State of IllinoisIllinois Department on Aging

Older Adult Service Older Adult Service Advisory CommitteeAdvisory Committee

(OASAC)(OASAC)4 Years Later4 Years Later

Governor’s Conference on AgingIllinois Department on Aging

December 2009

PRESENTERS: Janice Cichowlas, Ph.D., JD

Policy Analyst

Illinois Department on Aging

Sandra Alexander, MSW

Division Manager

Illinois Department on Aging

Illinois P.A. 93-1031 (SB2880)Illinois P.A. 93-1031 (SB2880)Older Adult Services ActOlder 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

P.A. 93-1031 (SB2880)P.A. 93-1031 (SB2880)Older Adult Services ActOlder Adult Services Act

Transform and restructure Illinois’ system of care for older adults Shift focus from facility care to home and community based care

Service Restructuring

Grants/ Demonstration

Reports & Products

Advisory Committee (OASAC)

Older Adult Service Advisory Older Adult Service Advisory Committee (OASAC)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

Organizational Chart: OASACOrganizational Chart: OASAC

Illinois Department on AgingHealthcare and Family Services

& Pubic Health

Older Adult Services Advisory Committee

CoordinatedPoint of Entry

Service Expansion

Work Force & Caregiver Finance

NursingHome

Conversion

Guiding Principles of OASACGuiding Principles of OASAC1. 1. Rights of Older AdultsRights 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.

Guiding Principles of OASACGuiding Principles of OASAC2. 2. Consumer DirectionConsumer 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.

Guiding Principles of OASACGuiding Principles of OASAC3. 3. Accountability and Accessibility of InformationAccountability 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

Guiding Principles of OASACGuiding Principles of OASAC4. 4. StandardsStandards

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.

The Five OASAC WorkgroupsThe Five OASAC Workgroups Finance Services Expansion Nursing Home Conversion Coordinated Point of Entry Workforce and Caregiver

Finance Workgroup:Finance Workgroup:2009 Accomplishments2009 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

Services Expansion Workgroup:Services Expansion Workgroup:2009 Accomplishments2009 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

Nursing Home Conversion Workgroup:Nursing Home Conversion Workgroup:2009 Accomplishments2009 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

Coordinated Point of EntryCoordinated Point of Entry Workgroup:Workgroup:2009 Accomplishments2009 Accomplishments

Twenty-two standards have been developed to promote a consistent service model for CPoE sites across the state of Illinois

Workforce and CaregiverWorkforce and Caregiver Workgroup: Workgroup:2009 Accomplishments2009 Accomplishments

Reviewed career ladder/lattice programs to improve Reviewed career ladder/lattice programs to improve the recruitment and retention within the health care the recruitment and retention within the health care workforce workforce

Advocated for standardized and improved training programs

2010 & Beyond2010 & BeyondP.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

2010 Workgroup Goals (Highlights) 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

2010 Recommendations2010 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

ConclusionConclusion 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

ContactsContacts Senior HelpLine

1-800-252-8966

Web site Illinois Department on Aging

http://www.state.il.us/aging/