1. State Initiatives: Promoting Systems Integration & Person Centered Supports Across the Lifespan Julie A. Jarvis Director of Planning Western Reserve Area Agency on Aging

2. Objectives The State of Ohio is engaged in multiple initiatives with shared goals and common strategies designed to rebalance and improve the Long Term Services and Supports (LTSS) system. This presentation will outline characteristics of high-performing LTSS systems; and Describe how state initiatives align with high performing LTSS systems.

3. AoA/CMS Initiatives with LTSS Focus Balancing Incentive Program Money Follows the Person Aging and Disability Resource Center Programs AoA Systems Integration Grants Alzheimer’s Disease and Supportive Services Programs Veteran Directed Home and Community Based Services Program Integrated Care Delivery System for Medicare/ Medicaid Dually Eligible Care Transitions Grants Lifespan Respite Care Program

4. Long Term Services & Supports The need for Long Term Services and Supports (LTSS) will continue to grow. The majority of supports are provided by unpaid caregivers. A broad range of supportive services are needed by individuals of all ages. LTSS may involve but are distinct from medical care.

5. High Performing LTSS Systems Ease of Access & Affordability Choice of Settings & Providers Quality of Life & Quality of Care Support for Family Caregivers

6. Integrated Systems BETTER OUTCOMES IMPROVED SERVICES IMPROVED INFRASTRUCTURE

7. AoA/CMS Vision of Integration Between State and Local Communities Across Health and Human Services

8. Person Centered Supports Improved Care Improved Well-being Addresses Disparities Better Value

9. Across the Lifespan People of all ages need Long Term Services and Supports (LTSS) Shared Knowledge Shared Resources Better Outcomes Sooner

10. Shared Goals Balance Types of Services Establish Single Point of Entry Improve Coordination and Transitions

11. Common Strategies Easy Access to Information and Assistance Decision Support through Options Counseling Streamlined Eligibility Determinations for Public Programs and Application Assistance Person Centered Care Transitions Across Multiple Settings

12. Comprehensive Services Dementia Capable Services Family Caregiver Support Services Health Promotion & Disease Prevention Home and Community Based Services Public Benefits Programs Care Transition Services Traditional Supportive Services

13. Measures of Success Statewide Reach & Visibility Coordinated Structural Changes Capacity of Existing Infrastructure Strengthened Standardized Tools & Processes

14. Thank You!