1. State of Illinois
Illinois Department on Aging

2. Older Adult Service Advisory Committee (OASAC) 4 Years Later
Governor’s Conference on Aging
Illinois Department on Aging
December 2009
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3. PRESENTERS: Janice Cichowlas, Ph.D., JD Policy Analyst
Illinois Department on Aging
Sandra Alexander, MSW
Division Manager
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4. Illinois P.A. 93-1031 (SB2880) Older Adult Services Act
Momentum initiated from 2003 long term care summits conducted across the state
Culmination of effort conducted on behalf of aging network, senior advocacy groups and state leadership
Signed August 27, 2004
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5. P.A. 93-1031 (SB2880) Older Adult Services Act
Transform and restructure Illinois’ system of care for older adults
Shift focus from facility care to home and community based care
Jan

6. Older Adult Service Advisory Committee (OASAC)
Purpose:
Advise Directors of IDoA, HFS and IDPH on all matters related to this Act
Designate IDoA as lead agency, and appoint 32 members with each member serving a specific term
Establish an Advisory Committee that meets quarterly; Executive Committee that meets monthly
Jan

7. Organizational Chart: OASAC
Illinois Department on Aging
Healthcare and Family Services
& Pubic Health
Older Adult Services Advisory Committee
Coordinated
Point of Entry
Service
Expansion
Work Force
& Caregiver
Finance
Nursing
Home
Conversion
Jan

8. Guiding Principles of OASAC
1. Rights of Older Adults
All services provided to older adults, regardless of the oversight agency, should promote the right of older adults to live out their lives with dignity, retaining their autonomy, individuality, privacy, independence, and decision making ability.
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9. Guiding Principles of OASAC
2. Consumer Direction
Right of an older adult to be fully informed of all options and to choose, decline, and have input into how any and all services are provided for which they are eligible. All programming provided for older adults using public funds, regardless of the agency providing oversight, should incorporate this concept.
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10. Guiding Principles of OASAC
3. Accountability and Accessibility of Information
All providers of services must meet contract requirements, all applicable federal and state requirements, and program standards
Appropriate sanctions shall be levied for failure to comply with regulations
Information concerning sanctions should be available for public review
A balanced approach to oversight must be developed
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11. Guiding Principles of OASAC
4. Standards
Maximize the program participants’ quality of care and assure the services shall be rendered in a timely manner to protect and promote the rights of older adults to live in the least restrictive settings.
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12. The Five OASAC Workgroups
Finance
Services Expansion
Nursing Home Conversion
Coordinated Point of Entry
Workforce and Caregiver
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13. Finance Workgroup: 2009 Accomplishments
Gathered and analyzed data from several states on LTC services and funding mechanisms
global budgeting
consolidated long term care agencies
reducing institutional capacity
nursing home transition/diversion programs
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14. Services Expansion Workgroup: 2009 Accomplishments
Advocated for rate increases were provided in both in-home care and adult day services
Issued Medication Management issue paper
Studied the Elder Economic Standard Index (EESI) to replace the Federal Poverty Level (FPL)
Advocated for funding of respite services
Provided oversight of the Determination of Need (DON) Study
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15. Nursing Home Conversion Workgroup: 2009 Accomplishments
Developed a pilot nursing home bed conversion program
“The Nursing Home Bed reduction and Resource Conversion Program: Expanding Health care Service Options to Benefit Illinois Seniors”
Explored availability of respite services statewide
Jan

16. Coordinated Point of Entry Workgroup: 2009 Accomplishments
Twenty-two standards have been developed to promote a consistent service model for CPoE sites across the state of Illinois
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17. Workforce and Caregiver Workgroup: 2009 Accomplishments
Reviewed career ladder/lattice programs to improve the recruitment and retention within the health care workforce
Advocated for standardized and improved training programs
Jan
Successfully advocated for the addition of a track for employers dealing with issues regarding employees who are caregivers at the 2009 Family Caregiver Conference & Alzheimer’s Disease and Related Disorders Conference

18. 2010 & Beyond P.A. 96-0248 State Plan due September 30, 2010
Facilitated planning process to develop recommendations to reform the delivery of services to older adults
Review and recommend changes/improvements to workgroups
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19. 2010 Workgroup Goals (Highlights)
Implement and evaluate a medication management pilot program
Implement and evaluate a health and social service coordination pilot in the state
Initiate a pilot for a single occupancy room bed conversion program in three areas of the state
Implement the CPoE standards throughout the state
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20. 2010 Recommendations Support rate increase to achieve a living wage
Recommend the development of a training certificate/accreditation program
- Core curriculum
- Safety training
Recommend career ladder/ lattice programs
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21. Conclusion
Substantial, if incremental, progress is being made toward implementing the Older Adult Services Act
To make real progress, Aging will need increased funding, commitment from the Governor’s office, and legislative leadership to support home and community based services
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22. Contacts Senior HelpLine Web site 1-800-252-8966
Illinois Department on Aging
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