Newsletter, periodic publication

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Implementing Health Information Technology-- Lessons from the Medicaid Transformation Grants

This issue of "In Focus" explores health technology especially how it relates to Transformation Grants. States that received grants from the Centers for Medicare and Medicaid Services (CMS) to advance the use of electronic health records and e-prescribing programs confronted challenges other states are likely to face as they implement health information technology initiatives using funds from the Stimulus Bill.

Short URL: http://www.advancingstates.org/node/51992

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Reassessing the Impact of Managed Care in the Developmental Disabilities Sector

Are we on the brink of a revival of interest in managed long-term care for people with intellectual and developmental disabilities? Four states’ experiences in experimenting with managed care are examined here, along with stakeholders’ views on these efforts. The report looks at goals, methodologies, and similarities and differences between programs. It concludes by looking at implications for other states.

Short URL: http://www.advancingstates.org/node/51960

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Postsecondary Education Options for Students with Intellectual Disabilities

Being part of campus life, taking classes, and learning to navigate a world of high expectations develops the skills needed for successful adult life. This brief presents: definitions of "postsecondary education" and "intellectual disability"; an overview of education options; research findings on education options and outcomes; recommendations for improving access; and a bibliography with a list of websites.

Short URL: http://www.advancingstates.org/node/51937

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Comparison of VR Outcomes for Clients with Mental Illness across System Indicators

Three key issues affecting the understanding of low rates of successful employment outcomes for people with mental illness are explored. These are: lack of a common definition of successful employment; lack of clear, objective, standardized data; and differences among states and programs in measuring client characteristics. Peer critiques to the data and analysis are provided along with tables comparing employment outcomes by state.

Short URL: http://www.advancingstates.org/node/51917

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Transitioning Medicaid Enrollees from Institutions to the Community: Number of People Eligible and Number of Transitions Targeted Under MFP

Money Follows the Person (MFP) programs only target 0.9% of the people that could be eligible for transitioning out of institutions each year. However, there is a potential to increase rates to 15-40% annually depending on quality of program implementation, who is targeted, and how successful states are in overcoming barriers to transitioning high-needs people. The report looks at grantee states’ potential for accomplishing this rate increase.

Short URL: http://www.advancingstates.org/node/51908

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Who are Direct-care Workers? Fact Sheet

Here are demographic, employment, and income characteristics of one of the largest and fastest-growing workforces in the country. Due to this dynamic, understanding the direct care workforce is critical for effective service delivery and policy making in areas from health reform to economic growth. Key figures include job titles and responsibilities, employment status, work setting, wages and benefits.

Short URL: http://www.advancingstates.org/node/51878

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A Revolution in the Employment Process of Individuals with Disabilities: Customized Employment as the Catalyst for System Change

The experience of the Cobb and Douglas Counties Community Services Boards in Georgia in shifting from a segregated traditional service system to an innovative system focusing on economic development for persons with disabilities illustrates some common aspects of system change. The 7-year organizational evolution is analyzed here. The main points that emerged are: staff development; partnerships and funding; sustainability; management and HR practices; and expanding coverage to new populations.

Short URL: http://www.advancingstates.org/node/51868

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