missouri department of health and senior services margaret t. donnelly, director
TRANSCRIPT
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Missouri Department of
Health and Senior Services
Margaret T. Donnelly, Director
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Changing Perceptions of Retirement
As the Baby Boomer generation reaches retirement age, society’s perceptions of aging and its expectations of what retirement means will change.
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Health Care Reform
The Patient Protection and Affordable Care Act will shape the future of health care with new funding and new responsibilities.
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Health Care Reform
Elder Justice Act will expand adult protective services
New funding will pay for nationwide criminal background checks
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Health Care ReformStates will be eligible for a larger federal match for Medicaid patients requiring long-term care and in-home services.
The Community First Choice Program could expand Medicaid eligibility up to 150 percent of the poverty level.
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Health Care ReformThe Money Follows the Person program, which helps people move from a facility to the community, is extended until 2016.
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Health Care Reform
Rules governing spousal impoverishment must be the same for HCBS as for institutional settings beginning in 2014
Aging and Disability Resource Centers have the opportunity to expand.
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Health Care Reform Increased
coordination between Medicare and Medicaid
Expanded eligibility for Medicaid and a voluntary plan for long-term care insurance
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Changes on the Horizon
A third-party contractor will be used to conduct assessments for Home and Community-Based Services.
This change will create more consistency and better service for clients.
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Money Follows the PersonMore than 230 seniors and adults with physical disabilities have moved from residential facilities into community settings since October of 2007.
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Health Information Technology
Improves treatment outcomes
Provides access to top-quality care in rural areas
Reduces medical errors and duplication of treatment
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Health Information TechnologyGovernor Jay Nixon created the Office of Health Information Technology, known as MO-HITECH, to promote the use of standardized electronic health records.
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Health Information TechnologyMore than 200 participants worked
more than a year to come up with the plan.
Those deliberations led to the recent creation of the Missouri Health Information Organization.
Strategic and operational plans can be viewed on the MO-HITECH website at www.dss.mo.gov/hie
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Statewide Health Information ExchangeMissouri awarded federal grant in
February 2010
Changes will be costly, but broad participation will lower the cost
The state will provide oversight and set standards to protect privacy of health records
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What is in it for Long-Term Care?
There is little direct funding to help long-term care facilities adopt electronic health records. But there is widespread agreement that long-term care must be included in this movement.
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What is in it for Long-Term Care?
Discussions are on-going concerning ways that both home-based and residential care can be included.
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Benefits of Electronic Records in Long-Term CareBetter coordination of care;Better medication management and
reconciliation;Better transfer and discharge
information;A likely reduction in the number of
hospital stays;Overall higher quality of care.