|
| |
Former Wisconsin Council on Long Term Care Pages
2000-2003
| Home | Meetings
| Membership | Vision | ADA Title II |
| Report 1/03 | Report 5/01
|
Charge
of the Wisconsin Council on Long Term Care
September 28, 2001
It’s important for the Department of Health and Family Services to have the
advice of consumers, providers and the public in the important policy decisions
that need to be made. The Council on Long Term Care is appointed to be the key
advisors to the Secretary on the overall long term care system. The challenge
for the Council is to provide the Secretary with advice on how we can accomplish
the goal of turning our current long term care system into one that focuses on
community living whenever possible within the resources available to the
Department.
The Council will be responsible for the following:
Family Care Monitoring and Oversight
 | Monitor the progress of the Family Care pilots. |
| Evaluate the progress of the pilots on whether they are accomplishing the
goals of Family Care and Long Term Care redesign, starting from a neutral
stance that does not assume Family Care is the answer to all the long term
care issues in the state. |
| Analyze whether or not Family Care is an affordable option for the future. |
Long Term Care System Monitoring and Oversight
| Serve as the overarching advisory group that will review the long term
care system as a whole. In particular, the Department will be looking to the
Council for advice on how to structure changes in the long term care system
in an affordable manner, with special attention to how the various long term
care programs intersect. People often do not fit neatly into one category or
another and may need to transition from one system to another. All the
systems need to work together and the Council is to monitor how that is
happening. |
| Review and monitor the progress of the Children’s Long Term Support
Redesign and issues affecting children as well as adults that need long term
support. |
| Review and monitor the progress of the Mental Health/AODA Managed Care
pilots and the mental health system in the state. |
| Provide advice as to how well the various components of the systems are
integrated. The Department has received excellent input from the Blue Ribbon
Commission on Mental Health Implementation Committee as well as from the
Children’s Long Term Support Redesign Committee and will continue to
receive their advice. However, it is important for the Secretary to have one
body that integrates the various pilots and proposals for long term care
systems change. |
| Identify the current unmet need for long term care services and develop
recommendations to the Secretary on how to address the challenge of serving
individuals in the most integrated setting appropriate to their needs. The
Council will involve key stakeholders in an evaluation of the current long
term care system and how it can be improved to assure the state continues to
meet the requirements of the ADA T.II and recent court decisions that
clarify the state’s responsibilities. Where the courts haven’t provided
clarity, advise the Department on your ideas for the best approach for
Wisconsin. |
| A particular challenge will be to advise the Secretary on how to
accomplish the goal of turning our current long term care system into one
that focuses on community living whenever possible and to do so within the
challenging state fiscal environment. The Council will help the Department
prioritize the unmet needs in the area of long term care within the
resources provided to the Department, as well as ideas on how we can use the
current state resources to generate additional federal revenue to meet those
needs. |
| Investigate and analyze why Wisconsin spends so much more on community
based long term care, compared to other states, and yet has such long
waiting lists for the Community Options and the Home and Community Based
Waiver programs. How are the systems in those states different from
Wisconsin? |
| Investigate the major emerging issues in long term care. How can the
Department better promote prevention efforts for the population in order to
reduce the burden of long term care in the future? How can Wisconsin better
support the families who make extraordinary sacrifices of time,
opportunities and money to care for a frail parent, spouse, or child with a
disability? |
Vehicle for Stakeholder Input
A seventeen-member group is still too small to have all the long term care
stakeholders at the table. For this reason, the Council will need to tap into
the other state councils and committees that work on issues related to long term
care. This group may also want to make use of a number of other vehicles to get
increased representation of the many voices of the long term care stakeholders
in Wisconsin. This could include adding subcommittee members to address areas
where additional expertise is needed, sponsorship of community forums or focus
groups, and getting input from the Local Long Term Care Councils. The Council
members are asked to be a resource and link to other stakeholders and groups.
Council Duties
Specifically, the Council will be responsible for reviewing and commenting on
the following:
| The development of future contracts with the Family Care Resource Centers
and Care Management Organizations (CMOs). |
| The Family Care benefit package and rate structure. |
| The patterns of enrollment and disenrollment from Family Care,
Partnership, PACE, COP and the Waivers as well as the Medicaid
fee-for-service programs. |
| The quality of the long term care system, including complaints, grievances
and appeals related to Family Care, as well as other long term care services
and programs. |
| The development and implementation of the Children’s Long Term Support
Redesign and the children’s waiver and how it will fit into the overall
long term care system in Wisconsin. |
| The development and implementation of the Mental Health and AODA pilots
and how they fit into the overall long term care system in Wisconsin. |
| Workforce strategies for addressing the workforce issues in long term
care. |
| Future budget proposals for long term care programs and services. |
In addition to advice on policies, the Council will:
| Serve as a conduit for input from and support to the local long term care
councils. |
| Evaluate the progress and affordability of Family Care in light of the
current fiscal realities of the state budget. |
| Monitor the overall long term care system. |
| Develop recommendations for system improvements to ensure that older
people and people with disabilities are served in the most integrated
setting appropriate to their needs. |
| Recognizing that the demographic bulge of baby boomers are entering their
retirement years, review how the current system supports prevention of long
term care, as well as the informal caregivers who are the backbone of the
long term care system. |
| Produce an annual report to the Secretary on the key findings of the
Council. |
Content Contact: Wendy
Fearnside
Last Modified: Wednesday, March 09, 2011
|
