Loading...
HomeMy WebLinkAboutMINUTES - 04242001 - C.98 T6 ''BOARD OF SUPERVISORS Contra _ Costa FROM: John Cullen, Director �• 4 County Employment and Human Servicesr rtment r'a CUUN"� DATE: March 26, 2001 SUBJECT: Long Term Care Integration Planning SPECIFIC REQUEST(S)OR RECOMMENDATION(S)Bi BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee as follows: 1 ) To continue planning for Long Term Care Integration and to continue to develop an administrative action plan under the auspices of the State of California Long Term Care Pilot legislation (AB 1040) for developing an integrated system of long term care in Contra Costa County for seniors and adults with disabilities. i 2) To jointly accept funding with the Health Services Department from the California Department of Health Services, Office of Long Term Care, for a third year planning grant in the amount of$50,000 to assist in continuing efforts to design an integrated model of care and develop an appropriate implementation strategy. (429-093) FINANCIAL IMPACT: Requires a 20% ($10,000) snatch, 100% County . EHSD and HSD anticipate providing equal in-kind resources available within the departments and/or cash contributions up to an additional total of$83,240. BACKGROUND: On March 16, 1999 the Board authorized establishing a Long Term Care Planning Task Force to prepare an initial administrative action plan and authorized submission of a first-year planning grant application to the State Office of Long Term Care. The State approved the grant application and awarded $50,000 to the County for FY 1999/2000: The Board authorized a second year funding application in the amount of$50,000 on May 16, 2000 for FY 2000/2001. The grant application was approved. The Employment and Human Services and IHealth Services Departments are requesting authority to apply for a third year $50,000 Long Term Care Integration Planning Grant. The Contra Costa County Long Term Care Integration Pilot Project (LTCIPP) will submit a request for the third year Planning Grant from the Office of Long Term Care. With the continued commitment of the County's Employment and Human Services Department (EHSD), Contra Costa Health Services Department (HSD) and over 100 service providers, caregivers, medical practitioners and consumers, this collaborative effort will move onto its final phases of planning in FY 2001/2002 TTACHMENT:A__YES SIGNATURE: I )Ikl -I P114-A k "RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COaMITTEE PROVE OTHER r SIGNATURE(S): i ACTION OF BOA N 0 ILq APPROVED AS RECOMMENDED x OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED 4jr.LAj )� l Q O() / JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: ROBERT SESSLER(3-1065) cc: EHSD CONTRACTS UNIT(EB) / COUNTY ADMINISTRATOR BY L -, DEPUTY AUDITOR-CONTROLLER SHARON JOHNSON,SUMMIT i L age Tw;r 1 The last year and a half of Long Term Care IntegrJon (LTCI) planning has taken the Local Organizing Group (LOG) through a myriad of phases: • from an examination of the need for LTCI, • through the exploration of LTC-related services and funding streams in Contra Costa County, • to an investigation and understanding,of LTCI models and issues. The activities have been varied, however, the overarching bond that has been consistent throughout our processes has been the inclusion of public; private and consumer input and feedback. We have carefully listened to the individuals we want to serve as they have expressed their fears, desires and needs, and we have collectively soul-searched for the vision and values we want our LTCIPP to reflect. The project is now in the phase of decision-making. The focus of the third year's planning effort will be to explore approaches to overcome challenges and barriers which were identified through the planning process, and to make decisions which address these. issues. In this way we will build upon the foundation laid by the Design Teams and the Task Force and move toward achieving full consortium at risk Long Term Care Integration (LTCI). An eleven (11) member Implementation Planning Team will construct a reliable "fact base" needed for this final decision-making phase. More than an advisory body, this "working" team will be comprised of key decision- makers, consumers and community stakeholders, whohave experience and expertise in issues related to LTCI.. Working closely with the twenty-five (25) member Task Force which was appointed in 1999 by the directors of EHSD and I-ISD, this Team will further refine the LTCI plan details and determine fiscal, administrative and programmatic feasibility of LTCIPP implementation. While much of the wrok completed to date has been conceptual in manner, the work to be completed in FY 2001/2002 will provide the specificity equired to develop an Administrative Action Plan for transition to the LTCI development phase. By June 2002, the LOG expects to achievea An overall description, with details of the LTCIPP including: • Governance and LTC agency, roles and responsibilities, • Service delivery structure including independent quality assurance, Eligibility requirements for enrollment and services, Care management structure and protocols, Service to be provided, Funding sources to be blended, and; Project evaluation components. i • Integration of community input into the LTCIPP. • Specific steps and timelines for phase-iri. Public hearings will be scheduled by the Task force when that plan for a fully-integrated, capitated at-risk LTCI system is completed. The Implementation Team will modify the plan as necessary and present the completed plan to the directors of EHSD and HSD. In turn, the plan will be brought to the Board of supervisors for final approval. Concurrently, EHSD and HSD continue moving forward in the development of a more coordinated system of existing programs, as a first phase of moving toward LTCI. The two departments are successfully instituting collaborative programming, redistribution of resources and staff where possible, a generally "thinking beyond the box" to provide care to seniors and adults with disabilities. Enthusiasm continues to grow as we move further along the path to full LTCI. This grant will assist the County to move toward the development of a Seamless System of Long-Term Care with Consumer Choice!