (Beaufort, Bertie, Hertford, Martin, Pitt).

Vision:  Service access without confusion for all consumers.

Target Population

• The CRC program will target:

– Seniors age 60 and over– Persons with disabilities of all ages– Caregivers– Health and long term care professionals – Others who provide services to seniors and

persons with disabilities

LTC System Challenges

Fragmented Institutional bias Lacks focus on consumerConfusingIncrease in population = $$$$$

CRC Reform Strategy

Purpose and Background of Aging and Disability Resource Centers

CRC Place in LTC Reform History

1990 – Americans with Disabilities Act (ADA)1999 – Olmstead Decision2001 – New Freedom Initiative (NFI)2003 – Aging and Disability Resource Centers2006 – Older Americans Act Reauthorization 2007 – Community Living Program2008 – Veterans-Directed HCBS2009 – Year of Community Living

Funding History of ADRC/CRC in NC 2004 - Awarded AoA ADRC 3-yr Grant (DAAS)

2006 - NC receives CMS Systems Transformation 5-yr Grant Office of Long Term Services & Supports (OLTS)

2007 - AoA ADRC Supplemental 2-yr Grant (DAAS)

2009 - CMS Person-Centered Hospital Discharge Planning Model Grant (39 months) (OLTS)

2009 - AoA ADRC Expansion Grant (36 months) (OLTS)

7DHHS Office of Long Term Services & Supports

National Vision for CRCs

8

To have Aging and Disability Resource Centers in every community serving as highly visible and trusted places where people of all incomes and ages can turn for information on the full range of long-term support options and a single point of entry for access to public long-term support programs and benefits.

Every Community? ADRC Coverage June 2011

25-50% of state population

Hawaii

Alaska

MT

ID

WA

CO

WY

NV

CA

NM

AZ

MN

KS

TX

IA

WI

IL

KY

TN

INOH

MI

ALMS

AR

LA

FL

SC

WV VA

NC

PA

VT

RI

ME

NHOR

UT

SD

ND

MO

OK

NE

NY

CT

MA

DC

DE

Guam

NorthernMariana Islands

1-25% of state population

100% of state population

75-99% of state population

0% of state population

GA

50-75% of state population

Puerto Rico

MD

Opportunity:

This initiative creates the opportunity to re-frame long-term care policy, and to focus at the national and state level on consistent data outcomes, which assist (North Carolina) states with transforming our long-term care system.

DHHS Office of Long Term Services & Supports

Opportunity:

Slowing the rate of growth and expenditures in the states’ Medicaid programs will help our state prepare for future fiscal and capacity demands that will be imposed as baby boomers age and build a more efficient and effective long-term services and supports system.

DHHS Office of Long Term Services & Supports

Opportunity:

This initiative targets services to non-Medicaid consumers who are at risk for spending down their assets. CRCs have the potential to help our state to slow the rate of growth and expenditures in our Medicaid program.

DHHS Office of Long Term Services & Supports

CRC Program Goals• Develop a “one-stop” system of relevant, accessible, and

up-to-date information and provide counseling on long-term support services and eligibility determination for community programs/services

• Promote collaboration: linkages between and among consumers, caregivers, and health and social service providers

• Increased awareness of long-term support services to empower consumers to make more informed decisions about their care

How CRCs Operate

Home and Community Based Services

Nursing Homes/Institutions

Options Counseling

HealthPromotion

Employment Services

Peer Counseling

Private Services

Public ProgramsOne-Stop

Access

Required CRC Functions

Information and Awareness Options Counseling Streamlined Access Person-Centered Hospital

Discharge Planning Quality Assurance and

Evaluation

DHHS Office of Long Term Services & Supports

Open one door, make every connection

Overview of CRCs: Operational Components

Options counseling provides consumers with the tools and knowledge they need to choose the best path for themselves.

Options Counseling

-- from the consumer’s perspective

Go somewhere else

“no wrong door” or “one stop shop” access to services and supports

Call another organization or agency

seamless referral to other agencies; consumers do not need to make another phone call

Repeat same information over and over

information systems designed so that information collected at the initial point of contact populates multiple forms

Worry about getting “lost in the system.”

follow-up after referrals are made

Overview of CRCs : Operational Components

Streamlined Access

Person-Centered Hospital Discharge Planning (Care Transitions)

Create linkages that ensure people have the information -- to make informed decisions

-- to understand their support options as they pass through critical health and LTC transition

points -- hospital discharge

-- nursing or rehab facility admission or discharge

nComponents

Quality Assurance and Evaluation

• Measure: consumer outcomes system efficiencies

costs

• Use results: improve services identify and meet needs

strengthen programs

al Components

How Does the CRC Help the Consumer?

Easy access Multiple access points (“no wrong door”)** Seamless process – one contact by consumer Decision-making support for consumer Increased awareness of service options Opportunity for case management Improved quality of service More effective crisis intervention Long-term care planning assistance

How Does the CRC Help the Service Provider? Promotes and improves relationships among

providers Extends reach of services to more clients

and a more diverse clientele Creates in-person and virtual opportunities to

share “best practices” Increases visibility in the community Better outreach for services Increases credibility in the community

Local Levels of Participation

Local Levels of Participation– Affiliating Agency– Collaborative Operating Entity (COE)

Affiliating Agency

An agency or organization within the community that supports the concept of developing a uniform consumer access portal for long-term services and supports and mission of the CRC. 

Affiliating Agencies are organizations that will not participate in the delivery of assistance and access to consumers on behalf of the CRC, but whose participation in the collaborative serves the common good of the community.

DHHS Office of Long Term Services & Supports

Collaborative Operating Entity

Individual organizations/agencies (whether physical or virtual) making up the Collaborative; the majority of which will be responsible for delivering the required CRC functions (Information and Awareness, Assistance, Access, and Person-Centered Hospital Discharge Planning) on behalf of the Collaborative

DHHS Office of Long Term Services & Supports

Effective CRC partnerships

Regular communication Written agreements

Written referral protocols Co-location of staff

Regular cross-training of staff Compatible IT systems

I&R resources are shared Collaboration on client services

Client data are shared Joint marketing and outreach activities

The CRC Is NOT…

a separate physical location, a change to existing service eligibility

criteria, or a change or replacement of services.

We’re Still Evolving

This is a Process “in progress” The Network is Expanding Increased Understanding of Partner

Capabilities =

A Stronger Network =

Enhanced Consumer Service Quality =

Cost-Effective Resource Allocation