1. Disability, Comorbidity & Service Use Julian Montoro-Rodriguez, PhD Director Center on Aging California State University San Bernardino Inland Empire Disabilities Collaborative Conference 2013 Aging Well With A Disability September 17, 2013 8:00-4:30 San Bernardino Hilton Hotel 285 E. Hospitality Lane San Bernardino, CA www.iedisabilitiescollaborative.org

2. The Developmental Disability Services System in California has been challenged recently by: 1) an increase in the number of individuals eligible for these services 2) limited resources, rate freezes and inadequate transparency in resource allocation. Disability, Comorbidity & Service Use- IEDC

3. These two factors are a threat to the financial solvency of service providers. As a result there maybe be a: 1 ) Decreased access to high-quality care 2) Increase cost of care These two factors are a threat to the financial solvency of service providers. As a result there maybe be a: 1 ) Decreased access to high-quality care 2) Increase cost of care Disability, Comorbidity & Service Use- IEDC

4. DESIGNING STRATEGIES TO MEET THE GOALS OF THE CALIFORNIA DEVELOPMENTAL DISABILITY SERVICES: 1. POLICY RECOMMENDATIONS: - Adjust Frozen Rates - Adopt Equitable &Transparent Vendor payment systems - Maximize System Efficiency: group versus individual setting care; new sources of funding (federal programs, family cost-participation). Disability, Comorbidity & Service Use- IEDC

5. DESIGNING STRATEGIES TO MEET THE GOALS OF THE CALIFORNIA DEVELOPMENTAL DISABILITY SERVICES: 2. SOCIAL SERVICE PLANNING RECOMMENDATIONS: - Identify environmental factors impacting DDS - Adopt Best Strategies to support older adults using DDS Disability, Comorbidity & Service Use- IEDC

6. SOCIAL DETERMINANTS OF QUALITY OF LIFE BY OLDER ADULTS WITH DISABILITY: 1. Education 2. Socioeconomic Status 3. Chronic Conditions 4. Environmental Risk 5. Community Resources & Services 6. Informal Support