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301716
Examining States' Efforts in Achieving a Person-centered, Balanced LTSS System
Tuesday, November 18, 2014
: 4:54 PM - 5:06 PM
Jennifer Howard, MPP MSW
,
IMPAQ International, Washington, DC
Kerry Lida, PhD
,
Disabled and Elderly Health Program Group, Centers for Medicare and Medicaid Services (CMS), Baltimore, MD
Federal mandates and initiatives (e.g., Americans with Disabilities Act, Olmstead Act) provide an impetus for states to pursue community integration for all individuals. As states continue to reform their long-term services and supports (LTSS) systems, there is growing interest in determining their success in providing LTSS systems that are person-centered and balanced between home and community-based and institutional-based LTSS. However, there is a gap in the availability of common indicators to examine states’ efforts in achieving such a LTSS system. The Centers for Medicare and Medicaid Services (CMS) funded the National Balancing Indicators Project (NBIP or Phase II) from 2010-2014 to further refine and add to 18 "core" indicators and "short-term " developmental indicators developed under the CMS-funded National Balancing Indicators Contract (NBIC or Phase I) from 2007-2010. This paper will provide a brief overview of the approach used and the refined and expanded NBIP Principles and National Balancing Indicators (NBIs) and the State Self-assessment Survey instrument and Technical Assistance Guide for the NBIs developed; describe the key findings from the field testing of the State Self-assessment Survey instrument and NBIs conducted with seven State Profile Tool (SPT) grantees (ME, MA, MI, MN & KY) and the issues and challenges the grantees encountered in reporting the data needed to complete the State Self-assessment Survey instrument and implementing the NBIs; and discuss the challenges the federal government and states face in implementing a set of system-level NBIs and collecting the data necessary to implement them in a sustainable way.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy
Learning Objectives:
Describe an approach for developing a unified set of system-level indicators that assess States’ efforts to implement a person-centered and balanced LTSS system.
Describe the issues and challenges SPT grantees encountered in completing the State Self-assessment Survey instrument and providing the data necessary to implement the national balancing indicators; and
Discuss the challenges the federal government and states face in implementing a set of system-level LTSS indicators and collecting the data needed to implement them in a sustainable way.
Keyword(s): Long-Term Care
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I served as project director for the project and have over 30 years of experience in LTSS.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
