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Community Service/Services Development Grants Applicant Conferences January 11, 2005 January 12, 2005.

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Presentation on theme: "Community Service/Services Development Grants Applicant Conferences January 11, 2005 January 12, 2005."— Presentation transcript:

1 Community Service/Services Development Grants Applicant Conferences January 11, 2005 January 12, 2005

2 This presentation is available at: /aging/documents/pub/DHS_id_00 5732.hcsp Questions asked at these conferences will be officially answered in “Frequently Asked Questions” posted at the same site by January 28, 2005

3 Topics for Today 1. Goals of Community-Based Development 2. RFP Background 3. RFP Overview 4. Three Types of Application 5. Scoring 6. Application Deadlines

4 Goals of Community-Based Development Develop services that allow people to live independently and be active participants in their communities as long as possible Align funding sources with the market Integrate services Integrate funding sources and maximize resources Provide supports for seniors, their families and other caregivers across the LTC system

5 Earlier Funding Rounds 7 previous rounds 690 Applications 165 projects funded Built/renovated 640+ units of affordable senior housing Over 44,000 persons served More than 12,000 additional volunteers

6 January 2004 Round: 111 Applications 62 projects selected - Applications on website

7 July 2004 Round: 29 Applications 9 projects selected - Applications will be posted on website

8 Lessons Learned Significant resources from “other payers” Active Partners in the same area Integrate services and payers Need for larger, more integrated, regional, collaborative projects

9 Lessons Learned Existing funders need to collaborate Some CSSD grantees and others are already actively collaborating/integrating Build on current relationships and discussions Increase scope

10 Overall CS/SD Objective Rebalance the proportion of State LTC dollars spent in NFs vs. HCBS by providing solutions that directly prevent or delay NF placement or by moving current NF residents into community settings.

11 RFP Objectives 1.Integrate formal health care with quasi-formal support to provide a seamless consumer experience, coordinated chronic disease management, and reduce costs associated with fragmented or duplicated services. 2. Support care recipients, their families or other designees to choose, direct, purchase and manage care.

12 RFP Objectives 3. Combine multiple eldercare services for better consumer access to a menu of integrated LTC services, higher quality outcomes and cost savings in administrative expenses. 4. Serve a larger number of persons or geographic area or integrate more services.

13 RFP Objectives 5. Replicate or expand successful demonstrations and evidence-based practices in gerontology, long -term care, disease management, or technology. 6. Use non- public funding or resources (private pay, sliding fee scales, individual and corporate donations, volunteer resources, cost sharing, etc.) to reduce dependence on federal, state and county funding.

14 RFP Objectives 7. Use existing resources more effectively to improve consumer outcomes and increase services 8. Serve the needs of all consumers, including those with special cultural, language or other needs.

15 December 13, 2004 Grant Round $6.4 million available (pending action of legislature) Grants are intended as catalysts

16 Types of Applications: Capital and Renovation Program/Caregiver Respite & Support (≤ $100,000) Systems Change (> $100,000- $250,000)

17 Application for CS/SD Grants: Capital and Renovation Build, remodel or renovate existing buildings to create affordable housing units suitable for home care services for low and moderate income persons Minor remodeling including: home modifications, purchase of laundry, kitchen and bath equipment, other one time expenses

18 CS/SD Grants: Capital and Renovation $250,000 max grant Minimum 50% (dollar for dollar) match County/AAA evaluation

19 Application for CS/SD Grants: Capital and Renovation Narrative – up to 2 page Work Plan -1 page Property Income/Expense Worksheet Development Cost Worksheet Budget -3 sheet Excel spreadsheet Site plan and project plan County/AAA evaluation Any Additional Forms required in General Requirements Section

20 Characteristics of funded CS/SD Grants: Capital and Renovation Cost effective/ leveraged other financing Private room and ¾ Bath ( approximately 300 sq. ft.) Strong County and community support Good potential market

21 CS/SD Program and Care Giver Respite & Support Grants <$100,000: Establish and coordinate local caregiver support resources: respite, caregiver training, support groups Develop Home and Community- based services such as respite, adult day, transportation, care coordination in housing settings County /AAA evaluation 50% match required

22 Application for CS/SD Program and Care Giver Respite & Support Projects: Narrative -2 page Work Plan -1 page Budget -3 sheet Excel spreadsheet County /AAA evaluation Any Additional Forms required in General Requirements Section

23 Characteristics of funded CS/SD Program and Care Giver Respite & Support Projects: Projects showed significant service delivery Increase the supply of needed services Reasonable Cost Significant county/AAA support Sliding Fee/ Participant payment Strong sustainability plans

24 RFP for CS/SD Program and Care Giver Respite & Support Projects: Examples in RFP Less Same old/Same old More integration Regional Directly address needs Quality Principals of Systems Change, smaller dollar amounts

25 CS/SD Systems Change Grants Change long-term care system to meet the changing needs of the state's elderly population Sustainable into the future, given demographic and state revenue projections Test new approaches to funding, use of personnel or service design/configuration

26 CS/SD Systems Change Grants County/AAA/ other entity partnerships (formal and quasi- formal providers--faith- based, volunteer, caregiver support--health plans, foundations, etc) to receive maximum score. $250,000 maximum grant 50% match required “Targeted”

27 Application for CS/SD Systems Change Grants : Narrative –up to 5 pages Work Plan -up to 2 pages Budget -3 sheet Excel spreadsheet Partnership MOUs (Requirement Changes) Any Additional Forms required in General Requirements Section

28 Five Targeted Areas Integrate Formal & Quasi-Formal LTC Services Chronic Disease Management Technology Consumer Directed Services Nursing Home Industry Transition

29 Integrate Formal & Quasi-Formal LTC Services Link formal (care or medical management departments of health plans, health providers, hospitals, nursing facilities) and quasi-formal (faith-based programs, caregiver support programs, volunteer programs, etc.) LTC services to promote health/functional capacity through chronic care management or expanded consumer access, reduce service costs, decrease hospital/nursing home use, etc.

30 Integrate Formal & Quasi-Formal LTC Services Example: A community agency partners with a health care provider to target individuals at high risk of nursing home placement, or with multiple chronic illnesses to maintain them in a home or community setting through coordination of informal support services, formal home- and community- based services and medical care.

31 Integrate Formal & Quasi-Formal LTC Services Example: A health plan establishes a formal relationship with quasi-formal or other community agencies to integrate informal services into care plans at local clinical or other service sites.

32 Integrate Formal & Quasi-Formal LTC Services Example: Counties, an area agency on aging and service providers develop a resource center to centralize: information about aging services, caregiver services, assessment of financial and programs needs, provision of effective LTC decision making assistance for consumers, families and professionals, convenient access to aging services.

33 Integrate Formal & Quasi-Formal LTC Services Example: A nursing home joins with quasi-formal providers, rehabilitation therapists and other clinicians, or respite care providers to provide coaching, consumer-directed planning assistance, care consultation, specialized information and respite care for caregivers of persons with high risk conditions.

34 Chronic Disease Management Identify individuals who are currently in or at high-risk of hospitalization, placement in LTC, or are frail due to one or more chronic diseases, e.g., congestive heart failure, Alzheimer’s Disease, diabetes, chronic obstructive pulmonary disease; effectively manage the care of those individuals, integrating medical, functional and psychosocial support services; and promote improved consumer self-care and quality of life.

35 Chronic Disease Management Examples: Health provider delivers services using evidence- based health care practices, paired with family members, caregiver and other informal support services that jointly promote the management of dementia or other chronic conditions. Health care and quasi-formal providers identify seniors with one or more chronic disease and jointly provide integrated chronic disease management.

36 Chronic Disease Management Example: Health provider delivers services using evidence-based health care practices, paired with family members, caregiver and other informal support services that jointly promote the management of dementia or other chronic conditions.

37 Chronic Disease Management Example: Health care and quasi-formal providers identify seniors with one or more chronic disease and jointly provide integrated chronic disease management.

38 Chronic Disease Management Example: A nursing home partners with a health plan, a county-based purchasing alliance, a county or counties using Prepaid Medical Assistance or other third-party payer, hospital, home care agency, consumers and clinics to create a seamless system for identifying and supporting those with chronic health or frailty issues

39 Technology Use a variety of technologies to assess needs, manage health and chronic disease, deliver services and support, monitor and evaluate outcomes, improve quality, purchase and manage services by consumers, supervise and train staff, manage data, simplify administrative and service delivery processes, reduce costs and provide more consumer autonomy and choice.

40 Technology Example: A regional network of providers and other partners create on-line capacity to research or purchase services that are delivered in a timely manner and increase operational efficiencies or reduce unnecessary travel.

41 Technology Example: Use technology to provide education, clinical evaluation and monitoring, and mental health and caregiver counseling for those with a chronic condition or a new diagnosis to support healthy outcomes in the community.

42 Consumer Directed Services Expand consumer directed options for persons 65 + and their caregivers to provide more choice and control Develop fiscal support and counseling entities to help consumers plan, manage and pay for their care, track participants and manage this service delivery option.

43 Consumer Directed Services Example: A nursing home, health plan, employer, county, parish nurse program, caregiver provider, and AAA collaborate to develop a consumer-directed service model that includes providing essential information, training, budgeting and service planning and evaluation assistance and to market and provide those services to older adults and family caregivers

44 Consumer Directed Services Example: non-profit social service agency serving multiple counties creates a regional flexible case manager/counselor service that is grounded in “person-centered” planning principles and available across funding streams and provides funds for individual consumer to budget and spend for personal care, respite, etc.

45 Nursing Home Industry Transition Regional, sustainable LTC business/service models using existing nursing home (NH) physical and workforce resources to: integrate and coordinate LTC services in the community promote home- and community-based services (HCBS)

46 Nursing Home Industry Transition Examples: NHs partner with HCBS / other health care providers achieve efficiencies in service delivery or better consumer outcomes. NHs in multi-county service areas identify LTC needs and deploy nursing home staff, physical plant, technology and other resources to better address long- term health care needs in the market area. NH partner with quasi-formal organization for caregiver support, community integration, socialization, etc.

47 Characteristics of Funded Systems Change CS/SD Projects: Strong Partnerships Significant tangible resources from partners, particularly Health Care organizations and Counties Over promising resources weakened proposals Partners in the wrong places weakened proposals

48 Characteristics of Weaker Systems Change CS/SD Proposals: Over promising resources Partners in the wrong places Not really systems change

49 RFP Scoring Based up on how well the application addresses the RFP objectives Criteria are inter-related Use the Scoring Criteria to structure proposal Describe what the project will do Be concise

50 RFP Scoring- Do s & Don’ts Read the latest version of the RFP Follow the directions Use the most current version of the forms Take advantage of technical assistance

51 Project Impact -100 points Description is clear and concise Determination of need based on objective information Services and systems change clearly delineated Addresses the objectives in the RFP Project linked to: need, work plan, outcomes and targeted areas Innovative

52 Coordination and Collaboration - 100 Points Appropriate resources for project Both evaluations or 1 each of the 4 required partners or reason for other partners MOU lists each partner, their duties and resource commitments Correct partners to accomplish project Each partner provides appropriate resources for the project

53 Work Plan, Personnel Qualifications and Outcomes - 100 points Outcomes have appropriate and quantifiable indicators Activities outlined in the work plan clearly support achieving outcomes Designate a highly qualified project manager others responsible are clearly capable of achieving outcomes Applicant is capable of fulfilling contract Partners roles reflected in work plan

54 Sustainability -75 points Sustainability is directly addressed Coordinates with existing services and programs Has a specific timetable and plan for transition from grant Sustainability plan is reasonable and relates to both services and systems change goals

55 Budget -100 points Coherent and arithmetically correct Appropriate to outcomes and activities in amount and utility Cost effective Evaluation of Match Adequate description of budget items Partners contributions or match appear in the budget

56 NF Closure Preference -25 points Must include name and address of NF in the project market area that has permanently closed or is closing beds after 12/31/02.

57 Timelines Check with both the county and AAA for their deadlines Postmarked or Hand Delivered by 4:00 PM to DHS March 18, 2005 Selections announced when funding is certain

58 CS/SD Grants RFP with imbedded links documents/pub/DHS_id_005732.hcsp 615-296-8850

59 Rebalancing the system means changing how providers, AAAs, counties and DHS do business

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