Long Term Care Integration Project Workgroups
Goal: To forward a recommendation to the Planning Committee on how to best integrate personal care services into the fully integrated model (HSD+) in a manner that is consistent with the LTCIP stakeholder vision
Goal: Recommend minimum performance standards and requirements for health and social service provider network make-up, development, required training and education and member services expansion for Acute and Long Term Care Integration (ALCTI)/Healthy San Diego Plus (HSD+) that address the unique needs of seniors and persons with disabilities.
Goal: Recommend care management model, tools, and process with minimum performance standards and requirements for Acute and Long Term Care Integration (ALTCI)/Healthy San Diego Plus (HSD+) that address the unique needs of seniors and persons with disabilities.
Goal: Recommend community and cultural minimum performance standards and requirements for Acute and Long Term Care Integration (ALTCI)/Healthy San Diego Plus (HSD+) that address the unique needs of seniors and persons with disabilities
Goal: Make final decisions recommendations for inclusion in the plan.
Community Network Development
Workgroup:
Goal: To provide community-based health and social services organizations
with opportunities for learning and relationship building with respect
to developing and implementing community-based, integrated systems of
Long Term Care.
Goal: Determine the financial feasibility of the proposed LTCIP for San Diego County.
Health Plan Workgroup:
Goal: Explore use of Healthy San Diego model for potential service
delivery system for LTCIP.
Goal: Explore and develop a recommendation for a fee-for-service option and an “other” option, in addition to the fully integrated model (Healthy San Diego Plus), as directed by the Board of Supervisors.
Goals: (1) develop a warehouse of information on self-care management, healthy lifestyle choices, and other information to improve quality of life for our aging and disabled populations; (2) improve the user-friendly nature of information that links health and social services for these user groups; (3) enhance the use of the system as a communication tool, including for the two LTCIP service delivery strategies (HSD+ & Physician Strategy); and (4) perform formalized testing to assess the adequacy of the database and function of this information for physicians, community-based providers, consumers, caregivers and Call Center staff
Goal: Similar to that of Healthy San Diego Plus (HSD+): quality, consumer-centered health and social services through improved chronic care management, but without the capitation risk.
Goal: Continue efforts toward HSD+ development, a voluntary, fully integrated service delivery model, with a capitated payment from Medi-Cal, and from Medicare for the “dually eligible” that blends funding, reduces gaps, and removes barriers to healthcare access
Goal: Make a recommendation to the Planning Committee regarding the inclusion of mental health and substance abuse services, programs and populations in LTCIP.
Goal: Make a recommendation to the Planning Committee regarding the inclusion of people with Developmental Disabilities in the LTCIP.