Comprehensive
Systems Reform
WISCONSIN
Grant Information
Name of Grantee
Wisconsin
Department of Health and Family Services
Title of Grant
Comprehensive
Systems Reform Effort
Type of Grant
Comprehensive
Systems Reform
Amount of Grant
$5,500,000
Year Original Funding
Received
2004
Contact Information
Kathleen Luedtke, Project Director
Wisconsin Department of Health and Family Services
1 West Wilson, Room 850
PO Box 7851
Madison, WI 53707-7851
608-267-4896
luedtka@dhfs.state.wi.us
Subcontractor(s)
Amie Goldman
APS Healthcare, Inc.
608-258-3350
agoldman@apshealthcare.com
Mark A. Sager, M.D.
Wisconsin Alzheimer's Institute
608-829-3300
masager@wisc.edu
Mary Britnall-Peterson, Ph.D.
University of Wisconsin-Cooperative Extension
608-262-8083
mary.britnall-peterson@uwex.edu
Target Population(s)
Older adults and persons with disabilities who are
Medicaid eligible.
Goals
- Develop and implement
a comprehensive plan for statewide expansion of long-term care (LTC)
reform by applying managed care strategies in new and expanded programs
facilitated by public/private partnerships to be implemented in at least
one-half of the State by 2007.
- Provide timely
information to Wisconsin citizens to facilitate informed decisions about
LTC service options as well as information about prevention strategies and
financial planning to delay the need for publicly funded LTC services.
- Improve management of
where, when, and how people access the LTC system.
- Develop systems and
processes that will enhance the availability of service options.
- Develop strategies to
improve the quality, consistency, and cost-effectiveness of LTC services
in Wisconsin.
Activities
- Support local
partnerships to undertake a 1-year planning process for local reform.
- Create Web-based
content for consumer links to information and other service systems and
design an effective multimedia campaign.
- Create full-service
aging and disability resource centers (ADRCs) statewide and pilot a
dementia screening process in an ADRC.
- Improve the functional
eligibility screen and develop tools and supports for local use.
- Establish a pilot
program that will allow qualifying facilities to reduce nursing facility
beds while developing affordable assisted living.
- Develop nursing
facility reimbursement incentives and facilitate downsizing and
development of regional specialty facilities.
- Develop technical
assistance content on consumer direction and develop a Web site with
access to consumer direction information.
- Develop strategies to
retain people in the direct care workforce.
- Develop a training
curriculum for options counseling workers and a comprehensive
consumer-centered curriculum that can be utilized by nurses and social
workers.
- Implement the outcome
tool in all waiver programs and compile and analyze results across
programs.
- Pilot the encounter
reporting tool used in the Family Care program in participating counties
and conduct pilot post-implementation analysis.
- Research and analyze
issues related to expanding access in the encounter reporting data.
Abstract
The Comprehensive Systems Reform Effort project
will plan for, design, and begin to implement reform activities during the
3-year grant period. The Department of Health and Family Services and its partners
will develop a strategic implementation plan to utilize the learning and key
principles from Family Care and Partnership managed care programs statewide and
address key barriers to statewide reform. In the reformed system, (1) LTC
funding will be available without a bias in favor of institutional care, (2)
community resources and LTC options will be developed to respond to consumer
choices and managed for cost-effectiveness, and (3) system management tools
that have been developed in Family Care and Partnership pilots will be put into
use in regionally and locally developed implementation plans.
Major products and outcomes include
- a preadmission
assessment and consultation process to prevent unnecessary institutional
admissions;
- local collaborative reform
models that build on Wisconsin's
existing reform efforts and build on local energy and capacity;
- a "virtual
resource center" providing comprehensive information on aging and
disability topics, including long-term care;
- enhanced tools to
provide an infrastructure for comprehensive statewide reform;
- a comprehensive
strategic plan to achieve reform statewide in 6 to 10 years; and
- process and outcome
evaluations that will guide the State in future implementation activities.
Note: This Compendium form was not reviewed by
the Grantee prior to publication.