fiscal year 2014 jfc hearing legislative hall senate hearing room february 19 - 21, 2013
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Fiscal Year 2014 JFC Hearing Legislative Hall Senate Hearing Room February 19 - 21, 2013 Rita Landgraf Cabinet Secretary. Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable populations. - PowerPoint PPT PresentationTRANSCRIPT
Delaware Health and Social Services
Fiscal Year 2014 JFC HearingLegislative Hall
Senate Hearing Room
February 19 - 21, 2013Rita Landgraf
Cabinet Secretary
Delaware Health and Social Services
OFFICE OF THE OFFICE OF THE SECRETARYSECRETARY
State Service State Service CentersCenters
Social Social ServicesServices
Aging and Adults Aging and Adults with Physical with Physical DisabilitiesDisabilities
Substance Abuse Substance Abuse and Mental Healthand Mental Health
Long Term Long Term Care Care
Residents Residents ProtectionProtection
Developmental Developmental DisabilitiesDisabilities
Public HealthPublic Health
Medical ExaminerMedical Examiner
Child Support Child Support EnforcementEnforcement
Medicaid and Medicaid and Medical Medical
AssistanceAssistance
Management Management ServicesServices
Visually Impaired Visually Impaired
Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable
populations
Delaware Health and Social Services
Where we are
What we need to put in place
Where we want to be
Smaller, Smarter
Government
A service delivery system built around funding sources rather than around constituent needs
Fiscal and administrative processes that are not as effective or efficient as they can and need to be
Significant organization transition that will necessitate changes in organizational processes and staffing requirements
A requirement for major IT changes that will affect how the department does business
A process quality organization that reviews process outputs and focuses the department on good program design and risk abatement
Detailed community service plans which are iterative to meet the on-going staffing needs
Strong alliance with our sister agencies to enable putting the right systems, processes, and people in place.
Permission from federal funders to achieve greater program design flexibility while maintaining integrity
Cross-division and departmental partnerships
Community partnerships
Strong, client oriented, high integrity Community based services
Processes built focused on needs of Delaware citizens vs. Divisional needs
Organization design to have the right roles and skills in place to serve the health and social service needs of Delaware’s citizens.
Charting the Path Forward
Delaware Health and Social Services
Challenges or Opportunities
• More constituents in need of services but limited resources
• Producing a smaller, efficient government
• Optimize resources to meet the needs of our clients
Delaware Health and Social Services
Challenges or Opportunities• A Major Reform Effort within the Health Care
Delivery System to promote access, prevention, positive outcomes and return on investment
• Health Reform is inclusive and seamless with Medicaid – federal state insurance plan focused on individuals meeting a FPL, elderly and individuals with disabilities
Delaware Health and Social Services
Medicaid Growth
Delaware Health and Social Services
Challenges or Opportunities• Today, about 1 in 5 Delawareans is age 60+
• By 2025, they will make up one-fourth of state’s population. And by 2030, the state’s older population is projected to have doubled from what it was in 2000 to 253,646.
Delaware Health and Social Services
Challenges or Opportunities
• Healthy Lifestyles Groundwork
• Council on Health Promotion Disease Prevention
• The Collaborative for Healthy Weight
• A Community Cooperative Agreement
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• Healthy Lifestyles Groundwork
• Council on Health Promotion Disease Prevention
• The Collaborative for Healthy Weight
• A Community Cooperative Agreement
Delaware Health and Social Services
Challenges or Opportunities
• State of Delaware and US DOJ Settlement
• Reforming Delaware’s Mental Health System
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• State of Delaware and US DOJ Settlement
• Reforming Delaware’s Mental Health System
Delaware Health and Social Services
Challenges or Opportunities
• Moving LTC clients to community settings
• Integration of LTC facilities into DSAAPD
• Care Transitions Program
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• Moving LTC clients to community settings
• Integration of LTC facilities into DSAAPD
• Care Transitions Program
Delaware Health and Social Services
Challenges or Opportunities
• Early Learning Challenge
• Providing Eligible Delawareans with Food Benefits – Focus on Children and Elders
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• Early Learning Challenge
• Providing Eligible Delawareans with Food Benefits – Focus on Children and Elders
Delaware Health and Social Services
Food Supplement Program Growth
Delaware Health and Social Services
Challenges or Opportunities
• USDA Bonus Award Recognition
• Improving Efficiency and Access via On-Line Application Upgrade
Delaware Health and Social Services
Challenges or Opportunities• $tand By Me®
50 Partner OrganizationsAlmost 2,000 Servedo Identify personal financial challengeso Establish goals and an action plan
Delaware Health and Social Services
Challenges or Opportunities
• Enhancing Lives for Individuals with DisabilitiesProviding Choices Focus on Employment Enhancements Continued Efforts in Supporting Families And
Caregivers
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• Enhancing Lives for Individuals with DisabilitiesProviding Choices Focus on Employment Enhancements Continued Efforts in Supporting Families And
Caregivers
Delaware Health and Social Services
THE NEXT FOUR YEARS
MOVING FORWARD:
Delaware Health and Social Services
Challenges or Opportunities
• Quality Assurance - Process Quality unit
• Information Technology (IT) Improvements Standard Functional Applications within
DHSS Data Collection Improvements Analytical Capabilities improvements Infrastructure Improvements
Delaware Health and Social Services
Challenges or Opportunities Cont’d
• Quality Assurance - Process Quality unit
• Information Technology (IT) Improvements Standard Functional Applications within
DHSS Data Collection Improvements Analytical Capabilities improvements Infrastructure Improvements
Delaware Health and Social Services
Important Partnerships• CROSS DEPARTMENT INITIATIVE• CROSS CABINET INITIATIVES• DELAWARE STATE HOUSING AUTHORITY • I-ADAPT (Individual Assessment and Discharge
Planning Teams)• COMMUNITY PARTNERS• DHSS EMPLOYEES • OUR CONSTITUENCY
Delaware Health and Social Services