MICHIGAN

Grant Information


Name of Grantee
Department of Community Health, Long Term Care Initiative
Title of Grant
Nursing Facilities Transition Initiative
Type of Grant
Nursing Facility Transitions, State Program
Amount of Grant
$770,000
Year Original Funding Received
2001

Contact Information


Sue Eby, Housing Specialist
MDCH
CCC 7th Floor
400 S. Pine
Lansing, MI 48933
517–373–6367
ebys@michigan.gov

Alternate Contact
Peter Trezise, Chief Operating Officer
MDCH
Lewis Cass Building
Lansing, MI 48933
517–373–3626
trezisepe@michigan.gov

Subcontractor(s)

Corporation for Supportive Housing
     Lisa Chapman, 810–229–7712
University of Michigan
     Katherine Supiano, 734–764–2556
Turner Geriatric Clinic

Target Population(s)


Persons who reside in nursing facilities who either no longer require nursing facility care or no longer wish to remain in a nursing facility; persons leaving hospitals who do not wish to enter a nursing facility or who require only a short–term nursing facility stay.

Goals


  • Assure that the needs of persons who have traditionally resided in nursing facilities are included in the planning and development of housing projects.
  • Develop a working model for preventing precipitous admissions to nursing facilities.
  • Inform housing providers regarding supportive services that are available to help persons avoid premature nursing facility admission.
  • Identify a model of access to services that are available outside of nursing facilities.
  • Assure that persons who require only a short–term nursing facility stay are offered the opportunity to return to the community.
  • Identify obstacles to funding services and to develop a uniform funding protocol across affected systems.

Activities


  • Educate local community housing consortia regarding the needs of the nursing facility population to assure that those persons will be included in the consortia's planning.
  • Use HUD's Project Access Section 8 housing subsidies to transition nursing facility residents to the community.
  • Develop and provide education, training, and technical assistance on housing and services to persons and entities identified through the various components.
  • Create a cross–systems policy framework that identifies obstacles and facilitates the transition from nursing facility care to community living.
  • Link nursing facility diversion staff to transition component activities and to local resources to assist, thereby diverting nursing facility admissions or extended nursing facility stays.

Abstract


There are four basic components to the grant activity: transition, diversion, education, and evaluation. In addition, grant activities will be linked with activities of a state–funded housing initiative designed to promote the development of affordable, accessible housing. Transition. Activities under the housing initiative are designed to educate housing consortia in communities regarding the needs of special populations and to assist in the development of strategies to meet the needs of individuals requiring complex care in community housing. Communities already engaged in creating supportive housing for persons with special needs will be the primary targets. This will allow for coordination with existing programs, which is viewed as the most effective way to provide linkage to those services needed and to identify those persons wishing/requiring alternative housing, with the ability to match them to housing units. The Department is aware of approximately 150 persons identified through the PASARR process who are in need of alternative living arrangements and who could form an initial referral pool of nursing home residents to benefit from this effort. We will develop strategies not only to provide housing for this population, but also to access the supports needed to enable persons to live independently. The state housing initiative expects at least 150 units of newly available housing after 3 years of effort. It is expected with the linkage to the Nursing Facility Transitions grant activities that additional units will be identified and specifically targeted to the nursing facility population. A last–resort transition fund, provided for in the grant, will help defray moving costs for extremely indigent individuals where other sources of public or private funds are not available. Diversion. Two efforts will be piloted. First, the University of Michigan's Turner Geriatric Program will work to link hospital personnel with transition activities and local resources, and to assist individuals being discharged to return to, or to find an alternative home in, the community. The second effort will be funded by the state housing authority to assist residents of state–financed housing to "age in place," and, in coordination with the transition component and with Turner Clinic, work to fill vacancies in existing state–financed housing. Education. This component will provide education, training, and technical assistance on specific aspects of the initiative to persons and entities identified through the other components. Evaluation. We will develop a prototype for evaluating the effort, focused on cost/ benefit analysis, changes in quality of life, and "lessons learned."

 

 

 

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