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Centers for Medicare and Medicaid Systems (CMS) Real Choice
Systems Change Grant 04
Grant Title: Comprehensive Systems Reform Effort - Summary
Full Project Narrative (PDF, 86 KB)
On September 29, 2004, the Department of Health and Family Services received
notice of award of $5.5 M from CMS for its proposal for a "Comprehensive
Systems Reform Effort." The award is the largest amount of any of the
grants awarded for the 2004 Real Choice Systems Change Grants provided by CMS.
The grant period is three years.
With assistance of this grant funding, DHFS will build on the learning and
outcomes from its five previous Systems Change Grants to:
 | Develop and make significant progress in implementing a comprehensive
strategic plan for statewide expansion of long-term care reform that
assures expanded access, better quality, and more choice to consumers by
applying managed care strategies in new and expanded programs facilitated by
public/private partnerships. |
| Engage consumers in the effort to rebalance the system by providing
timely information to Wisconsin citizens so they can make informed decisions
about long-term care service options, and to provide information about
prevention and financial planning to delay the need for publicly-funded
long-term care services. |
| Better manage where, when and how people access the long-term care
system to achieve a better balance between institutional and
community-based care. |
| Enhance the availability of service options, especially
consumer-directed supports, and achieve more cost-effective use of the
resources already invested in the system. |
| Improve the quality and consistency of long-term care services in
Wisconsin, and support local long-term care programs in implementing those
strategies to ensure the cost-effectiveness of a re-balanced system. |
Some of the anticipated major products and outcomes include:
| A comprehensive strategic plan to achieve reform statewide in six to ten
years; |
| A statewide pre-admission assessment and consultation process to prevent
unnecessary institutional admissions, regardless of the funding source for
those admissions, including web based consumer self assessment for long-term
care; |
| Performance monitoring of consumer outcomes in institutional and home and
community-based waiver settings; |
| Local collaborative reform models that build on Wisconsin’s existing
reform efforts and local energy and capacity, solicited from county,
multi-county, or other local entities; |
| A "virtual resource center" providing on-line, comprehensive
information on aging and disability topics, including long-term care and
promoting personal responsibility, choices and planning for long-term care; |
| Pilot models for nursing home restructuring, including bed reductions,
acuity based payment options and financial and non-financial incentives for
restructuring; |
| Incorporation of nurses in all care management teams; |
| Training curriculum for options counselors; |
| Expanded provider capacity, service types and consumer-directed long-term
care options; |
| Models for a long-term care workforce that is flexible and responsive
across care settings; |
| Enhanced tools to provide an infrastructure for comprehensive statewide
reform, including web-based collection of service and cost data; and |
| Process and outcome evaluations that will guide us in our future
implementation activities. |
In pursuing the objectives of this grant, the DHFS will rely heavily on
coordination and linkages with the following:
| State Council on Long Term Care Reform and its committees |
| County agencies and local organizations (public and private) |
| Nursing Home Industry |
| UW School of Nursing |
| UW School of Social Work |
| APS Healthcare, Inc. |
| Wisconsin Alzheimer’s Institute |
| UW Cooperative Extension System |
Content E-mail Contact: Wendy
Fearnside
Last Modified: Wednesday, March 09, 2011
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