Long Term Care Integration Project (LTCIP)

LTCIP Workgroups

Options Workgroup - Healthy San Diego Plus - Phase V

Phase V: Development (FY 2003-04)

Important Updates!

** High Priority **
MEETINGS & ANNOUNCEMENTS!

Stakeholder consensus gained at June 9th Planning Committee Meeting!

Action Item #1
Vote: All stakeholders voted to support continued development of the Network of Care, Physician and Healthy San Diego Plus strategies.

Action Item #2
Vote: All stakeholders (except one) voted to accept the Draft AAP as a working blueprint to continue planning for HSD+, 1 abstained. Click on links below for more information:

• 6-9-04 Planning Committee Summary Notes
• 6-9-04 Planning Committee PowerPoint Presentation
• Final AAP Draft for Healthy San Diego Plus (June 10, 2004)

The next LTCIP Planning Committee meeting will be on: Wednesday, July 14, 2004, 10:30 AM to Noon, Sharp Healthcare Operations Center Auditorium, 8695 Spectrum Center Court, San Diego, CA 92123

Agenda: Guest presenter, Steve Landkamer, Wisconsin Partnership Program
"HOW INTEGRATION CAN IMPROVE CARE"

Click here for the meeting announcement

California Independent Living Center Council Presents on Managed Care Principles. Click here to listen to the mp3 audio file (17MB)

FREE workshop: "Family/Caregiver Dispute Resolution: The Role of the Geriatric Specialist"
When: June 19, 2004 from 9:00 AM - 1:15 PM
Where: UCSD School of Medicine/La Jolla, Center for Molecular Genetics (Osler Lane)
Click here for more

Click on the links below to review the summary notes and PowerPoint slides from the May 4, 2004 Planning Committee meeting:

• 5-4-04 Planning Committee Summary Notes
• 5-4-04 Planning Committee PowerPoint Presentation

The draft Administrative Action plan is available to all by calling Evalyn Greb at 858-495-5428 or by clicking on this link to download.

UPDATE: Aging & Independence Services Awarded Aging and Disability Resource Centers Grant!! On April 16, 2004, U.S. Department of Health and Human Services Secretary Tommy G. Thompson announced 12 new grants in its second round of funding for Aging and Disability Resource Center Programs. The California Department of Aging was among the grantees selected and will receive $800,000 to be used over a three-year grant period to develop the “California Aging and Disability Resource Center Initiative.” CDA submitted this grant with San Diego and Del Norte Counties. The three-year cooperative agreement is set to begin July 1, 2004. Click on the links below for more information:

• Program Announcement and Application Instructions
• Grant Summary
• Twenty-four page Grant Narrative
• San Diego Budget
• San Diego Work Plan

Learn more about the new Medicare-Approved Drug Discount Cards by clicking on the links below:

• Information for Consumers
• Information for physicians, providers and pharmacy professionals

Click on the links below to read the summary notes and revised Mental Health & Substance Abuse recommendations from the March 9, 2004 Planning Committee meeting:

• 3-9-04 Planning Committee Notes
• 3-9-04 Revised MH & SA Recommendations and Rationale (Attachment 2)
• 3-9-04 MH & SA Stakeholder Invite and Participation List (Attachment 1)

Medi-Cal Redesign: Phase I of the redesign workgroup process concluded on April 28, 2004. LTCIP stakeholders, Bud Sayles and Julie Johnston, presented to the Aging and Disability Workgroup on April 27th in support of long term care integration. Click on the links below to view both presentations and to learn more about the stakeholder process:

• Long Term Care Integration: A Consumer's Perspective
• Purpose of Long Term Care Integration and Experiences in Other States
• Medi-Cal Redesign homepage
• May 7, 2004 Medi-Cal Redesign Stakeholder Report

Legislative News - New legislation related to long term care introduced February 2004:

• AB 2821 states the intent of the Legislature to enact legislation that would improve state-level administration of long-term care programs
• AB 2822 re-introduces AB 43 (chronic care integration)
• SB 1671 (Cal Care Options) - this bill would require the Department of Health Services (DHS) to develop, in consultation with the federal Centers for Medicare and Medicaid Services (CMS), and administer a demonstration project that integrates Medicare and Medi-Cal funding streams, medical benefits, and long-term care services for persons eligible under both programs and persons eligible under only the Medi-Cal program. Update: Hearing in Senate Health and Human Services Committee took place April 21, 2004.

For more information on these bills, please click on this link

The Assisted Living Waiver Pilot Project (ALWPP) was created in 2000 pursuant to legislation introduced by then Representative Dion Aroner. The legislation (AB 499) directed DHS to develop and implement assisted living as a Medi-Cal benefit and test the efficacy of assisted living as an alternative to long-term placement in a skilled nursing facility. A meeting of ALWPP stakeholders was held December 15, 2003. Click here to read the meeting minutes.

LTCIP staff presented to the San Diego Psychiatric Society in December 2003. Click on links below to view the presentation and feedback from the group.

• San Diego Psychiatric Society Presentation
• San Diego Psychiatric Society Feedback

Please read the FY 2002-03 Consultant Team Proposed Strategy for Implementing a Pilot for Fully Integrated LTCIP through the Expansion of the Healthy San Diego Model. Send your feedback to Evalyn Greb (email) or Evalyn Greb, 9335 Hazard Way, San Diego, CA 92123.

SAN DIEGO LTCIP AWARDED FY 2003-2004 DEVELOPMENT GRANT!

• Click here to read the State Office of Long Term Care's Request for Application for the 2003-2004 Development Grant.
• Development Grant resources allow for contracts with consultants who are national experts in acute and long term care integration.
• San Diego's proposal that was submitted April 11 is also available here.

Local staff presents at Legislative hearing on long term care integration. See hearing agenda, overview and slides presented by Evalyn Greb on March 27, 2003 in Sacramento.

• Quality of Life Presentation
• LTC Integration Agenda
• LTC Integration Overview

OTHER LINKS:

• The Network of Care is a comprehensive, internet-based resource for older adults and people with disabilities, their caregivers and service providers. Click here to be connected to the Network of Care
• Click here to download a new report that examines the practical effects of the Olmstead decision in California
• Long Term Care County Data Book for California available on the California Association for Adult Day Services' (CAADS) website. Click here for more information
• California Olmstead Plan Released in April
  • Click here to view Final Draft  The "San Diego County Aging & Independence Services Survey of Older Americans" is now available.  Click here to download
    Administration on Aging's Profile of Older Americans: 2002
• Click here to read announcement about 3 federally approved Olmstead Programs.
• Aging and Disability Resource Centers Grant: San Diego and Del Norte County worked with the California Department of Aging (CDA) to develop a joint application for one-stop shop Aging & Disability Resource Centers in each county. Update: California was not awarded a grant for this year, but will re-apply if there is a second round of grants. Click on the links below for more information:
  • San Diego's self-assessment
  • Program Announcement and Application Instructions
• Medi-Cal Must Cover Chair Lifts: San Francisco Woman's Case Led to Court Order. Bob Egelko, San Francisco Chronicle Staff Writer. July 3, 2002
• Click here for information on Resources for Prescription Drug Assistance Programs for persons on Medicare with no public or private prescription drug coverage.
• Click below for more background information on what is happening across the nation regarding long term care:
  California HealthCare Foundation - New Web Site Helps Californians Choose a Quality Nursing Home
• Oklahoma Managed Care Plan
  A majority of aged, blind, and disabled people enrolled in an Oklahoma managed care plan are more satisfied with the overall quality of health care services provided under managed care than with traditional Medicaid fee-for-service, according to a recent study funded by the Center for Health Care Strategies (CHCS). Click on links below to view the press release and working paper:
• ***Long Term Care for the Elderly: Profiles of Thirteen States, Joshua M. Wiener and David G. Stevenson, August 1998.
• ***Case Management in Long Term Care Integration: An Overview of Current Programs and Evaluations, Andrew E. Scharlach, Nancy Giunta, Kelly Mills-Dick, November 2001.
• FY 2002 - 2003 DEVELOPMENT GRANT INFORMATION!
  • Development Request for Application 2002-03 - from State Office of Long Term Care
  • Development Proposal
  • San Diego's Final Development Clarification
  • Grant Award Announcement
• Long Term Care Integration Project and Healthy San Diego: As San Diego Long Term Care Integration Project explores the expansion of Healthy San Diego for service delivery, this new section is designed to provide information on Healthy San Diego.
  • Click here for Concept Paper on San Diego Long Term Care Integration Project and Healthy San Diego.
  • Click here for Proposed funding and services table for Long Term Care Integration.
  • View Organization Chart for Healthy San Diego.
  • Click here to see California Department of Health Services Medi-Cal Managed Care Reports with quality indicators available for Healthy San Diego.
  • View brochure for Healthy San Diego (English).
  • View brochure for Healthy San Diego (Spanish).
• Home repair/modification for mobile homes.
  The CA Department of Housing and Community Development has a grant program available to local public agencies that, among other things, could assist in the financing of these mobile home repairs. Visit the Web site: www.hcd.ca.gov/ca/calhome to learn more about this opportunity.
• Click here to see news from Sacramento:  Governor Davis Announces Program to Help Elderly and Disabled Californians Afford Health Care.
• New caregiver resource available online or by telephone.

Broad and active participation of key stakeholders, providers, consumers and consumer advocates involved with the care of frail elderly and disabled in San Diego is pivotal to the success of the LTCIP planning process. To date, local stakeholders have devoted more than 7000 hours of time and in-kind support to the LTCIP. All LTCIP planning meetings and workgroups are open to the public and we welcome new members. All new members should call LTCIP staff to confirm the date and time of the meeting posted.

For more information contact:
Evalyn Greb
858-495-5428
email

Planning Grant Proposal