(pa 093-1031) older adult services act · 2013. 11. 7. · increase the supply of affordable...

State of IllinoisIllinois Department on Aging

Older Adult Services Act(PA 093-1031)

2011 Reportto the General Assembly

Message from Director Charles D. Johnson

The following report is submitted as mandated byPublic Act 93-1031, the Older Adult Services Act.This Act requires the Illinois Department on Aging tonotify the General Assembly of its progress towardcompliance with the Act on Jan. 1, 2006, and everyJanuary thereafter. As required, this reportsummarizes the work completed in 2010, identifiesimpediments to such progress, and reflects therecommendations of the Older Adult ServicesAdvisory Committee (OASAC), including itemsrequiring legislative action.

The Department on Aging gratefully acknowledgesthe members of the Older Adult Services AdvisoryCommittee as well as visitors and guests whoparticipated in meetings and contributed to theprocess of restructuring the State of Illinois deliverysystem for older adults.

The overarching goal for these efforts is to assure that older adults across Illinois haveaccurate information and timely access to high quality services in the community so that theyand their families can find the right community-based service at the right time, place andprice to continue to live safely in their own homes and neighborhoods.

The Department also acknowledges and thanks the departments of Healthcare and FamilyServices, Public Health, Human Services, and the Illinois Housing Development Authority fortheir thoughtful participation and contributions to the Committee. I am pleased to report thatthese agencies fully support the goals of the Older Adult Services Act and are assuring thatstate policies and practices promote the long term care transformation called for in the Act.

Contents

Departmental Assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Background and History of the Older Adult Services Act . . . . . 8

Three-Year Summary of Accomplishments. . . . . . . . . . . . . . . . . 9

OASAC Activities Completed in 2010 . . . . . . . . . . . . . . . . . . . 15

Priority Goals and Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Next Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Appendices:

A – Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

B – Terms and Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . 23

C – Older Adult Services Advisory Committee Members, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

D – Older Adult Services Advisory Committee Meeting Dates and Locations . . . . . . . . . . . . . . . . . . . . 31

Older Adult Services Act4

Illinois Department on Aging

The Illinois Department on Aging(IDoA) is honored to lead the statewideeffort to transform the state’s long-termcare system for Illinois’ frail elderlyresidents. Since 2003, IDoA hasexpanded programs, services andreimbursement rates to increase access tohome and community-based options. In2007, IDoA added Emergency HomeResponse Services to HomemakerServices and Adult Day Services in itsCommunity Care Program, andimplemented a flexible servicesdemonstration project. IDoA alsoinitiated a comprehensive approach toneeds assessment, care coordination, andservice coordination for all Illinoisseniors regardless of financial eligibility.Currently, the Department participates innational Cash and Counseling, NursingHome Diversion, and Money Follows thePerson demonstration projects. We alsoare in the second year of a three-yearfederal grant to expand and enhanceAging and Disability Resource Centers.

The Department on Aging supportsthe Older Adult Services AdvisoryCommittee’s recommendations as a guidefor short and long range programexpansions, recognizing the state’s fiscalcondition may limit the extent to whichimmediate goals can be implemented.The Department on Aging welcomes theadvice of the Advisory Committee as itproceeds to fulfill the goal of helping thestate’s older population live their finalyears in dignity, among their friends andfamily.

Illinois Department of Healthcareand Family Services

The Illinois Department of Healthcareand Family Services (HFS) leads Illinois’long term care reform efforts by workingto ensure that high quality health care,coupled with a range of appropriate andaccessible community and facility-basedoptions, are available to Illinoisans in needof long term care services. As the singlestate Medicaid agency and vice-chair ofthe Older Adult Services AdvisoryCommittee, HFS leads the states’ longterm care reform and rebalancing effortsthrough several initiatives, including thefederal Money Follows the Person (MFP)demonstration project. Through the useof an enhanced Medicaid match rate, thefederal government encourages states toadopt broad, systemic long term carereform. HFS recognizes that for longterm care rebalancing to be successful, itmust incorporate strategies thatencourage institutional downsizing andencompass all populations as opposed tonarrowly focusing on one population.HFS supports the continued utilization ofMedicaid State Plan services as well asexpanded home and community-basedwaiver options for the populations itserves, including low-income olderadults, persons with disabilities andpersons with serious mental illness.

Departmental Assessments

5

Illinois Department of Public Health The Illinois Department of Public

Health (IDPH) programs regulatelicensed and certified facilities servicingthe entire population of the state. Theolder adult population is one componentof our charge. Licensed and certifiedlong-term care facilities in the state servea variety of populations in addition toolder adult populations.

Since the inception of the OASAC,the Illinois Department of Public Healthhas been working diligently to enhanceits programs to better serve the long termcare population in the state. In 2006, itintroduced legislation and implementedthe identified offender rules that requirethat fingerprint background checks beconducted for all new admissions to longterm care facilities. Facilities are alsorequired to develop risk assessment andtreatment plans for those individualsidentified as offenders. The Departmentis currently working with its sister stateagencies and other interested parties todraft regulations to implement PA 96-1372, which resulted from the Governor’sNursing Home Safety Task Force. TheDepartment continues to activelyparticipate in the OASAC activities whereits regulatory expertise can best serve theOASAC mandates.

Illinois Housing DevelopmentAuthority

The lead agency of the Governor’sHousing Task Force, Illinois HousingDevelopment Authority (IHDA) supportshousing-related activities of the OASAC,and incorporates strategies and actions toincrease the supply of affordable housingand housing options for older adults inthe State’s Annual ComprehensiveHousing Plan.

IHDA supports the mandates in theOlder Adult Services Act throughdevelopment and preservation of housingfor low-income seniors. IHDA alsosupports, through the Illinois AffordableHousing Trust Fund and the State’sHOME program funds, the modificationof existing single- and multi-familyhousing to promote aging in place, andliving in the least restrictive setting.

7

In 2009, the Older Adult Services Act was amended by the authorization ofPA 96-0248. This public act amended the Older Adult Services Act by mandating thatthe Department on Aging and the departments of Public Health and Healthcare andFamily Services develop a plan and implementation schedule to restructure the State'sservice delivery system for older adults pursuant to this Act no later than September30, 2010.

The OASAC Executive Committee engaged Dr. Robert Mollica to facilitate theplanning process. Dr. Robert Mollica is the former Senior Program Director at theNational Academy for State Health Policy. He has conducted several studies on longterm care reform and has published a number of articles, reports and case studies onthe topic. Dr. Mollica also has experience with rebalancing efforts in other states (e.g.,California, Oklahoma, New Mexico, Pennsylvania, Vermont, Washington and Kansas).

The planning process consisted of a series of meetings, followed by a 2-day retreat.During this time, the following activities were completed:

° Reviewed the vision and guiding principles of OASAC

° Outlined the accomplishments of OASAC for the period 2008 – 2010

° Identified outstanding issues that had not been fully addressed

° Discussed each of these issues in detail, including the prior work of OASAC on eachissue, the gaps that still exist, and why the issue is still important

° Prioritized the issues by importance and by feasibility

° Engaged in a 2-day retreat to further discuss the priority issues in greater detail andto develop an implementation plan

This process culminated in the September 2010 publication of the Plan toRestructure the State of Illinois Service Delivery System for Older Adults. The planincludes the following priority areas, which will guide the work of OASAC and theDepartment for the next three years.

Priority #1: Improve funding for home and community based services programs

Priority #2: Improve transition and integration between medical, hospital and longterm care systems and settings

Priority #3: Improve access to long term care services through comprehensive pre-admission assessment screening and options counseling

Priority #4: Ensure service allocation equity and the service package

Priority #5: Increase caregiver support

Priority #6: Facilitate access to supportive housing options and affordable housing

Priority #7: Improve the home and community based quality management systems

Priority #8: Convert excess nursing facility capacity

Priority #9: Maximize the use of technology to support policy development anddelivery of long term care services

Executive Summary


The Older Adult Services Act was enacted in 2004 through Senate Bill 2880 (PublicAct 093-1031) by the Illinois General Assembly in order

“to promote a transformation of Illinois’ comprehensive system of older adult servicesfrom funding a primarily facility-based service delivery system to primarily a home-based and community-based system, taking into account the continuing need for24-hour skilled nursing care and congregate housing with services. Such restructuringshall encompass the provision of housing, health, financial, and supportive older adultservices. It is envisioned that this restructuring will promote the development,availability, and accessibility of a comprehensive, affordable, and sustainable servicedelivery system that places a high priority on home-based and community-basedservices. Such restructuring will encompass all aspects of the delivery system regardlessof the setting in which the service is provided.” (PA 093-1031 Section 5)

The Older Adult Services Act and the creation of the Older Adult Services AdvisoryCommittee (OASAC) resulted from advocacy at many levels to reform the Illinoissystem of long term care. The Illinois system of care for older adults has long favoredinstitutional care over viable, adequate community based alternatives. Efforts totransform this system must include a commitment from the Administration, legislativeleaders, advocates, and those organizations representing various provider groups toreallocate existing resources, reduce the supply of nursing home beds, and increaseflexibility and consumer direction of home and community-based services. The OlderAdult Services Advisory Committee was established to lead this effort.

The Act also established the Older Adult Services Advisory Committee to advisethe Directors of Aging, Public Health, and Healthcare and Family Services on allmatters related to the Act. The Illinois Department on Aging (IDoA) formed the OlderAdult Services Advisory Committee (OASAC) in January 2005 and created fiveworkgroups to examine the following areas: Finance, Services Expansion, NursingHome Conversion, Coordinated Point of Entry, and Workforce and Family Caregiving.The OASAC workgroups set priorities and work toward developing short term andlong term recommendations.

In 2009, the Older Adult Services Act was amended by the authorization of PA 96-0248. This public act amended the Older Adult Services Act as follows:

“The Department on Aging and the Departments of Public Health and Healthcare andFamily Services shall develop a plan to restructure the State's service delivery systemfor older adults pursuant to this Act no later than September 30, 2010. The plan shallinclude a schedule for the implementation of the initiatives outlined in this Act and allother initiatives identified by the participating agencies to fulfill the purposes of this Actand shall protect the rights of all older Illinoisans to services based on their healthcircumstances and functioning level, regardless of whether they receive their care intheir homes, in a community setting, or in a residential facility. Financing for olderadult services shall be based on the principle that "money follows the individual" takinginto account individual preference, but shall not jeopardize the health, safety, or level ofcare of nursing home residents. The plan shall also identify potential impediments todelivery system restructuring and include any known regulatory or statutory barriers.”(PA 96-0248, Section 1)

Background & History of the Act

9

Summary of A

ccomplishmen

ts (20

08 - 2010)

Three Year Summary of Accom

plishments

The Departm

ent on Aging, in

collaboration with OASA

C, has m

ade substantial progress in the past several years to expand service options

and increase the quality of care for frail older adu

lts. The follow

ing table summarizes the accomplishments in

each of the areas mandated by

the original legislation (PA

093-1031).

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

Rule

s w

ill b

e pr

omul

gate

d.

Subj

ect t

o fu

ndin

g, a

tim

e co

st/c

ost s

tudy

will

be

cond

ucte

d to

det

erm

ine

appr

opria

te ra

tes.

IDoA

will

iden

tify

fund

ing

to d

eter

min

e th

e na

me

and

logo

and

dev

elop

a p

roce

ss, s

tand

ards

and

trai

ning

for t

he C

POEs

in e

ach

PSA

.

IDoA

will

con

tinue

to c

olla

bora

te w

ith ID

HS

toim

plem

ent t

he “W

elco

me

Cent

er,” a

nd s

uppo

rt th

eA

rea

Agen

cy o

n Ag

ing

and

Care

Coo

rdin

atio

n U

nits

that

ser

ve th

eir i

mm

igra

nt o

lder

adu

lt cl

ient

s.

IDoA

is re

view

ing

the

cont

ent a

nd a

cces

sibi

lity

of it

sw

ebsi

te a

nd w

ill in

corp

orat

e ne

cess

ary

chan

ges.

Stat

us o

f Ini

tiat

ive

Com

preh

ensi

ve C

are

Coor

dina

tion

and

an a

sses

smen

tin

stru

men

t wer

e im

plem

ente

d in

Apr

il 20

07. T

heas

sess

men

t ass

ists

old

er a

dults

to a

cces

s se

rvic

esre

gard

less

of f

undi

ng s

ourc

e.

Trai

ning

was

pro

vide

d to

car

e co

ordi

nato

rs, A

AA

s,nu

rsin

g ho

me

adm

inis

trat

ors

and

prof

essi

onal

regi

ster

ed n

urse

s an

d so

cial

wor

kers

.

Effor

ts c

ontin

ue to

war

d im

prov

ing

coor

dina

tion

ofen

try

(CPo

E) p

oint

s to

serv

ices

thro

ugh

the

IDoA

Sen

ior

Hel

pLin

e, I&

A fu

nded

thro

ugh

the

Old

er A

mer

ican

s Act

,an

d Ag

ing

& D

isab

ility

Res

ourc

e Ce

nter

s ope

ratin

g in

subu

rban

Coo

k Co

unty

, Dec

atur

, Roc

kfor

d, K

anka

kee,

Belle

ville

, Roc

k Is

land

and

Peo

ria.

IDoA

col

labo

rate

d w

ith ID

HS

to e

stab

lish

a “W

elco

me

Cent

er” o

ne-s

top

serv

ice

mod

el in

sub

urba

n Co

okCo

unty

and

to e

stab

lish

211-

line

pilo

t pro

ject

s ar

ound

the

stat

e.

IDoA

is c

onst

ruct

ing

an in

vent

ory

of w

ebsi

tes

that

link

olde

r adu

lts a

nd th

eir c

areg

iver

s to

rele

vant

info

rmat

ion.

A h

ousi

ng re

gist

ry –

ww

w.IL

Hou

sing

Sear

ch.o

rg–

beca

me

oper

atio

nal i

n 20

09.

IDoA

dev

elop

ed a

web

-bas

ed re

sour

ce d

atab

ase

usin

g a

com

mon

form

at a

nd ta

xono

my

(200

8).

Are

a

Com

preh

ensi

ve C

are

Coor

dina

tion

Coor

dina

ted

Poin

t of E

ntry

Publ

ic w

ebsi

te


Summary of A

ccomplishmen

ts (20

08 - 2010)

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

Pres

erve

use

of I

HD

A tr

ust f

und

to e

xpan

d aff

orda

ble

hous

ing

optio

ns.

Supp

ort S

LF p

rogr

am.

IDoA

will

con

duct

a fe

asib

ility

revi

ew o

f the

Cas

h &

Coun

selin

g de

mon

stra

tion

prog

ram

and

util

ize

the

findi

ngs

to m

ake

reco

mm

enda

tions

abo

ut a

per

sona

las

sist

ant p

rogr

am fo

r sen

iors

.

IDoA

will

upd

ate

the

arra

y of

CCP

ser

vice

s an

d al

low

part

icip

ants

to c

hoos

e am

ong

the

prev

enta

tive

serv

ices

con

tain

ed in

thei

r car

e pl

an (P

A 9

5-05

65).

Stat

us o

f Ini

tiat

ive

IDH

FS is

exp

andi

ng th

e nu

mbe

r of S

uppo

rtiv

e Li

ving

Faci

litie

s (S

LF).

The

Hom

e M

odifi

catio

n pr

ogra

m re

ceiv

ed $

2 m

illio

nfr

om th

e IH

DA

-adm

inis

tere

d Ill

inoi

s A

fford

able

Hou

sing

Tru

st F

und.

PA 9

5-05

35 e

stab

lishe

d m

edic

atio

n m

anag

emen

tse

rvic

es s

tate

wid

e as

a s

tand

-alo

ne s

ervi

ce a

vaila

ble

to a

ll ca

re c

oord

inat

ion

clie

nts.

A w

hite

pap

er o

n m

edic

atio

n m

anag

emen

t was

prep

ared

on

usin

g ph

arm

acis

ts to

revi

ew c

ases

from

CCU

s fo

r dru

g-re

late

d is

sues

due

to p

resc

riptio

nsw

ritte

n by

mul

tiple

phy

sici

ans.

Legi

slat

ion

(PA

95-

0565

) res

truc

ture

d th

e Co

mm

unity

Care

Pro

gram

to: e

valu

ate

serv

ice

cost

max

imum

s,al

low

hom

e ca

re a

ides

to p

erfo

rm p

erso

nal c

are

task

s,re

quire

inte

rmitt

ent,

nigh

t and

wee

kend

hou

rs fo

r all

subc

ontr

acto

rs o

f in-

hom

e an

d ca

re c

oord

inat

ion

serv

ices

, and

pro

vide

con

sum

er d

irect

ion

and

the

avai

labi

lity

of p

erso

nal a

ssis

tant

ser

vice

s. (2

008)

Obt

aine

d $2

mill

ion

to e

xpan

d ho

me

deliv

ered

mea

ls(2

008)

.

IDoA

impl

emen

ted

a Ca

sh a

nd C

ouns

elin

gde

mon

stra

tion

prog

ram

in fo

ur P

SAs

in N

ovem

ber

2007

.

An

exte

rnal

eva

luat

ion

of th

e Ca

sh a

nd C

ouns

elin

gde

mon

stra

tion

has

been

com

plet

ed.

Are

a

Expa

nsio

n of

old

er a

dult

serv

ices

Cons

umer

- dire

cted

HCB

S

11

Summary of A

ccomplishmen

ts (20

08 - 2010)

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

IDH

FS is

impl

emen

ting

a Pr

imar

y Ca

re C

ase

Man

agem

ent p

rogr

am to

impr

ove

the

heal

th a

ndqu

ality

of l

ife fo

r Med

icai

d be

nefic

iarie

s.

IDoA

will

con

tinue

to e

xplo

re w

ith ID

HFS

oppo

rtun

ities

to e

ncou

rage

CCP

clie

nts

to e

nrol

l in

MCO

s th

at a

ssur

e hi

gh-q

ualit

y cl

inic

al c

are

and

that

iscl

osel

y in

tegr

ated

with

HCB

S.

Tran

sitio

ns fr

om n

ursi

ng h

omes

will

be

mon

itore

dcl

osel

y by

HFS

to a

ssur

e th

at e

xtre

mel

y vu

lner

able

clie

nts

are

not p

ut a

t ris

k by

tran

sitio

n ac

tiviti

es.

IDoA

con

tinue

s to

col

labo

rate

with

AA

As

and

itsFa

mily

Car

egiv

er R

esou

rce

Cent

ers

to w

ork

loca

lly a

ndre

gion

ally

to d

evel

op a

nd e

xpan

d pr

ivat

epa

rtne

rshi

ps in

sup

port

of c

areg

ivin

g st

rate

gies

. The

Life

span

Res

pite

Ser

vice

s gr

ant w

ill p

rovi

deem

erge

ncy

resp

ite s

ervi

ces,

trai

ning

, and

resp

itere

sour

ces

to fa

mily

car

egiv

ers,

as w

ell a

s pa

id a

ndun

paid

car

egiv

ers

thro

ugho

ut th

e st

ate.

Supp

ort i

ncre

ase

in g

ener

al fu

nds

for s

ervi

ces

tofa

mily

car

egiv

ers.

Stat

us o

f Ini

tiat

ive

IDH

FS c

ontr

acte

d w

ith M

cKes

son

Hea

lth S

olut

ions

tom

anag

e ch

roni

c di

seas

es, s

uch

as a

sthm

a, d

iabe

tes,

hear

t dis

ease

or o

ther

chr

onic

hea

lth p

robl

ems

thro

ugh

a di

seas

e m

anag

emen

t ini

tiativ

e. (2

009)

IDH

FS is

wor

king

with

the

CMS

to im

plem

ent a

PAC

Epr

ogra

m.

IDoA

par

ticip

ates

in th

e M

oney

Fol

low

s th

e Pe

rson

dem

onst

ratio

n pr

ogra

m fo

r Med

icai

d be

nefic

iarie

sw

ho h

ave

lived

for 6

mon

ths

or m

ore

in a

n in

stitu

tion.

IDoA

con

tinue

d fu

ndin

g un

der t

he O

AA

for r

espi

teca

re a

nd c

areg

iver

sup

port

.

“A W

orki

ng C

areg

iver

Sym

posi

um” w

as o

rgan

ized

and

held

dur

ing

the

Nov

embe

r 200

9 Fa

mily

Car

egiv

erCo

nfer

ence

and

the

Ann

ual C

onfe

renc

e on

Alz

heim

er’s

Dis

ease

and

Rel

ated

Dis

orde

rs.

IDoA

obt

aine

d a

3-ye

ar L

ifesp

an R

espi

te S

ervi

ces

gran

t to

expa

nd a

nd e

nhan

ce re

spite

ser

vice

s an

din

form

atio

n to

per

sons

of a

ll ag

es.

$16

mill

ion

in g

ener

al fu

nds

was

app

lied

to fl

exib

lese

nior

ser

vice

s in

the

FY 2

008

IDoA

bud

get t

hat

supp

orte

d fu

ndin

g fo

r res

pite

car

e in

acc

orda

nce

with

the

Fam

ily C

areg

iver

Act

(PA

93-

0864

) and

exp

ande

dal

tern

ativ

e re

spite

ser

vice

s su

ch a

s ho

me

care

,vo

uche

rs, t

rans

port

atio

n as

sist

ance

, em

erge

ncy

resp

ite a

nd o

ther

ser

vice

s.

Are

a

Com

preh

ensi

ve d

eliv

ery

syst

em (i

nteg

rate

d ac

ute

and

chro

nic

care

)

Enha

nced

tran

sitio

n an

dfo

llow

up

serv

ices

Fam

ily c

areg

iver

sup

port


Summary of A

ccomplishmen

ts (20

08 - 2010)

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

IDoA

HCB

S de

mon

stra

tion

proj

ects

will

be

stud

ied

tode

term

ine

the

feas

ibili

ty o

f sta

tew

ide

impl

emen

tatio

n.

Ann

ual c

onsu

mer

sat

isfa

ctio

n su

rvey

s w

ill b

eco

llect

ed.

The

criti

cal e

vent

s to

ol w

ill b

e fu

lly a

utom

ated

into

aw

eb-b

ased

sys

tem

.

Cont

inue

sup

port

for i

mpr

oved

wag

es a

nd h

ealth

insu

ranc

e be

nefit

s fo

r hom

e ca

re a

ides

.

Stat

us o

f Ini

tiat

ive

Adop

ted

rule

s fo

r All

Will

ing

and

Qua

lified

requ

ests

for p

ropo

sals

and

CCP

sta

ndar

ds.

IDoA

initi

ated

a s

tand

ardi

zed

eval

uatio

n pr

oces

s fo

rH

CBS

dem

onst

ratio

n pr

ojec

ts. T

he w

aive

r ren

ewal

incl

udes

the

deve

lopm

ent o

f a q

ualit

y m

anag

emen

tpl

an.

The

cons

umer

sat

isfa

ctio

n su

rvey

tool

was

val

idat

edan

d te

sted

for r

elia

bilit

y.

A p

artic

ipan

t sur

vey

was

dev

elop

ed th

at w

ill id

entif

ypa

rtic

ipan

t ove

rall

satis

fact

ion

with

the

prog

ram

and

prov

ide

inpu

t rel

ated

to p

refe

renc

e in

ser

vice

opt

ions

.

A n

ew c

ritic

al e

vent

s to

ol a

nd d

atab

ase

was

deve

lope

d to

col

lect

and

trac

k se

rvic

e co

mpl

aint

s,ab

use/

negl

ect i

ssue

s, cr

itica

l inc

iden

ts, a

nd re

ques

tsfo

r rea

sses

smen

ts.

Long

-ter

m c

are

mea

sure

s w

ere

deve

lope

d to

bet

ter

unde

rsta

nd h

ow c

onsu

mer

sat

isfa

ctio

n an

d qu

ality

of

life

can

info

rm p

rogr

am d

evel

opm

ent a

nd s

yste

ms

chan

ge e

ffort

s.

In 2

008,

IDoA

impl

emen

ted

legi

slat

ivel

y-m

anda

ted

incr

ease

s in

hom

e ca

re a

ide

hour

ly w

ages

and

rate

s($

1.70

/hou

r), a

nd in

crea

sed

rate

s ($

1.33

/hou

r) to

cove

r hea

lthca

re b

enefi

ts fo

r hom

e ca

re a

ides

, and

incr

ease

d ra

tes

for a

dult

day

serv

ice.

Are

a

Qua

lity

stan

dard

s an

dqu

ality

impr

ovem

ent

Wor

kfor

ce

13

Summary of A

ccomplishmen

ts (20

08 - 2010)

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

IDH

FS w

ill c

ontin

ue to

hol

d th

e se

mi-a

nnua

l tra

inin

gse

ssio

ns.

IHD

A w

ill c

ontin

ue to

mar

ket

ww

w.IL

Hou

sing

Sear

ch.o

rgan

d tr

ain

serv

ice

prov

ider

sto

use

the

web

site

.

IDoA

is c

ontin

uing

effo

rts

to s

tren

gthe

n its

cos

tac

coun

tabi

lity

for f

eder

al, M

edic

aid

and

gene

ral

reve

nue

fund

s pr

ovid

ed to

sup

port

old

er a

dults

inIll

inoi

s.

IDH

FS a

nd ID

PH w

ill d

evel

op a

con

vers

ion

plan

with

inpu

t fro

m O

ASA

C.

Subj

ect t

o ap

prop

riatio

n, ID

PH w

ill in

itiat

e a

pilo

t for

sing

le o

ccup

ancy

room

s in

thre

e ar

eas

of th

e st

ate

usin

g th

e ca

pita

l rat

e ad

just

men

t as

an in

cent

ive

topa

rtic

ipat

e.

Stat

us o

f Ini

tiat

ive

IDH

FS h

eld

join

t tra

inin

g se

ssio

ns fo

r its

sta

ff an

d SL

Fpr

ovid

ers

in C

hica

go a

nd S

prin

gfiel

d on

topi

cs o

fm

utua

l con

cern

.

The

OA

SAC

subc

omm

ittee

des

igne

d a

pilo

t pro

gram

that

wou

ld c

ertif

y ho

me

care

aid

es, h

ealth

car

e ai

des

and

CNA

s to

wor

k w

ith h

igh

risk

clie

nts;

cre

ate

are

gion

al s

yste

m o

f exp

erts

to p

rovi

de d

irect

ser

vice

sto

hig

h ris

k cl

ient

s an

d tr

aini

ng fo

r sta

ff; p

rovi

dete

chni

cal a

ssis

tanc

e to

the

pilo

ts; s

tudy

how

CCU

sm

ay m

onito

r hom

e ca

re a

nd h

ealth

car

e w

orke

rsem

ploy

ed b

y ot

her e

ntiti

es.

Hou

sing

was

iden

tified

as

a ba

rrie

r to

allo

win

g ol

der

adul

ts to

live

at h

ome.

ILH

ousi

ngSe

arch

.org

was

impl

emen

ted

with

fund

ing

from

IHD

A, I

DH

S, ID

HFS

and

IDoA

to a

ssis

t ser

vice

pro

vide

rs a

nd c

onsu

mer

s to

find

avai

labl

e, a

cces

sibl

e re

ntal

hou

sing

.

The

Fina

nce

Wor

kgro

up c

ompl

eted

rese

arch

on

fund

ing

of lo

ng-t

erm

car

e —

exp

lorin

g m

odel

s fr

omot

her s

tate

s an

d su

mm

ariz

ing

the

findi

ngs

in a

Pow

erPo

int p

rese

ntat

ion.

The

Nur

sing

Hom

e Co

nver

sion

Wor

kgro

up re

view

edN

ebra

ska,

Mic

higa

n, W

isco

nsin

and

Min

neso

ta b

edre

duct

ion

plan

s; M

inne

sota

’s pl

an w

ill p

rovi

de a

mod

el fo

r Illi

nois

’ bed

redu

ctio

n.

In 2

008,

OA

SAC

deve

lope

d m

easu

res

to m

onito

rnu

rsin

g ho

me

cens

us tr

ends

and

incr

ease

s in

the

num

ber o

f HCB

S pa

rtic

ipan

ts.

The

Nur

sing

Hom

e Co

nver

sion

Wor

kgro

up m

ade

prog

ress

in a

ddre

ssin

g th

e is

sues

of a

cap

ital r

ate

conv

ersi

on th

at w

ill m

eet t

he c

riter

ia o

f bud

get

neut

ralit

y w

hile

not

adv

erse

ly im

pact

ing

the

faci

lity’

sM

edic

aid

capi

tal r

ate

com

pone

nt.

Are

a

Coor

dina

tion

of s

ervi

ces

Barr

iers

to s

ervi

ces

Reim

burs

emen

t and

fund

ing

Med

icai

d nu

rsin

g ho

me

cost

con

tain

men

t

Bed

redu

ctio

n


Summary of A

ccomplishmen

ts (20

08 - 2010)

Ong

oing

Act

ivit

ies

Rela

ted

to th

e In

itia

tive

The

Dep

artm

ent c

ontin

ues

to e

xam

ine

the

impa

ct o

fm

anda

tory

enr

ollm

ent i

n M

edic

aid

for e

ligib

le C

CPpa

rtic

ipan

ts.

IDoA

will

con

tinue

the

impl

emen

tatio

n of

MFP

dem

onst

ratio

n an

d ap

ply

the

expe

rienc

e to

oth

erSt

ate

effor

ts to

rest

ruct

ure

long

-ter

m c

are.

Subj

ect t

o ap

prop

riatio

n.

Subj

ect t

o ap

prop

riatio

n.

Stat

us o

f Ini

tiat

ive

The

Fina

nce

Wor

kgro

up p

repa

red

a Po

wer

Poin

tsu

mm

ariz

ing

best

pra

ctic

es fo

r lon

g-te

rm c

are

finan

cing

from

var

ious

sta

tes

in th

e na

tion.

In 2

008,

IDoA

requ

ired

olde

r adu

lts w

ho re

ceiv

edse

rvic

es u

nder

CCP

to e

nrol

l in

Med

icai

d if

elig

ible

.Th

e St

ate

FY 2

009

Budg

et Im

plem

enta

tion

Act

esta

blis

hed

a m

echa

nism

for I

DoA

to re

ceiv

e fu

nds

from

IDH

FS to

cov

er th

e in

crea

sed

expe

nses

of h

ome

and

com

mun

ity-b

ased

ser

vice

s ca

used

by

the

tran

sfer

of lo

ng-s

tay

nurs

ing

hom

e re

side

nts

to th

eco

mm

unity

via

an

inte

rage

ncy

agre

emen

t for

MFP

.

The

Fina

nce

Wor

kgro

up c

ompl

eted

rese

arch

on

best

prac

tices

incl

udin

g po

licy

anal

ysis

and

reco

mm

enda

tions

on

esta

te a

nd a

sset

reco

very

und

erM

edic

aid

and

its e

ffect

on

long

-ter

m c

are.

IDoA

wor

ked

with

the

Gov

erno

r’s O

ffice

, ID

HFS

and

IDH

S to

beg

in th

e M

oney

Fol

low

s the

Per

son

prog

ram

,a

fede

ral l

ong-

term

car

e re

bala

ncin

g in

itiat

ive.

A s

ub-c

omm

ittee

of t

he N

ursi

ng H

ome

Conv

ersi

onw

orkg

roup

has

dev

elop

ed s

trat

egie

s fo

r det

erm

inin

gbe

d ne

ed m

etho

dolo

gy. T

he re

com

men

datio

ns w

ent

to th

e N

ursi

ng H

ome

Conv

ersi

on W

orkg

roup

for

revi

ew a

nd th

en to

the

OA

SAC

Exec

utiv

e Co

mm

ittee

.

The

Nur

sing

Hom

e Co

nver

sion

Wor

kgro

upre

com

men

ded

deve

lopi

ng a

pilo

t con

vers

ion

prog

ram

bas

ed o

n M

inne

sota

’s be

d bu

y-ba

ckpr

ogra

m a

nd o

ther

mod

els

to c

onve

rt to

sin

gle

occu

panc

y. T

he g

oal i

s co

st n

eutr

ality

.

See

Barr

iers

and

Exp

ansi

on o

f old

er a

dult

serv

ices

(abo

ve)

Are

a

Fina

ncin

g

Old

er A

dults

Ser

vice

sD

emo

gran

ts

Bed

need

met

hodo

logy

upda

te

Nur

sing

Fac

ility

conv

ersi

on p

rogr

am

Hou

sing

15

In order to comply with the mandates of PA 96-0248, the OASAC approved thefollowing actions:

° To have the Executive Committee, in collaboration with the full committee, engagein a facilitated planning process to develop a plan to rebalance long term care andrecommend the plan to the state before 9/30/2010.

° To hire a professional facilitator to provide an objective perspective for our efforts inIllinois. Dr. Robert Mollica, who recently retired as Senior Program Director at theNational Academy for State Health Policy, was identified as an ideal candidate forthis project. He has conducted several studies on long term care reform and haspublished a number of articles, reports and case studies on the topic. Dr. Mollicaalso has experience with rebalancing efforts in other states (e.g., California,Oklahoma, New Mexico, Pennsylvania, Vermont, Washington and Kansas).

° To suspend the workgroup activities effective December 2009 until after theplanning process was complete in order to allow time for workgroup members toparticipate, and to determine if changes would be recommended to the structure ofOASAC.

During the course of 2010, the following activities were completed by OASAC:

° Reviewed the vision and guiding principles of OASAC

° Outlined the accomplishments of OASAC for the period 2008 – 2010

° Identified 9 outstanding issues that had not been fully addressed

° Discussed each of these issues in detail, including the prior work of OASAC on eachissue, the gaps that still exist, and why the issue is still important

° Prioritized the issues by importance and by feasibility

° Engaged in a 2-day retreat to further discuss the priority issues in greater detail andto develop an implementation plan

° Drafted, reviewed, and approved a 3-year plan and implementation schedule torestructure the state’s service delivery system for older Illinoisans

° Obtained feedback from the Illinois Department of Public Health, IllinoisDepartment of Healthcare and Family Services, Illinois Department of HumanServices and Illinois Housing Development Authority to further refine and prioritizethe recommendations of OASAC

° Published the Plan to Restructure the State of Illinois Service Delivery System forOlder Adults in September 2010

° Approved changes to the structure of OASAC committees and workgroups tofacilitate implementation of these recommendations

Summary of Work Completed by OASAC in 2010


During the planning process, the Executive Committee of the Older Adult ServicesAdvisory Committee identified the following top five priority areas:

1. Finance and funding

2. Transitions & integration between medical and long term care systems andsettings

3. Access to the long term care system through comprehensive pre-admissionscreening/options counseling

4. Service allocation equity and the service package

5. Caregiver support

The Executive Committee further identified four additional areas that are important:

6. Supportive housing options/affordable housing

7. Quality assurance

8. Conversion of excess nursing home capacity

9. Use of technology, electronic access, data sharing

OASAC identified multiple objectives for each of the priority goal areas. TheExecutive Committee recommended that the Illinois Department of Public Health,Illinois Department of Healthcare and Family Services, Illinois Department of HumanServices and Illinois Housing Development Authority review and prioritize theobjectives recommended by OASAC. The feedback from the state agency review isincorporated into the remainder of this report.

GOAL #1: IMPROVE FUNDING FOR HOME AND COMMUNITY-BASEDSERVICES PROGRAM

Objectives:

High Priority:

° Evaluate options to establish a Medicaid HCBS provider fee

° Review and prepare options for a unified budget

° Determine which programs and agencies would be included in the unifiedbudget

° Evaluate different options to phase in a unified budget

° Develop a cross program/agency budget process

Priority Goals and Objectives

17

Additional Priorities:

° Evaluate options to establish fees for Community Care Program (CCP)homecare providers

° Develop caseload and utilization forecasting methodology to establish the levelof appropriations for long term care services

° Advocate that the House and Senate Appropriation Committees hear the longterm care budget as a whole from the relevant State agencies (e.g., Aging,Healthcare and Family Services, Department of Human Services, etc…)

° Evaluate the impact of the state balancing incentive program and prepare anapplication which will be submitted to CMS

° Evaluate the impact of adopting the Medicaid state plan attendant servicesoption authorized by Section 1915 (k)

° Review the results of the long term care insurance partnership program

° Develop strategies and an implementation plan to increase participation in thepartnership program and other long term care insurance programs

° Analyze opportunities presented through the CLASS Act, and develop a strategyto promote participation in the CLASS Act

GOAL #2: IMPROVE TRANSITION/INTEGRATION BETWEENMEDICAL/HOSPITAL AND LONG TERM CARE SYSTEMS AND SETTINGS

Objectives:

High Priority:

° Review results from the nursing home transition and Money Follows the Personprograms and formalize processes that improve transition efforts (e.g.,implementation of MDS 3.0, Section Q)

° Provide training to CCU staff on relevant medical conditions and terms


° Develop strategies to prepare individualized transition plans for older adultsleaving a hospital or nursing facility

° Examine and improve the Choices for Care screening process to improvedischarges and successful placement in appropriate settings

° Identify assessment data that will trigger referrals for a health assessment

° Review CCU care coordinator caseloads and set standards

° Develop interventions based on health and social characteristics or chronicconditions

° Explore methods to ensure that home and community based services, and agingand disability networks are coordinated as the Patient Protection and AffordableCare Act (PPACA) is implemented


GOAL #3: IMPROVE ACCESS TO LONG TERM CARE SERVICES THROUGHCOMPREHENSIVE PRE-ADMISSION ASSESSMENT SCREENING; OPTIONSCOUNSELING

Objectives:

High Priority:

° Evaluate and select a preadmission screening/options counseling model


° Implement Coordinated Point of Entry standards

° Determine standards and regulations for common intake systems

° Develop a branding campaign for the Coordinated Point of Entry

GOAL #4: ENSURE SERVICE ALLOCATION EQUITY AND IMPROVE THESERVICE PACKAGE

Objectives:

High Priority:

° Clarify the tasks that may be performed under homemaker services, whichinclude hands-on assistance with activities of daily living, and provide trainingto enable workers to meet the needs of the clients they serve as well as identifyhealth triggers that require reassessment

° Evaluate the existing Cash & Counseling demonstration project and explore thefeasibility of expanding this program model throughout the State

° Implement a medication management services program

° Determine the characteristics that predict admission to a nursing facility forolder Illinoisans in general, and in the CCP population in particular.

° Develop triggers and linkages for care coordinators and service staff to obtainhealth and medical care consultation, and mental health consultation. Developtraining to recognize the need for such consultation.


° Create a profile of IDoA clients and their needs

° Develop plans to maintain the level of service for high DON score participants

° Update and maintain an inventory of services and providers

° Disseminate information about changing demographic trends and demand forservices

° Develop an assessment module that identifies caregiver needs for supports andrespite services

19

GOAL #5: INCREASE CAREGIVER SUPPORT

Objectives:

High Priority:

° Seek increased funding for respite services for family caregivers

° Explore strategies to integrate the social and medical model

° Clarify Federal regulatory requirements for completing the minimum data set(MDS) tool in nursing facilities for respite clients


° Document the gaps in the availability of respite services

° Explore improvements to the assessment tool to identify caregiver needs

° Establish guidelines to improve the consistency in respite services programsstatewide

° Explore the role of nursing facilities as respite providers

° Explore the role of hospitals as respite providers in rural areas

° Assess the impact of adult day care services as a respite option

° Increase outreach and education to family caregivers to increase their awarenessof and access to services

° Utilize ADRCs and CPoEs to increase access to family caregiver services

° Study options to expand the availability of home health services

° Explore evidence based caregiver programs and best practices

° Incorporate a nurse consultation model into the delivery of services forcaregivers and clients

° Compile and provide information to legislators on the social and economicvalue of family caregiving

° Study the benefits and challenges of developing a caregiver assessment module

° Explore how the state is using the National Family Caregiver Support Programfunds

GOAL #6: FACILITATE ACCESS TO SUPPORTIVE HOUSING OPTIONS ANDAFFORDABLE HOUSING

Objectives:

High Priority:

° Advocate for the addition of rental assistance funding for special needs populations


° Design strategies to improve collaboration between IHDA, ADRCs, CCUs, AAAsand local public housing authorities

° Develop a web-based system to expedite the application process for subsidizedhousing


GOAL #7: IMPROVE THE HCBS QUALITY MANAGEMENT SYSTEM

Objectives:

High Priority:

° Implement a 24-hour backup system for CCP participants


° Implement a critical incident reporting system

° Design and implement a risk mitigation process for CCP participants

° Incorporate evidence based practices and models into our service deliverysystem (e.g., strict adherence to recommended measurement of performanceprocedures)

GOAL #8: CONVERT EXCESS NURSING FACILITY CAPACITY

Objectives:

High Priority:

° Obtain funding to implement the bed conversion pilot project

° Explore the role of nursing facilities as respite providers

GOAL #9: MAXIMIZE THE USE OF TECHNOLOGY TO SUPPORT POLICY ANDPROGRAM DEVELOPMENT AND DELIVERY OF LONG TERM CARESERVICES

Objectives:

High Priority:

° Design and implement information technology initiatives that support access toservices


° Explore technological innovations to streamline the application and assessmentprocess including a universal instrument or process that populates applicationswith existing information

° Implement the information technology framework

° Ensure representation from aging interests on the Illinois Framework project,and in each Health Information Exchange (HIE)advisory committee

21

As a result of the planning process that occurred during 2010, and to streamline andincrease the effectiveness of OASAC, the following changes were recommended andapproved for implementation in 2011.

1. The Full OASAC will continue to meet quarterly to provide feedback andrecommendations to the Department as the objectives outlined in the plan areimplemented.

2. The Executive Committee will meet quarterly, to oversee and structure theoperations of the Advisory Committee, to create and appoint subcommitteesand members when necessary. Workgroups that were suspended during theplanning process will be discontinued and may be resumed as determined bythe Executive Committee.

3. The Department on Aging will meet quarterly with the Illinois Department ofPublic Health, Illinois Department of Healthcare and Family Services, IllinoisDepartment of Human Services and Illinois Housing Development Authority(OASAC Interagency Committee) to discuss the recommendations, to identifyand plan for the implementation of those objectives that are shared amongDepartments, to determine strategies to implement other recommendationsinto each Department’s priorities, and to report on progress made to theExecutive and Full OASAC Committee.

The first OASAC Interagency Committee meeting was held on September 27, 2010.The following areas were identified as shared goals for the coming year.

a) Advocate through our legislative liaisons that the House and SenateAppropriations Committees hear the long term care budget as a whole from therelevant state agencies.

b) Increase our knowledge about the provisions of the Affordable Care Act,analyze the opportunities of the Act and the impact on home and community-based services.

c) Increase our knowledge about the Aging & Disability Resource Centers grantsrecently awarded to the State, and develop strategies to ensure that optionscounseling is provided to individuals of all ages and abilities across the LTCcontinuum.

d) Explore ways to improve the transition process of individuals between medical,hospital and long term care systems and settings through Money Follows thePerson, Rapid Reintegration, as well as other care transition model programs.

e) Increase our knowledge about the provisions of SB 326, and work collectivelyto address those that overlap across Departments (e.g., Pre-AdmissionScreening/Resident Review, Determination of Need, etc.).

Next Steps


The Older Adult Services Advisory Committee (OASAC) applauds the more than40 organizations that negotiated and advocated for SB 2880 and offers sincereappreciation and thanks to the legislation’s sponsors in the Illinois General Assemblyfor their leadership in the passage of this landmark legislation.

Senate Sponsors:

Sen. Iris Y. Martinez, Kathleen L. Wojcik, Adeline Jay Geo-Karis, Dave Sullivan, MattieHunter, M. Maggie Crotty, Carol Ronen, Jacqueline Y. Collins, Louis S. Viverito,Antonio Munoz, Debbie DeFrancesco Halvorson, Ira I. Silverstein, Denny Jacobs,Lawrence M. Walsh, James A. DeLeo, Kimberly A. Lightford, William R. Haine,Christine Radogno, Miguel del Valle, Gary Forby, James F. Clayborne, Jr., Wendell E.Jones, Pamela J. Althoff, Don Harmon, William E. Peterson, Richard J. Winkel, Jr.,Rickey R. Hendon, Todd Sieben, Dale E. Risinger, David Luechtefeld, Dale A. Righter,Deanna Demuzio and John O. Jones.

House Sponsors:

Rep. Julie Hamos, Elizabeth Coulson, William B. Black, Joseph M. Lyons, SaraFeigenholtz, Jerry L. Mitchell, Keven Joyce, Michael K. Smith, Patrick Verschoore,Richard T. Bradley, Ralph C. Capparelli, Carolyn H. Krause, Mike Bost, Suzanne Bassi,Eileen Lyons, Ron Stephens, Patricia Reid Lindner, Monique D. Davis, Robert F. Flider,Lou Lang, John E. Bradley, Paul D. Froehlich, Elaine Nekritz, Lisa M. Dugan, RobinKelly, Harry Osterman, Steve Davis, Deborah L. Graham, Jack D. Franks, Mike Boland,Karen May, James H. Meyer, Brandon W. Phelps, William J. Grunloh, Lovana Jones,Angelo Saviano, Mark H. Beaubien, Jr., Maria Antonia Berrios, Susana Mendoza,Arthur L. Turner, Wyvetter H. Younge, Kenneth Dunkin, William Davis, Kurt M.Granberg, Jay C. Hoffman, Karen A. Yarbrough, Ricca Slone, Annazette Collins,Constance A. Howard, Jack McGuire, Daniel J. Burke, George Scully, Jr., Cynthia Soto,William Delgado, John A. Fritchey, Thomas Holbrook, Naomi D. Jakobsson, Mary E.Flowers, Kathleen A. Ryg, Bill Mitchell, Sidney H. Mathias, Eddie Washington, DavidR. Leitch, Sandra M. Pihos, Roger L. Eddy, Keith P. Sommer, Dan Reitz, Marlow H.Colvin, Patricia R. Bellock, Rosemary Mulligan, Rosemary Kurtz, Jim Watson, EdSullivan Jr., Renee Kosel, Dave Winters, Art Tenhouse, Robert W. Churchill, LindaChapa LaVia, Raymond Poe, Chapin Rose, Frank J. Mautino, Donald L. Moffitt, FrankAguilar, Ruth Munson, Timothy L. Schmitz, JoAnn D. Osmond, Careen Gordon andJohn J. Millner.

Acknowledgements

Appendix A

23

Advisory Committee means the Older Adult Services Advisory Committee. (Section 10)

Aging Services Projects Fund means the fund in state treasury that receives moneyappropriated by the General Assembly or for receipts from donations, grants, fees or taxesthat may accrue from any public or private sources for the purpose of expanding olderadult services and savings attributable to nursing home conversion. (Section 20)

Certified Nursing Home means any nursing home licensed under the Nursing HomeCare Act and certified under Title XIX of the Social Security Act to participate as a vendorin the medical assistance program under Article V of the Illinois Public Aid Code. (Section10)

Comprehensive assessment tool means a universal tool to be used statewide todetermine the level of functional, cognitive, socialization and financial needs of olderadults, which is supported by an electronic intake, assessment and care planning systemlinked to a central location. (Section 25)

Comprehensive Care Coordination means a system of comprehensive assessment ofneeds and preferences of an older adult at the direction of the older adult or the olderadult's designated representative and the arrangement, coordination and monitoring of anoptimum package of services to meet the needs of the older adult. (Section 10)

Consumer directed means decisions made by an informed older adult from availableservices and care options, which may range from independently making all decisions andmanaging services directly, to limited participation in decision making based upon thefunctional and cognitive level of the older adult. (Section 10)

Continuous Quality Improvement Process means a process that benchmarksperformance, is person centered and data driven, and focuses on consumer satisfaction.(Section 25)

Coordinated Point of Entry means an integrated access point where consumersreceive information and assistance, assessment of needs, care planning, referral, assistancein completing applications, authorization of services where permitted and follow up toensure that referrals and services are accessed. (Section 10)

Department(s) means the Department on Aging, in collaboration with the Departmentsof Public Health and Public Aid (renamed Department of Healthcare and Family Services)and other relevant agencies and in consultation with the Older Adults Services AdvisoryCommittee, except as otherwise provided. (Section 10)

Enhanced Transition and Follow-up Services means a program of transition fromone residential setting to another and follow up services, regardless of residential setting.(Section 25)

Older Adult Services Act:Terms and Definitions

Appendix B


Family Caregiver means an adult family member or another individual who is anuncompensated provider of home based or community based care to an older adult.(Section 10)

Fundable Services (see Aging Services Project Fund). (Section 20)

Health Services means activities that promote, maintain, improve or restore mental orphysical health or that are palliative in nature. (Section 10)

Older Adult means a person age 60 or older and, if appropriate, the person's familycaregiver. (Section 10)

Older Adult Services Demonstration Grantsmeans demonstration grants that willassist in the restructuring of the older adult service delivery system and provide funding forinnovative service delivery models and system change and integration initiatives. (Section 20)

Person centered means a process that builds upon an older adult's strengths andcapacities to engage in activities that promote community life and that reflect the olderadult's preferences, choices, and abilities, to the extent practicable. (Section 10)

Priority Service Area means an area identified by the Departments as being less servedwith respect to the availability of and access to older adult services in Illinois. TheDepartments shall determine by rule the criteria and standards used to designate suchareas. (Section 10)

Priority Service Plan means the plan developed pursuant to Section 25 of this Act.(Section 10)

Provider means any supplier of services under this Act. (Section 10)

Residential Setting means the place where an older adult lives. (Section 10)

Restructuring means the transformation of Illinois' comprehensive system of older adultservices from funding primarily a facility based service delivery system to primarily ahome based and community based system, taking into account the continuing need for 24hour skilled nursing care and congregate housing with services. (Section 10)

Services means the range of housing, health, financial and supportive services, other thanacute health care services, that are delivered to an older adult with functional or cognitivelimitations, or socialization needs, who requires assistance to perform activities of dailyliving, regardless of the residential setting in which the services are delivered. (Section 10)

Supportive Services means non-medical assistance given over a period of time to anolder adult that is needed to compensate for the older adult's functional or cognitivelimitations, or socialization needs, or those services designed to restore, improve, ormaintain the older adult's functional or cognitive abilities. (Section 10)

Uniform Quality Standards means standards that focus on outcomes and take intoconsideration consumer choice and satisfaction and includes the implementation of acontinuous quality improvement process to address consumer issues. (Section 25)

25

Patricia Ahern(Hospice care)President, CEORainbow Hospice and Palliative Care444 N. Northwest Highway, Suite 145Park Ridge, Illinois 60068847-685-9900Fax: 847-685-6390E-mail: [email protected]

Stephanie Altman(Statewide organizations engaging inadvocacy or legal representation onbehalf of the senior population)Programs & Policy DirectorHealth and Disability Advocates205 W. Monroe St., Third FloorChicago, Illinois 60606312-223-9600Fax: 312-223-9518E-mail: [email protected]

Darby Anderson(Community Care Program HomemakerServices)Divisional Vice PresidentAddus HealthCare14 E. Jackson, Ste. 902Chicago, Illinois 60604312-663-4647Fax: 312-663-4737E-mail: [email protected]

Carol Aronson(Care Coordination)DirectorShawnee Alliance for Seniors6355 Brandhorst DriveCarterville, Illinois 62918-9802618-985-8322Fax: 618-985-9096E-mail: [email protected]

Jean Bohnhoff(Municipality)Executive DirectorEffingham County Committee on Aging209 S. MerchantEffingham, IL 62401217-347-5569Fax: 217-342-9798 E-mail: [email protected]

Melanie Chavin(Alzheimer Disease and RelatedDisorders)Vice President, Program ServicesAlzheimer’s Association – Greater ILChapter8430 W. Bryn Mawr, Suite 800Chicago, Illinois 60631847-933-2413Fax: 773-444-0930E-mail: [email protected]

Pat Stacy Cohen(Adult Day Services)Managing DirectorIllinois Adult Day Service Association6141 N. CiceroChicago, Illinois 60646773-202-4130Fax: 773-202-1326E-mail: [email protected]

Pat Comstock(Nursing home or assisted livingestablishments)DirectorHealth Care Council of Illinois1029 S. Fourth StreetSpringfield, Illinois 62703217-527-3615Fax: 217-528-0452E-mail: [email protected]

Older Adult Services Advisory CommitteeOlder Adult Services Act – Advisory Committee Members

Appendix C


Thomas Cornwell, M.D.(MD specializing in gerontology)Medical DirectorHomeCare Physicians1800 N. Main St.Wheaton, Illinois 60187630-614-4960Fax: 630-682-3727E-mail: [email protected]

Jan Costello(Home Health Agency)Executive DirectorIllinois HomeCare and Hospice Council100 E. Washington StreetSpringfield, Illinois 62701217-753-4422Fax: 217-528-6545E-mail: [email protected]

Jerry Crabtree(Township official)Associate Director, EducationCoordinator Township Officials ofIllinois3217 Northfield Drive Springfield, Illinois 62702217-744-2212Fax: 217-744-7419E-mail: [email protected]

Frank Daigh(Citizen member over the age of 60)30 Babiak LaneSpringfield, Illinois 62702-3517217-528-8964E-mail: [email protected]

Barbara B. Dunn(Primary care service provider)Executive DirectorCommunity Health Improvement Center2905 N. Main StreetDecatur, Illinois 62526217-877-6111Fax: 217-877-3077E-mail: [email protected]

Robyn Golden(Health care facilities licensed underthe Hospital Licensing Act)Director, Older Adult ProgramsRush University Medical Center710 S. Paulina Ave., Ste. 422Chicago, Illinois 60612312-942-4436Fax: 312-942-3601E-mail: [email protected]

Joyce E. Gusewelle(Parish nurse)Director of Health and WellnessEden United Church of Christ903 N. Second St.Edwardsville, Illinois 62025618-656-4330Fax: 618-656-4384E-mail: [email protected]

Flora Johnson(Trade or union member)Board Chair and Personal Care AssistantService Employees International Union(SEIU)SEIU Health Care – IL and Indiana209 W. Jackson, 2nd Floor, Suite 200Chicago, Illinois 60606312-939-7490Fax: 312-939-8256E-mail: [email protected]

Myrtle Klauer(Nursing home or assisted livingestablishments)Illinois Council on Long-Term Care3500 W. Peterson Ave., Ste. 400Chicago, Illinois 60659-3307773-478-6613Fax: 773-478-0843E-mail: [email protected]

Michael Koronkowski(Pharmacist)Clinical Assistant Professor, GeriatricsUIC College of Pharmacy833 S. Wood St., Room 164, (m/c 886)Chicago, Illinois 60612312-996-8865, ext. 3Fax: 312-996-0379E-mail: [email protected]

27

Jonathan Lavin(Illinois Area Agencies on Aging)President and CEOAgeOptions, Inc.1048 Lake St., Ste. 300Oak Park, Illinois 60301708-383-0258Fax: 708-524-0870E-mail: [email protected]

Dave Lowitzki(Representative of SEIU Healthcare)Policy CoordinatorSEIU Healthcare Illinois and Indiana209 W. Jackson, Suite 200Chicago, IL 60606312-596-9401Fax: 312-641-0773Email: [email protected]

Phyllis B. Mitzen(Citizen member over the age of 60)Health and Medicine Policy ResearchGroupCenter for Long Term Care Reform29 E. Madison St., #602Chicago, Illinois 60602312-372-4292Fax: 312-372-2753E-mail: [email protected]

Melissa E. O’Brien(Nutrition Representative)Director of NutritionSenior Services Center of Will County251 N. Center StreetJoliet, IL 60435815-740-4520Fax: 815-727-7630E-mail: [email protected]

Patricia O’ Dea-Evans(Family caregivers)PresidentA Silver Connection8 Woods Chapel Rd.Rolling Meadows, Illinois 60008847-303-9602E-mail: [email protected]

Eli PickExecutive Director(Nursing home or assisted livingestablishments)Ballard Rehabilitation9300 Ballard Rd.Des Plaines, Illinois 60016847-294-2300Fax: 847-299-4012E-mail: [email protected]

Thomas R. Prohaska(Gerontology Researcher)Co-DirectorUniversity of Illinois at ChicagoCenter for Research on Health and Aging1747 W. Roosevelt Rd., Suite 558(Mail Code 275)Chicago, Illinois 60608312-413-9830Fax: 312-413-9835E-mail: [email protected]

Susan Real(Family caregiver)Planning and Program ManagerEast Central Illinois Area Agency onAging1003 Maple Hill Rd.Bloomington, Illinois 61705309-829-6020, Ext. 218Fax: 309-829-6021E-mail: [email protected]

Kirk Riva(Nursing homes/SLFs Representative)Vice President of Public PolicyLife Services Network (LSN)2 Lawrence SquareSpringfield, Illinois 62704217-789-1677Fax: 217-789-1778Email: [email protected]


David M. Vinkler(Statewide organizations engaging inadvocacy or legal representation onbehalf of the senior population)Associate State Director – Advocacy andOutreachAARP Illinois Legislative Office300 W. Edwards, 3rd FLSpringfield, Illinois 62704217-522-7700Fax: 217-522-7803E-mail: [email protected]

Cathy Weightman-Moore(Illinois Long-Term Care Ombudsmen)Regional OmbudsmanLong-Term Care Ombudsman Program,Catholic Charities, Diocese of Rockford102 S. Madison StreetRockford, Illinois 61104815-966-5300Fax: 815-962-9036E-mail: [email protected]

Cynthia Worsley(Statewide senior centers associations)PresidentAssociation of Illinois Senior CentersFox Valley Older Adult Services1406 Suydam Rd Sandwich, Illinois 60548815/[email protected]

Ancy Zacharia(Advanced practice nurse withexperience inGerontological nursing)Nurse PractitionerHomeCare Physicians1800 N. Main StreetWheaton, Illinois 60187630-614-4960Fax: 630-682-3727E-mail: [email protected]

29

CHAIR – Charles D. JohnsonDirectorIllinois Department on AgingOne Natural Resources Way, Ste. 100Springfield, Illinois 62702-1271217-785-2870Fax: 217-785-4477E-mail: [email protected]

VICE-CHAIR – Theresa EaglesonAdministrator of Medical ProgramsIllinois Department of Healthcare andFamily Services201 S. Grand Ave. EastSpringfield, Illinois 62763217-782-2570E-mail: [email protected]

VICE- CHAIR – William A. BellActing Deputy DirectorOffice of Health Care RegulationIllinois Department of Public Health525 W. Jefferson StreetSpringfield, Illinois 62761217-782-0345Fax: 217-782-0382E-mail: [email protected]

Michael GelderSenior Health Policy AdvisorOffice of the GovernorJames R. Thompson Center100 W. Randolph, 16th FLChicago, Illinois 60601312-814-6700E-mail: [email protected]

Arthur FriedsonChief Human Resources OfficerIllinois Finance AuthorityTwo Prudential Plaza180 N. Stetson, Suite 2555Chicago, Illinois 60601312-651-1300Fax: 312-651-1317E-mail: [email protected]

Yvonne ClearwaterIllinois Department of InsuranceSHIP Director320 West Washington StreetSpringfield, Illinois 62767217-782-0004E-mail: [email protected]

Gwen DiehlVeterans' Homes CoordinatorIllinois Department of Veterans AffairsP.O. Box 19432833 S. Spring StreetSpringfield, Illinois 62794-9432217-785-4575Fax: 217-782-4160E-mail: [email protected]

Gail HedgesManager, Division of EconomicOpportunityIllinois Department of Commerce &Economic Opportunity620 E. Adams Street, CIPS 5Springfield, Illinois 62701217-785-6156Fax: 217-785-2008E-mail: [email protected]

Older Adult Services Advisory CommitteeState Members (Ex-officio and nonvoting)


Robert KilburyDirectorDivision of Rehabilitation ServicesIL Department of Human Services100 S. Grand Avenue East, 1st FLSpringfield, Illinois 62762217-557-0401Fax: 217-558-4270E-mail: [email protected]

Samuel MordkaSenior Housing Program Coordinator/Interagency LiaisonOffice of Housing Coordination Services, Illinois Housing Development Authority401 N. Michigan Ave., Ste. 700Chicago, Illinois 60611-4205312-836-7346Fax: 312-832-2191E-mail: [email protected]

Sally PetroneState Long-Term Care OmbudsmanIllinois Department on Aging421 E. Capitol Ave., #100Springfield, Illinois 62701-1789217-785-3143E-mail: [email protected]

Last updated October 2010

Meetings were held in 2010 on the following dates in Chicago and Springfieldlocations by video conference.

March 8, 2010

June 14, 2010

September 13, 2010

November 15, 2010

To view the minutes and a schedule of future meetings, visitwww.state.il.us/aging/1athome/oasa/oasa.htm on the web.

Older Adult Services Advisory CommitteeMeeting Dates for 2010

Appendix D

2011 Report to the General Assembly

State of Illinois Department on Aging

One Natural Resources Way, Suite 100Springfield, Illinois 62702-1271

Senior HelpLine: 1-800-252-8966, 1-888-206-1327 (TTY) 8:30 a.m. to 5:00 p.m. Monday through Friday

24-Hour Elder Abuse Hotline: 1-866-800-1409, 1-888-206-1327 (TTY) www.state.il.us/aging/

The Illinois Department on Aging does not discriminate in admission to programs or treatment of employment in compliance with appropriateState and Federal statutes. If you feel you have been discriminated against, call the Senior HelpLine at 1-800-252-8966, 1-888-206-1327 (TTY). Printed by Authority State of Illinois IOCI 401-11 (400, 1/11)

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