ADAPT Community Olmstead Implementation Plan

The ADAPT Community
OLMSTEAD IMPLEMENTATION

  1. Involve all groups concerned about developing more community services and avoiding unnecessary institutionalization. (IL, DD, Mental Health, Aging, etc.).
  2. Get data/information on number of people receiving community services, institutional services and waiting lists for each program. Research all funding (Title XIX Medicaid , Title XX Block grant, Voc Rehab, State etc).
    • Nursing Facilities
    • ICF-MR’s – large and small – public and private
    • State Hospitals
    • Waivers – number? How large? Who does it serve?
    • Personal Care Option – Who does it serve? Hours per week.
    • Home Health
    • State funded programs
  3. Outline of a Comprehensive Effectively Working Plan
    • What exists today. Programs, number of people served, waiting lists.
    • Development of identification process – using community organizations.
    • Development of support services (infrastructure) needed to get/keep people out of nursing facilities, ICF-MR’s and other institutions.
    • Intensive Service Coordinator
    • Simple Intake System
    • Waiver and other program development enhancements
    • Number of people per year that will transition out of nursing facilities, ICF-MR’s and other institutions
    • Number of people per year that will be diverted from nursing facilities, ICF-MR’s and other institutions
    • Identification of and recommendations for the elimination of barriers to community placements
    • Regulations (Nurse Practice Acts, licensing, etc.)
    • Affordable, accessible, integrated housing
    • Transportation
    • Quality monitoring system based on consumer satisfaction
    • Per year funding for implementation of plan