State of IllinoisIllinois Department on Aging
Older Adult Services Act(PA 093-1031)
2011 Reportto the General Assembly
Message from Director Charles D. Johnson
The following report is submitted as mandated byPublic Act 93-1031, the Older Adult Services Act.This Act requires the Illinois Department on Aging tonotify the General Assembly of its progress towardcompliance with the Act on Jan. 1, 2006, and everyJanuary thereafter. As required, this reportsummarizes the work completed in 2010, identifiesimpediments to such progress, and reflects therecommendations of the Older Adult ServicesAdvisory Committee (OASAC), including itemsrequiring legislative action.
The Department on Aging gratefully acknowledgesthe members of the Older Adult Services AdvisoryCommittee as well as visitors and guests whoparticipated in meetings and contributed to theprocess of restructuring the State of Illinois deliverysystem for older adults.
The overarching goal for these efforts is to assure that older adults across Illinois haveaccurate information and timely access to high quality services in the community so that theyand their families can find the right community-based service at the right time, place andprice to continue to live safely in their own homes and neighborhoods.
The Department also acknowledges and thanks the departments of Healthcare and FamilyServices, Public Health, Human Services, and the Illinois Housing Development Authority fortheir thoughtful participation and contributions to the Committee. I am pleased to report thatthese agencies fully support the goals of the Older Adult Services Act and are assuring thatstate policies and practices promote the long term care transformation called for in the Act.
Contents
Departmental Assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Background and History of the Older Adult Services Act . . . . . 8
Three-Year Summary of Accomplishments. . . . . . . . . . . . . . . . . 9
OASAC Activities Completed in 2010 . . . . . . . . . . . . . . . . . . . 15
Priority Goals and Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Next Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Appendices:
A – Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
B – Terms and Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . 23
C – Older Adult Services Advisory Committee Members, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
D – Older Adult Services Advisory Committee Meeting Dates and Locations . . . . . . . . . . . . . . . . . . . . 31
Older Adult Services Act4
Illinois Department on Aging
The Illinois Department on Aging(IDoA) is honored to lead the statewideeffort to transform the state’s long-termcare system for Illinois’ frail elderlyresidents. Since 2003, IDoA hasexpanded programs, services andreimbursement rates to increase access tohome and community-based options. In2007, IDoA added Emergency HomeResponse Services to HomemakerServices and Adult Day Services in itsCommunity Care Program, andimplemented a flexible servicesdemonstration project. IDoA alsoinitiated a comprehensive approach toneeds assessment, care coordination, andservice coordination for all Illinoisseniors regardless of financial eligibility.Currently, the Department participates innational Cash and Counseling, NursingHome Diversion, and Money Follows thePerson demonstration projects. We alsoare in the second year of a three-yearfederal grant to expand and enhanceAging and Disability Resource Centers.
The Department on Aging supportsthe Older Adult Services AdvisoryCommittee’s recommendations as a guidefor short and long range programexpansions, recognizing the state’s fiscalcondition may limit the extent to whichimmediate goals can be implemented.The Department on Aging welcomes theadvice of the Advisory Committee as itproceeds to fulfill the goal of helping thestate’s older population live their finalyears in dignity, among their friends andfamily.
Illinois Department of Healthcareand Family Services
The Illinois Department of Healthcareand Family Services (HFS) leads Illinois’long term care reform efforts by workingto ensure that high quality health care,coupled with a range of appropriate andaccessible community and facility-basedoptions, are available to Illinoisans in needof long term care services. As the singlestate Medicaid agency and vice-chair ofthe Older Adult Services AdvisoryCommittee, HFS leads the states’ longterm care reform and rebalancing effortsthrough several initiatives, including thefederal Money Follows the Person (MFP)demonstration project. Through the useof an enhanced Medicaid match rate, thefederal government encourages states toadopt broad, systemic long term carereform. HFS recognizes that for longterm care rebalancing to be successful, itmust incorporate strategies thatencourage institutional downsizing andencompass all populations as opposed tonarrowly focusing on one population.HFS supports the continued utilization ofMedicaid State Plan services as well asexpanded home and community-basedwaiver options for the populations itserves, including low-income olderadults, persons with disabilities andpersons with serious mental illness.
Departmental Assessments
5
Illinois Department of Public Health The Illinois Department of Public
Health (IDPH) programs regulatelicensed and certified facilities servicingthe entire population of the state. Theolder adult population is one componentof our charge. Licensed and certifiedlong-term care facilities in the state servea variety of populations in addition toolder adult populations.
Since the inception of the OASAC,the Illinois Department of Public Healthhas been working diligently to enhanceits programs to better serve the long termcare population in the state. In 2006, itintroduced legislation and implementedthe identified offender rules that requirethat fingerprint background checks beconducted for all new admissions to longterm care facilities. Facilities are alsorequired to develop risk assessment andtreatment plans for those individualsidentified as offenders. The Departmentis currently working with its sister stateagencies and other interested parties todraft regulations to implement PA 96-1372, which resulted from the Governor’sNursing Home Safety Task Force. TheDepartment continues to activelyparticipate in the OASAC activities whereits regulatory expertise can best serve theOASAC mandates.
Illinois Housing DevelopmentAuthority
The lead agency of the Governor’sHousing Task Force, Illinois HousingDevelopment Authority (IHDA) supportshousing-related activities of the OASAC,and incorporates strategies and actions toincrease the supply of affordable housingand housing options for older adults inthe State’s Annual ComprehensiveHousing Plan.
IHDA supports the mandates in theOlder Adult Services Act throughdevelopment and preservation of housingfor low-income seniors. IHDA alsosupports, through the Illinois AffordableHousing Trust Fund and the State’sHOME program funds, the modificationof existing single- and multi-familyhousing to promote aging in place, andliving in the least restrictive setting.
7
In 2009, the Older Adult Services Act was amended by the authorization ofPA 96-0248. This public act amended the Older Adult Services Act by mandating thatthe Department on Aging and the departments of Public Health and Healthcare andFamily Services develop a plan and implementation schedule to restructure the State'sservice delivery system for older adults pursuant to this Act no later than September30, 2010.
The OASAC Executive Committee engaged Dr. Robert Mollica to facilitate theplanning process. Dr. Robert Mollica is the former Senior Program Director at theNational Academy for State Health Policy. He has conducted several studies on longterm care reform and has published a number of articles, reports and case studies onthe topic. Dr. Mollica also has experience with rebalancing efforts in other states (e.g.,California, Oklahoma, New Mexico, Pennsylvania, Vermont, Washington and Kansas).
The planning process consisted of a series of meetings, followed by a 2-day retreat.During this time, the following activities were completed:
° Reviewed the vision and guiding principles of OASAC
° Outlined the accomplishments of OASAC for the period 2008 – 2010
° Identified outstanding issues that had not been fully addressed
° Discussed each of these issues in detail, including the prior work of OASAC on eachissue, the gaps that still exist, and why the issue is still important
° Prioritized the issues by importance and by feasibility
° Engaged in a 2-day retreat to further discuss the priority issues in greater detail andto develop an implementation plan
This process culminated in the September 2010 publication of the Plan toRestructure the State of Illinois Service Delivery System for Older Adults. The planincludes the following priority areas, which will guide the work of OASAC and theDepartment for the next three years.
Priority #1: Improve funding for home and community based services programs
Priority #2: Improve transition and integration between medical, hospital and longterm care systems and settings
Priority #3: Improve access to long term care services through comprehensive pre-admission assessment screening and options counseling
Priority #4: Ensure service allocation equity and the service package
Priority #5: Increase caregiver support
Priority #6: Facilitate access to supportive housing options and affordable housing
Priority #7: Improve the home and community based quality management systems
Priority #8: Convert excess nursing facility capacity
Priority #9: Maximize the use of technology to support policy development anddelivery of long term care services
Executive Summary
Older Adult Services Act8
The Older Adult Services Act was enacted in 2004 through Senate Bill 2880 (PublicAct 093-1031) by the Illinois General Assembly in order
“to promote a transformation of Illinois’ comprehensive system of older adult servicesfrom funding a primarily facility-based service delivery system to primarily a home-based and community-based system, taking into account the continuing need for24-hour skilled nursing care and congregate housing with services. Such restructuringshall encompass the provision of housing, health, financial, and supportive older adultservices. It is envisioned that this restructuring will promote the development,availability, and accessibility of a comprehensive, affordable, and sustainable servicedelivery system that places a high priority on home-based and community-basedservices. Such restructuring will encompass all aspects of the delivery system regardlessof the setting in which the service is provided.” (PA 093-1031 Section 5)
The Older Adult Services Act and the creation of the Older Adult Services AdvisoryCommittee (OASAC) resulted from advocacy at many levels to reform the Illinoissystem of long term care. The Illinois system of care for older adults has long favoredinstitutional care over viable, adequate community based alternatives. Efforts totransform this system must include a commitment from the Administration, legislativeleaders, advocates, and those organizations representing various provider groups toreallocate existing resources, reduce the supply of nursing home beds, and increaseflexibility and consumer direction of home and community-based services. The OlderAdult Services Advisory Committee was established to lead this effort.
The Act also established the Older Adult Services Advisory Committee to advisethe Directors of Aging, Public Health, and Healthcare and Family Services on allmatters related to the Act. The Illinois Department on Aging (IDoA) formed the OlderAdult Services Advisory Committee (OASAC) in January 2005 and created fiveworkgroups to examine the following areas: Finance, Services Expansion, NursingHome Conversion, Coordinated Point of Entry, and Workforce and Family Caregiving.The OASAC workgroups set priorities and work toward developing short term andlong term recommendations.
In 2009, the Older Adult Services Act was amended by the authorization of PA 96-0248. This public act amended the Older Adult Services Act as follows:
“The Department on Aging and the Departments of Public Health and Healthcare andFamily Services shall develop a plan to restructure the State's service delivery systemfor older adults pursuant to this Act no later than September 30, 2010. The plan shallinclude a schedule for the implementation of the initiatives outlined in this Act and allother initiatives identified by the participating agencies to fulfill the purposes of this Actand shall protect the rights of all older Illinoisans to services based on their healthcircumstances and functioning level, regardless of whether they receive their care intheir homes, in a community setting, or in a residential facility. Financing for olderadult services shall be based on the principle that "money follows the individual" takinginto account individual preference, but shall not jeopardize the health, safety, or level ofcare of nursing home residents. The plan shall also identify potential impediments todelivery system restructuring and include any known regulatory or statutory barriers.”(PA 96-0248, Section 1)
Background & History of the Act
9
Summary of A
ccomplishmen
ts (20
08 - 2010)
Three Year Summary of Accom
plishments
The Departm
ent on Aging, in
collaboration with OASA
C, has m
ade substantial progress in the past several years to expand service options
and increase the quality of care for frail older adu
lts. The follow
ing table summarizes the accomplishments in
each of the areas mandated by
the original legislation (PA
093-1031).
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
Rule
s w
ill b
e pr
omul
gate
d.
Subj
ect t
o fu
ndin
g, a
tim
e co
st/c
ost s
tudy
will
be
cond
ucte
d to
det
erm
ine
appr
opria
te ra
tes.
IDoA
will
iden
tify
fund
ing
to d
eter
min
e th
e na
me
and
logo
and
dev
elop
a p
roce
ss, s
tand
ards
and
trai
ning
for t
he C
POEs
in e
ach
PSA
.
IDoA
will
con
tinue
to c
olla
bora
te w
ith ID
HS
toim
plem
ent t
he “W
elco
me
Cent
er,” a
nd s
uppo
rt th
eA
rea
Agen
cy o
n Ag
ing
and
Care
Coo
rdin
atio
n U
nits
that
ser
ve th
eir i
mm
igra
nt o
lder
adu
lt cl
ient
s.
IDoA
is re
view
ing
the
cont
ent a
nd a
cces
sibi
lity
of it
sw
ebsi
te a
nd w
ill in
corp
orat
e ne
cess
ary
chan
ges.
Stat
us o
f Ini
tiat
ive
Com
preh
ensi
ve C
are
Coor
dina
tion
and
an a
sses
smen
tin
stru
men
t wer
e im
plem
ente
d in
Apr
il 20
07. T
heas
sess
men
t ass
ists
old
er a
dults
to a
cces
s se
rvic
esre
gard
less
of f
undi
ng s
ourc
e.
Trai
ning
was
pro
vide
d to
car
e co
ordi
nato
rs, A
AA
s,nu
rsin
g ho
me
adm
inis
trat
ors
and
prof
essi
onal
regi
ster
ed n
urse
s an
d so
cial
wor
kers
.
Effor
ts c
ontin
ue to
war
d im
prov
ing
coor
dina
tion
ofen
try
(CPo
E) p
oint
s to
serv
ices
thro
ugh
the
IDoA
Sen
ior
Hel
pLin
e, I&
A fu
nded
thro
ugh
the
Old
er A
mer
ican
s Act
,an
d Ag
ing
& D
isab
ility
Res
ourc
e Ce
nter
s ope
ratin
g in
subu
rban
Coo
k Co
unty
, Dec
atur
, Roc
kfor
d, K
anka
kee,
Belle
ville
, Roc
k Is
land
and
Peo
ria.
IDoA
col
labo
rate
d w
ith ID
HS
to e
stab
lish
a “W
elco
me
Cent
er” o
ne-s
top
serv
ice
mod
el in
sub
urba
n Co
okCo
unty
and
to e
stab
lish
211-
line
pilo
t pro
ject
s ar
ound
the
stat
e.
IDoA
is c
onst
ruct
ing
an in
vent
ory
of w
ebsi
tes
that
link
olde
r adu
lts a
nd th
eir c
areg
iver
s to
rele
vant
info
rmat
ion.
A h
ousi
ng re
gist
ry –
ww
w.IL
Hou
sing
Sear
ch.o
rg–
beca
me
oper
atio
nal i
n 20
09.
IDoA
dev
elop
ed a
web
-bas
ed re
sour
ce d
atab
ase
usin
g a
com
mon
form
at a
nd ta
xono
my
(200
8).
Are
a
Com
preh
ensi
ve C
are
Coor
dina
tion
Coor
dina
ted
Poin
t of E
ntry
Publ
ic w
ebsi
te
Older Adult Services Act10
Summary of A
ccomplishmen
ts (20
08 - 2010)
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
Pres
erve
use
of I
HD
A tr
ust f
und
to e
xpan
d aff
orda
ble
hous
ing
optio
ns.
Supp
ort S
LF p
rogr
am.
IDoA
will
con
duct
a fe
asib
ility
revi
ew o
f the
Cas
h &
Coun
selin
g de
mon
stra
tion
prog
ram
and
util
ize
the
findi
ngs
to m
ake
reco
mm
enda
tions
abo
ut a
per
sona
las
sist
ant p
rogr
am fo
r sen
iors
.
IDoA
will
upd
ate
the
arra
y of
CCP
ser
vice
s an
d al
low
part
icip
ants
to c
hoos
e am
ong
the
prev
enta
tive
serv
ices
con
tain
ed in
thei
r car
e pl
an (P
A 9
5-05
65).
Stat
us o
f Ini
tiat
ive
IDH
FS is
exp
andi
ng th
e nu
mbe
r of S
uppo
rtiv
e Li
ving
Faci
litie
s (S
LF).
The
Hom
e M
odifi
catio
n pr
ogra
m re
ceiv
ed $
2 m
illio
nfr
om th
e IH
DA
-adm
inis
tere
d Ill
inoi
s A
fford
able
Hou
sing
Tru
st F
und.
PA 9
5-05
35 e
stab
lishe
d m
edic
atio
n m
anag
emen
tse
rvic
es s
tate
wid
e as
a s
tand
-alo
ne s
ervi
ce a
vaila
ble
to a
ll ca
re c
oord
inat
ion
clie
nts.
A w
hite
pap
er o
n m
edic
atio
n m
anag
emen
t was
prep
ared
on
usin
g ph
arm
acis
ts to
revi
ew c
ases
from
CCU
s fo
r dru
g-re
late
d is
sues
due
to p
resc
riptio
nsw
ritte
n by
mul
tiple
phy
sici
ans.
Legi
slat
ion
(PA
95-
0565
) res
truc
ture
d th
e Co
mm
unity
Care
Pro
gram
to: e
valu
ate
serv
ice
cost
max
imum
s,al
low
hom
e ca
re a
ides
to p
erfo
rm p
erso
nal c
are
task
s,re
quire
inte
rmitt
ent,
nigh
t and
wee
kend
hou
rs fo
r all
subc
ontr
acto
rs o
f in-
hom
e an
d ca
re c
oord
inat
ion
serv
ices
, and
pro
vide
con
sum
er d
irect
ion
and
the
avai
labi
lity
of p
erso
nal a
ssis
tant
ser
vice
s. (2
008)
Obt
aine
d $2
mill
ion
to e
xpan
d ho
me
deliv
ered
mea
ls(2
008)
.
IDoA
impl
emen
ted
a Ca
sh a
nd C
ouns
elin
gde
mon
stra
tion
prog
ram
in fo
ur P
SAs
in N
ovem
ber
2007
.
An
exte
rnal
eva
luat
ion
of th
e Ca
sh a
nd C
ouns
elin
gde
mon
stra
tion
has
been
com
plet
ed.
Are
a
Expa
nsio
n of
old
er a
dult
serv
ices
Cons
umer
- dire
cted
HCB
S
11
Summary of A
ccomplishmen
ts (20
08 - 2010)
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
IDH
FS is
impl
emen
ting
a Pr
imar
y Ca
re C
ase
Man
agem
ent p
rogr
am to
impr
ove
the
heal
th a
ndqu
ality
of l
ife fo
r Med
icai
d be
nefic
iarie
s.
IDoA
will
con
tinue
to e
xplo
re w
ith ID
HFS
oppo
rtun
ities
to e
ncou
rage
CCP
clie
nts
to e
nrol
l in
MCO
s th
at a
ssur
e hi
gh-q
ualit
y cl
inic
al c
are
and
that
iscl
osel
y in
tegr
ated
with
HCB
S.
Tran
sitio
ns fr
om n
ursi
ng h
omes
will
be
mon
itore
dcl
osel
y by
HFS
to a
ssur
e th
at e
xtre
mel
y vu
lner
able
clie
nts
are
not p
ut a
t ris
k by
tran
sitio
n ac
tiviti
es.
IDoA
con
tinue
s to
col
labo
rate
with
AA
As
and
itsFa
mily
Car
egiv
er R
esou
rce
Cent
ers
to w
ork
loca
lly a
ndre
gion
ally
to d
evel
op a
nd e
xpan
d pr
ivat
epa
rtne
rshi
ps in
sup
port
of c
areg
ivin
g st
rate
gies
. The
Life
span
Res
pite
Ser
vice
s gr
ant w
ill p
rovi
deem
erge
ncy
resp
ite s
ervi
ces,
trai
ning
, and
resp
itere
sour
ces
to fa
mily
car
egiv
ers,
as w
ell a
s pa
id a
ndun
paid
car
egiv
ers
thro
ugho
ut th
e st
ate.
Supp
ort i
ncre
ase
in g
ener
al fu
nds
for s
ervi
ces
tofa
mily
car
egiv
ers.
Stat
us o
f Ini
tiat
ive
IDH
FS c
ontr
acte
d w
ith M
cKes
son
Hea
lth S
olut
ions
tom
anag
e ch
roni
c di
seas
es, s
uch
as a
sthm
a, d
iabe
tes,
hear
t dis
ease
or o
ther
chr
onic
hea
lth p
robl
ems
thro
ugh
a di
seas
e m
anag
emen
t ini
tiativ
e. (2
009)
IDH
FS is
wor
king
with
the
CMS
to im
plem
ent a
PAC
Epr
ogra
m.
IDoA
par
ticip
ates
in th
e M
oney
Fol
low
s th
e Pe
rson
dem
onst
ratio
n pr
ogra
m fo
r Med
icai
d be
nefic
iarie
sw
ho h
ave
lived
for 6
mon
ths
or m
ore
in a
n in
stitu
tion.
IDoA
con
tinue
d fu
ndin
g un
der t
he O
AA
for r
espi
teca
re a
nd c
areg
iver
sup
port
.
“A W
orki
ng C
areg
iver
Sym
posi
um” w
as o
rgan
ized
and
held
dur
ing
the
Nov
embe
r 200
9 Fa
mily
Car
egiv
erCo
nfer
ence
and
the
Ann
ual C
onfe
renc
e on
Alz
heim
er’s
Dis
ease
and
Rel
ated
Dis
orde
rs.
IDoA
obt
aine
d a
3-ye
ar L
ifesp
an R
espi
te S
ervi
ces
gran
t to
expa
nd a
nd e
nhan
ce re
spite
ser
vice
s an
din
form
atio
n to
per
sons
of a
ll ag
es.
$16
mill
ion
in g
ener
al fu
nds
was
app
lied
to fl
exib
lese
nior
ser
vice
s in
the
FY 2
008
IDoA
bud
get t
hat
supp
orte
d fu
ndin
g fo
r res
pite
car
e in
acc
orda
nce
with
the
Fam
ily C
areg
iver
Act
(PA
93-
0864
) and
exp
ande
dal
tern
ativ
e re
spite
ser
vice
s su
ch a
s ho
me
care
,vo
uche
rs, t
rans
port
atio
n as
sist
ance
, em
erge
ncy
resp
ite a
nd o
ther
ser
vice
s.
Are
a
Com
preh
ensi
ve d
eliv
ery
syst
em (i
nteg
rate
d ac
ute
and
chro
nic
care
)
Enha
nced
tran
sitio
n an
dfo
llow
up
serv
ices
Fam
ily c
areg
iver
sup
port
Older Adult Services Act12
Summary of A
ccomplishmen
ts (20
08 - 2010)
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
IDoA
HCB
S de
mon
stra
tion
proj
ects
will
be
stud
ied
tode
term
ine
the
feas
ibili
ty o
f sta
tew
ide
impl
emen
tatio
n.
Ann
ual c
onsu
mer
sat
isfa
ctio
n su
rvey
s w
ill b
eco
llect
ed.
The
criti
cal e
vent
s to
ol w
ill b
e fu
lly a
utom
ated
into
aw
eb-b
ased
sys
tem
.
Cont
inue
sup
port
for i
mpr
oved
wag
es a
nd h
ealth
insu
ranc
e be
nefit
s fo
r hom
e ca
re a
ides
.
Stat
us o
f Ini
tiat
ive
Adop
ted
rule
s fo
r All
Will
ing
and
Qua
lified
requ
ests
for p
ropo
sals
and
CCP
sta
ndar
ds.
IDoA
initi
ated
a s
tand
ardi
zed
eval
uatio
n pr
oces
s fo
rH
CBS
dem
onst
ratio
n pr
ojec
ts. T
he w
aive
r ren
ewal
incl
udes
the
deve
lopm
ent o
f a q
ualit
y m
anag
emen
tpl
an.
The
cons
umer
sat
isfa
ctio
n su
rvey
tool
was
val
idat
edan
d te
sted
for r
elia
bilit
y.
A p
artic
ipan
t sur
vey
was
dev
elop
ed th
at w
ill id
entif
ypa
rtic
ipan
t ove
rall
satis
fact
ion
with
the
prog
ram
and
prov
ide
inpu
t rel
ated
to p
refe
renc
e in
ser
vice
opt
ions
.
A n
ew c
ritic
al e
vent
s to
ol a
nd d
atab
ase
was
deve
lope
d to
col
lect
and
trac
k se
rvic
e co
mpl
aint
s,ab
use/
negl
ect i
ssue
s, cr
itica
l inc
iden
ts, a
nd re
ques
tsfo
r rea
sses
smen
ts.
Long
-ter
m c
are
mea
sure
s w
ere
deve
lope
d to
bet
ter
unde
rsta
nd h
ow c
onsu
mer
sat
isfa
ctio
n an
d qu
ality
of
life
can
info
rm p
rogr
am d
evel
opm
ent a
nd s
yste
ms
chan
ge e
ffort
s.
In 2
008,
IDoA
impl
emen
ted
legi
slat
ivel
y-m
anda
ted
incr
ease
s in
hom
e ca
re a
ide
hour
ly w
ages
and
rate
s($
1.70
/hou
r), a
nd in
crea
sed
rate
s ($
1.33
/hou
r) to
cove
r hea
lthca
re b
enefi
ts fo
r hom
e ca
re a
ides
, and
incr
ease
d ra
tes
for a
dult
day
serv
ice.
Are
a
Qua
lity
stan
dard
s an
dqu
ality
impr
ovem
ent
Wor
kfor
ce
13
Summary of A
ccomplishmen
ts (20
08 - 2010)
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
IDH
FS w
ill c
ontin
ue to
hol
d th
e se
mi-a
nnua
l tra
inin
gse
ssio
ns.
IHD
A w
ill c
ontin
ue to
mar
ket
ww
w.IL
Hou
sing
Sear
ch.o
rgan
d tr
ain
serv
ice
prov
ider
sto
use
the
web
site
.
IDoA
is c
ontin
uing
effo
rts
to s
tren
gthe
n its
cos
tac
coun
tabi
lity
for f
eder
al, M
edic
aid
and
gene
ral
reve
nue
fund
s pr
ovid
ed to
sup
port
old
er a
dults
inIll
inoi
s.
IDH
FS a
nd ID
PH w
ill d
evel
op a
con
vers
ion
plan
with
inpu
t fro
m O
ASA
C.
Subj
ect t
o ap
prop
riatio
n, ID
PH w
ill in
itiat
e a
pilo
t for
sing
le o
ccup
ancy
room
s in
thre
e ar
eas
of th
e st
ate
usin
g th
e ca
pita
l rat
e ad
just
men
t as
an in
cent
ive
topa
rtic
ipat
e.
Stat
us o
f Ini
tiat
ive
IDH
FS h
eld
join
t tra
inin
g se
ssio
ns fo
r its
sta
ff an
d SL
Fpr
ovid
ers
in C
hica
go a
nd S
prin
gfiel
d on
topi
cs o
fm
utua
l con
cern
.
The
OA
SAC
subc
omm
ittee
des
igne
d a
pilo
t pro
gram
that
wou
ld c
ertif
y ho
me
care
aid
es, h
ealth
car
e ai
des
and
CNA
s to
wor
k w
ith h
igh
risk
clie
nts;
cre
ate
are
gion
al s
yste
m o
f exp
erts
to p
rovi
de d
irect
ser
vice
sto
hig
h ris
k cl
ient
s an
d tr
aini
ng fo
r sta
ff; p
rovi
dete
chni
cal a
ssis
tanc
e to
the
pilo
ts; s
tudy
how
CCU
sm
ay m
onito
r hom
e ca
re a
nd h
ealth
car
e w
orke
rsem
ploy
ed b
y ot
her e
ntiti
es.
Hou
sing
was
iden
tified
as
a ba
rrie
r to
allo
win
g ol
der
adul
ts to
live
at h
ome.
ILH
ousi
ngSe
arch
.org
was
impl
emen
ted
with
fund
ing
from
IHD
A, I
DH
S, ID
HFS
and
IDoA
to a
ssis
t ser
vice
pro
vide
rs a
nd c
onsu
mer
s to
find
avai
labl
e, a
cces
sibl
e re
ntal
hou
sing
.
The
Fina
nce
Wor
kgro
up c
ompl
eted
rese
arch
on
fund
ing
of lo
ng-t
erm
car
e —
exp
lorin
g m
odel
s fr
omot
her s
tate
s an
d su
mm
ariz
ing
the
findi
ngs
in a
Pow
erPo
int p
rese
ntat
ion.
The
Nur
sing
Hom
e Co
nver
sion
Wor
kgro
up re
view
edN
ebra
ska,
Mic
higa
n, W
isco
nsin
and
Min
neso
ta b
edre
duct
ion
plan
s; M
inne
sota
’s pl
an w
ill p
rovi
de a
mod
el fo
r Illi
nois
’ bed
redu
ctio
n.
In 2
008,
OA
SAC
deve
lope
d m
easu
res
to m
onito
rnu
rsin
g ho
me
cens
us tr
ends
and
incr
ease
s in
the
num
ber o
f HCB
S pa
rtic
ipan
ts.
The
Nur
sing
Hom
e Co
nver
sion
Wor
kgro
up m
ade
prog
ress
in a
ddre
ssin
g th
e is
sues
of a
cap
ital r
ate
conv
ersi
on th
at w
ill m
eet t
he c
riter
ia o
f bud
get
neut
ralit
y w
hile
not
adv
erse
ly im
pact
ing
the
faci
lity’
sM
edic
aid
capi
tal r
ate
com
pone
nt.
Are
a
Coor
dina
tion
of s
ervi
ces
Barr
iers
to s
ervi
ces
Reim
burs
emen
t and
fund
ing
Med
icai
d nu
rsin
g ho
me
cost
con
tain
men
t
Bed
redu
ctio
n
Older Adult Services Act14
Summary of A
ccomplishmen
ts (20
08 - 2010)
Ong
oing
Act
ivit
ies
Rela
ted
to th
e In
itia
tive
The
Dep
artm
ent c
ontin
ues
to e
xam
ine
the
impa
ct o
fm
anda
tory
enr
ollm
ent i
n M
edic
aid
for e
ligib
le C
CPpa
rtic
ipan
ts.
IDoA
will
con
tinue
the
impl
emen
tatio
n of
MFP
dem
onst
ratio
n an
d ap
ply
the
expe
rienc
e to
oth
erSt
ate
effor
ts to
rest
ruct
ure
long
-ter
m c
are.
Subj
ect t
o ap
prop
riatio
n.
Subj
ect t
o ap
prop
riatio
n.
Stat
us o
f Ini
tiat
ive
The
Fina
nce
Wor
kgro
up p
repa
red
a Po
wer
Poin
tsu
mm
ariz
ing
best
pra
ctic
es fo
r lon
g-te
rm c
are
finan
cing
from
var
ious
sta
tes
in th
e na
tion.
In 2
008,
IDoA
requ
ired
olde
r adu
lts w
ho re
ceiv
edse
rvic
es u
nder
CCP
to e
nrol
l in
Med
icai
d if
elig
ible
.Th
e St
ate
FY 2
009
Budg
et Im
plem
enta
tion
Act
esta
blis
hed
a m
echa
nism
for I
DoA
to re
ceiv
e fu
nds
from
IDH
FS to
cov
er th
e in
crea
sed
expe
nses
of h
ome
and
com
mun
ity-b
ased
ser
vice
s ca
used
by
the
tran
sfer
of lo
ng-s
tay
nurs
ing
hom
e re
side
nts
to th
eco
mm
unity
via
an
inte
rage
ncy
agre
emen
t for
MFP
.
The
Fina
nce
Wor
kgro
up c
ompl
eted
rese
arch
on
best
prac
tices
incl
udin
g po
licy
anal
ysis
and
reco
mm
enda
tions
on
esta
te a
nd a
sset
reco
very
und
erM
edic
aid
and
its e
ffect
on
long
-ter
m c
are.
IDoA
wor
ked
with
the
Gov
erno
r’s O
ffice
, ID
HFS
and
IDH
S to
beg
in th
e M
oney
Fol
low
s the
Per
son
prog
ram
,a
fede
ral l
ong-
term
car
e re
bala
ncin
g in
itiat
ive.
A s
ub-c
omm
ittee
of t
he N
ursi
ng H
ome
Conv
ersi
onw
orkg
roup
has
dev
elop
ed s
trat
egie
s fo
r det
erm
inin
gbe
d ne
ed m
etho
dolo
gy. T
he re
com
men
datio
ns w
ent
to th
e N
ursi
ng H
ome
Conv
ersi
on W
orkg
roup
for
revi
ew a
nd th
en to
the
OA
SAC
Exec
utiv
e Co
mm
ittee
.
The
Nur
sing
Hom
e Co
nver
sion
Wor
kgro
upre
com
men
ded
deve
lopi
ng a
pilo
t con
vers
ion
prog
ram
bas
ed o
n M
inne
sota
’s be
d bu
y-ba
ckpr
ogra
m a
nd o
ther
mod
els
to c
onve
rt to
sin
gle
occu
panc
y. T
he g
oal i
s co
st n
eutr
ality
.
See
Barr
iers
and
Exp
ansi
on o
f old
er a
dult
serv
ices
(abo
ve)
Are
a
Fina
ncin
g
Old
er A
dults
Ser
vice
sD
emo
gran
ts
Bed
need
met
hodo
logy
upda
te
Nur
sing
Fac
ility
conv
ersi
on p
rogr
am
Hou
sing
15
In order to comply with the mandates of PA 96-0248, the OASAC approved thefollowing actions:
° To have the Executive Committee, in collaboration with the full committee, engagein a facilitated planning process to develop a plan to rebalance long term care andrecommend the plan to the state before 9/30/2010.
° To hire a professional facilitator to provide an objective perspective for our efforts inIllinois. Dr. Robert Mollica, who recently retired as Senior Program Director at theNational Academy for State Health Policy, was identified as an ideal candidate forthis project. He has conducted several studies on long term care reform and haspublished a number of articles, reports and case studies on the topic. Dr. Mollicaalso has experience with rebalancing efforts in other states (e.g., California,Oklahoma, New Mexico, Pennsylvania, Vermont, Washington and Kansas).
° To suspend the workgroup activities effective December 2009 until after theplanning process was complete in order to allow time for workgroup members toparticipate, and to determine if changes would be recommended to the structure ofOASAC.
During the course of 2010, the following activities were completed by OASAC:
° Reviewed the vision and guiding principles of OASAC
° Outlined the accomplishments of OASAC for the period 2008 – 2010
° Identified 9 outstanding issues that had not been fully addressed
° Discussed each of these issues in detail, including the prior work of OASAC on eachissue, the gaps that still exist, and why the issue is still important
° Prioritized the issues by importance and by feasibility
° Engaged in a 2-day retreat to further discuss the priority issues in greater detail andto develop an implementation plan
° Drafted, reviewed, and approved a 3-year plan and implementation schedule torestructure the state’s service delivery system for older Illinoisans
° Obtained feedback from the Illinois Department of Public Health, IllinoisDepartment of Healthcare and Family Services, Illinois Department of HumanServices and Illinois Housing Development Authority to further refine and prioritizethe recommendations of OASAC
° Published the Plan to Restructure the State of Illinois Service Delivery System forOlder Adults in September 2010
° Approved changes to the structure of OASAC committees and workgroups tofacilitate implementation of these recommendations
Summary of Work Completed by OASAC in 2010
Older Adult Services Act16
During the planning process, the Executive Committee of the Older Adult ServicesAdvisory Committee identified the following top five priority areas:
1. Finance and funding
2. Transitions & integration between medical and long term care systems andsettings
3. Access to the long term care system through comprehensive pre-admissionscreening/options counseling
4. Service allocation equity and the service package
5. Caregiver support
The Executive Committee further identified four additional areas that are important:
6. Supportive housing options/affordable housing
7. Quality assurance
8. Conversion of excess nursing home capacity
9. Use of technology, electronic access, data sharing
OASAC identified multiple objectives for each of the priority goal areas. TheExecutive Committee recommended that the Illinois Department of Public Health,Illinois Department of Healthcare and Family Services, Illinois Department of HumanServices and Illinois Housing Development Authority review and prioritize theobjectives recommended by OASAC. The feedback from the state agency review isincorporated into the remainder of this report.
GOAL #1: IMPROVE FUNDING FOR HOME AND COMMUNITY-BASEDSERVICES PROGRAM
Objectives:
High Priority:
° Evaluate options to establish a Medicaid HCBS provider fee
° Review and prepare options for a unified budget
° Determine which programs and agencies would be included in the unifiedbudget
° Evaluate different options to phase in a unified budget
° Develop a cross program/agency budget process
Priority Goals and Objectives
17
Additional Priorities:
° Evaluate options to establish fees for Community Care Program (CCP)homecare providers
° Develop caseload and utilization forecasting methodology to establish the levelof appropriations for long term care services
° Advocate that the House and Senate Appropriation Committees hear the longterm care budget as a whole from the relevant State agencies (e.g., Aging,Healthcare and Family Services, Department of Human Services, etc…)
° Evaluate the impact of the state balancing incentive program and prepare anapplication which will be submitted to CMS
° Evaluate the impact of adopting the Medicaid state plan attendant servicesoption authorized by Section 1915 (k)
° Review the results of the long term care insurance partnership program
° Develop strategies and an implementation plan to increase participation in thepartnership program and other long term care insurance programs
° Analyze opportunities presented through the CLASS Act, and develop a strategyto promote participation in the CLASS Act
GOAL #2: IMPROVE TRANSITION/INTEGRATION BETWEENMEDICAL/HOSPITAL AND LONG TERM CARE SYSTEMS AND SETTINGS
Objectives:
High Priority:
° Review results from the nursing home transition and Money Follows the Personprograms and formalize processes that improve transition efforts (e.g.,implementation of MDS 3.0, Section Q)
° Provide training to CCU staff on relevant medical conditions and terms
Additional Priorities:
° Develop strategies to prepare individualized transition plans for older adultsleaving a hospital or nursing facility
° Examine and improve the Choices for Care screening process to improvedischarges and successful placement in appropriate settings
° Identify assessment data that will trigger referrals for a health assessment
° Review CCU care coordinator caseloads and set standards
° Develop interventions based on health and social characteristics or chronicconditions
° Explore methods to ensure that home and community based services, and agingand disability networks are coordinated as the Patient Protection and AffordableCare Act (PPACA) is implemented
Older Adult Services Act18
GOAL #3: IMPROVE ACCESS TO LONG TERM CARE SERVICES THROUGHCOMPREHENSIVE PRE-ADMISSION ASSESSMENT SCREENING; OPTIONSCOUNSELING
Objectives:
High Priority:
° Evaluate and select a preadmission screening/options counseling model
Additional Priorities:
° Implement Coordinated Point of Entry standards
° Determine standards and regulations for common intake systems
° Develop a branding campaign for the Coordinated Point of Entry
GOAL #4: ENSURE SERVICE ALLOCATION EQUITY AND IMPROVE THESERVICE PACKAGE
Objectives:
High Priority:
° Clarify the tasks that may be performed under homemaker services, whichinclude hands-on assistance with activities of daily living, and provide trainingto enable workers to meet the needs of the clients they serve as well as identifyhealth triggers that require reassessment
° Evaluate the existing Cash & Counseling demonstration project and explore thefeasibility of expanding this program model throughout the State
° Implement a medication management services program
° Determine the characteristics that predict admission to a nursing facility forolder Illinoisans in general, and in the CCP population in particular.
° Develop triggers and linkages for care coordinators and service staff to obtainhealth and medical care consultation, and mental health consultation. Developtraining to recognize the need for such consultation.
Additional Priorities:
° Create a profile of IDoA clients and their needs
° Develop plans to maintain the level of service for high DON score participants
° Update and maintain an inventory of services and providers
° Disseminate information about changing demographic trends and demand forservices
° Develop an assessment module that identifies caregiver needs for supports andrespite services
19
GOAL #5: INCREASE CAREGIVER SUPPORT
Objectives:
High Priority:
° Seek increased funding for respite services for family caregivers
° Explore strategies to integrate the social and medical model
° Clarify Federal regulatory requirements for completing the minimum data set(MDS) tool in nursing facilities for respite clients
Additional Priorities:
° Document the gaps in the availability of respite services
° Explore improvements to the assessment tool to identify caregiver needs
° Establish guidelines to improve the consistency in respite services programsstatewide
° Explore the role of nursing facilities as respite providers
° Explore the role of hospitals as respite providers in rural areas
° Assess the impact of adult day care services as a respite option
° Increase outreach and education to family caregivers to increase their awarenessof and access to services
° Utilize ADRCs and CPoEs to increase access to family caregiver services
° Study options to expand the availability of home health services
° Explore evidence based caregiver programs and best practices
° Incorporate a nurse consultation model into the delivery of services forcaregivers and clients
° Compile and provide information to legislators on the social and economicvalue of family caregiving
° Study the benefits and challenges of developing a caregiver assessment module
° Explore how the state is using the National Family Caregiver Support Programfunds
GOAL #6: FACILITATE ACCESS TO SUPPORTIVE HOUSING OPTIONS ANDAFFORDABLE HOUSING
Objectives:
High Priority:
° Advocate for the addition of rental assistance funding for special needs populations
Additional Priorities:
° Design strategies to improve collaboration between IHDA, ADRCs, CCUs, AAAsand local public housing authorities
° Develop a web-based system to expedite the application process for subsidizedhousing
Older Adult Services Act20
GOAL #7: IMPROVE THE HCBS QUALITY MANAGEMENT SYSTEM
Objectives:
High Priority:
° Implement a 24-hour backup system for CCP participants
Additional Priorities:
° Implement a critical incident reporting system
° Design and implement a risk mitigation process for CCP participants
° Incorporate evidence based practices and models into our service deliverysystem (e.g., strict adherence to recommended measurement of performanceprocedures)
GOAL #8: CONVERT EXCESS NURSING FACILITY CAPACITY
Objectives:
High Priority:
° Obtain funding to implement the bed conversion pilot project
° Explore the role of nursing facilities as respite providers
GOAL #9: MAXIMIZE THE USE OF TECHNOLOGY TO SUPPORT POLICY ANDPROGRAM DEVELOPMENT AND DELIVERY OF LONG TERM CARESERVICES
Objectives:
High Priority:
° Design and implement information technology initiatives that support access toservices
Additional Priorities:
° Explore technological innovations to streamline the application and assessmentprocess including a universal instrument or process that populates applicationswith existing information
° Implement the information technology framework
° Ensure representation from aging interests on the Illinois Framework project,and in each Health Information Exchange (HIE)advisory committee
21
As a result of the planning process that occurred during 2010, and to streamline andincrease the effectiveness of OASAC, the following changes were recommended andapproved for implementation in 2011.
1. The Full OASAC will continue to meet quarterly to provide feedback andrecommendations to the Department as the objectives outlined in the plan areimplemented.
2. The Executive Committee will meet quarterly, to oversee and structure theoperations of the Advisory Committee, to create and appoint subcommitteesand members when necessary. Workgroups that were suspended during theplanning process will be discontinued and may be resumed as determined bythe Executive Committee.
3. The Department on Aging will meet quarterly with the Illinois Department ofPublic Health, Illinois Department of Healthcare and Family Services, IllinoisDepartment of Human Services and Illinois Housing Development Authority(OASAC Interagency Committee) to discuss the recommendations, to identifyand plan for the implementation of those objectives that are shared amongDepartments, to determine strategies to implement other recommendationsinto each Department’s priorities, and to report on progress made to theExecutive and Full OASAC Committee.
The first OASAC Interagency Committee meeting was held on September 27, 2010.The following areas were identified as shared goals for the coming year.
a) Advocate through our legislative liaisons that the House and SenateAppropriations Committees hear the long term care budget as a whole from therelevant state agencies.
b) Increase our knowledge about the provisions of the Affordable Care Act,analyze the opportunities of the Act and the impact on home and community-based services.
c) Increase our knowledge about the Aging & Disability Resource Centers grantsrecently awarded to the State, and develop strategies to ensure that optionscounseling is provided to individuals of all ages and abilities across the LTCcontinuum.
d) Explore ways to improve the transition process of individuals between medical,hospital and long term care systems and settings through Money Follows thePerson, Rapid Reintegration, as well as other care transition model programs.
e) Increase our knowledge about the provisions of SB 326, and work collectivelyto address those that overlap across Departments (e.g., Pre-AdmissionScreening/Resident Review, Determination of Need, etc.).
Next Steps
Older Adult Services Act22
The Older Adult Services Advisory Committee (OASAC) applauds the more than40 organizations that negotiated and advocated for SB 2880 and offers sincereappreciation and thanks to the legislation’s sponsors in the Illinois General Assemblyfor their leadership in the passage of this landmark legislation.
Senate Sponsors:
Sen. Iris Y. Martinez, Kathleen L. Wojcik, Adeline Jay Geo-Karis, Dave Sullivan, MattieHunter, M. Maggie Crotty, Carol Ronen, Jacqueline Y. Collins, Louis S. Viverito,Antonio Munoz, Debbie DeFrancesco Halvorson, Ira I. Silverstein, Denny Jacobs,Lawrence M. Walsh, James A. DeLeo, Kimberly A. Lightford, William R. Haine,Christine Radogno, Miguel del Valle, Gary Forby, James F. Clayborne, Jr., Wendell E.Jones, Pamela J. Althoff, Don Harmon, William E. Peterson, Richard J. Winkel, Jr.,Rickey R. Hendon, Todd Sieben, Dale E. Risinger, David Luechtefeld, Dale A. Righter,Deanna Demuzio and John O. Jones.
House Sponsors:
Rep. Julie Hamos, Elizabeth Coulson, William B. Black, Joseph M. Lyons, SaraFeigenholtz, Jerry L. Mitchell, Keven Joyce, Michael K. Smith, Patrick Verschoore,Richard T. Bradley, Ralph C. Capparelli, Carolyn H. Krause, Mike Bost, Suzanne Bassi,Eileen Lyons, Ron Stephens, Patricia Reid Lindner, Monique D. Davis, Robert F. Flider,Lou Lang, John E. Bradley, Paul D. Froehlich, Elaine Nekritz, Lisa M. Dugan, RobinKelly, Harry Osterman, Steve Davis, Deborah L. Graham, Jack D. Franks, Mike Boland,Karen May, James H. Meyer, Brandon W. Phelps, William J. Grunloh, Lovana Jones,Angelo Saviano, Mark H. Beaubien, Jr., Maria Antonia Berrios, Susana Mendoza,Arthur L. Turner, Wyvetter H. Younge, Kenneth Dunkin, William Davis, Kurt M.Granberg, Jay C. Hoffman, Karen A. Yarbrough, Ricca Slone, Annazette Collins,Constance A. Howard, Jack McGuire, Daniel J. Burke, George Scully, Jr., Cynthia Soto,William Delgado, John A. Fritchey, Thomas Holbrook, Naomi D. Jakobsson, Mary E.Flowers, Kathleen A. Ryg, Bill Mitchell, Sidney H. Mathias, Eddie Washington, DavidR. Leitch, Sandra M. Pihos, Roger L. Eddy, Keith P. Sommer, Dan Reitz, Marlow H.Colvin, Patricia R. Bellock, Rosemary Mulligan, Rosemary Kurtz, Jim Watson, EdSullivan Jr., Renee Kosel, Dave Winters, Art Tenhouse, Robert W. Churchill, LindaChapa LaVia, Raymond Poe, Chapin Rose, Frank J. Mautino, Donald L. Moffitt, FrankAguilar, Ruth Munson, Timothy L. Schmitz, JoAnn D. Osmond, Careen Gordon andJohn J. Millner.
Acknowledgements
Appendix A
23
Advisory Committee means the Older Adult Services Advisory Committee. (Section 10)
Aging Services Projects Fund means the fund in state treasury that receives moneyappropriated by the General Assembly or for receipts from donations, grants, fees or taxesthat may accrue from any public or private sources for the purpose of expanding olderadult services and savings attributable to nursing home conversion. (Section 20)
Certified Nursing Home means any nursing home licensed under the Nursing HomeCare Act and certified under Title XIX of the Social Security Act to participate as a vendorin the medical assistance program under Article V of the Illinois Public Aid Code. (Section10)
Comprehensive assessment tool means a universal tool to be used statewide todetermine the level of functional, cognitive, socialization and financial needs of olderadults, which is supported by an electronic intake, assessment and care planning systemlinked to a central location. (Section 25)
Comprehensive Care Coordination means a system of comprehensive assessment ofneeds and preferences of an older adult at the direction of the older adult or the olderadult's designated representative and the arrangement, coordination and monitoring of anoptimum package of services to meet the needs of the older adult. (Section 10)
Consumer directed means decisions made by an informed older adult from availableservices and care options, which may range from independently making all decisions andmanaging services directly, to limited participation in decision making based upon thefunctional and cognitive level of the older adult. (Section 10)
Continuous Quality Improvement Process means a process that benchmarksperformance, is person centered and data driven, and focuses on consumer satisfaction.(Section 25)
Coordinated Point of Entry means an integrated access point where consumersreceive information and assistance, assessment of needs, care planning, referral, assistancein completing applications, authorization of services where permitted and follow up toensure that referrals and services are accessed. (Section 10)
Department(s) means the Department on Aging, in collaboration with the Departmentsof Public Health and Public Aid (renamed Department of Healthcare and Family Services)and other relevant agencies and in consultation with the Older Adults Services AdvisoryCommittee, except as otherwise provided. (Section 10)
Enhanced Transition and Follow-up Services means a program of transition fromone residential setting to another and follow up services, regardless of residential setting.(Section 25)
Older Adult Services Act:Terms and Definitions
Appendix B
Older Adult Services Act24
Family Caregiver means an adult family member or another individual who is anuncompensated provider of home based or community based care to an older adult.(Section 10)
Fundable Services (see Aging Services Project Fund). (Section 20)
Health Services means activities that promote, maintain, improve or restore mental orphysical health or that are palliative in nature. (Section 10)
Older Adult means a person age 60 or older and, if appropriate, the person's familycaregiver. (Section 10)
Older Adult Services Demonstration Grantsmeans demonstration grants that willassist in the restructuring of the older adult service delivery system and provide funding forinnovative service delivery models and system change and integration initiatives. (Section 20)
Person centered means a process that builds upon an older adult's strengths andcapacities to engage in activities that promote community life and that reflect the olderadult's preferences, choices, and abilities, to the extent practicable. (Section 10)
Priority Service Area means an area identified by the Departments as being less servedwith respect to the availability of and access to older adult services in Illinois. TheDepartments shall determine by rule the criteria and standards used to designate suchareas. (Section 10)
Priority Service Plan means the plan developed pursuant to Section 25 of this Act.(Section 10)
Provider means any supplier of services under this Act. (Section 10)
Residential Setting means the place where an older adult lives. (Section 10)
Restructuring means the transformation of Illinois' comprehensive system of older adultservices from funding primarily a facility based service delivery system to primarily ahome based and community based system, taking into account the continuing need for 24hour skilled nursing care and congregate housing with services. (Section 10)
Services means the range of housing, health, financial and supportive services, other thanacute health care services, that are delivered to an older adult with functional or cognitivelimitations, or socialization needs, who requires assistance to perform activities of dailyliving, regardless of the residential setting in which the services are delivered. (Section 10)
Supportive Services means non-medical assistance given over a period of time to anolder adult that is needed to compensate for the older adult's functional or cognitivelimitations, or socialization needs, or those services designed to restore, improve, ormaintain the older adult's functional or cognitive abilities. (Section 10)
Uniform Quality Standards means standards that focus on outcomes and take intoconsideration consumer choice and satisfaction and includes the implementation of acontinuous quality improvement process to address consumer issues. (Section 25)
25
Patricia Ahern(Hospice care)President, CEORainbow Hospice and Palliative Care444 N. Northwest Highway, Suite 145Park Ridge, Illinois 60068847-685-9900Fax: 847-685-6390E-mail: [email protected]
Stephanie Altman(Statewide organizations engaging inadvocacy or legal representation onbehalf of the senior population)Programs & Policy DirectorHealth and Disability Advocates205 W. Monroe St., Third FloorChicago, Illinois 60606312-223-9600Fax: 312-223-9518E-mail: [email protected]
Darby Anderson(Community Care Program HomemakerServices)Divisional Vice PresidentAddus HealthCare14 E. Jackson, Ste. 902Chicago, Illinois 60604312-663-4647Fax: 312-663-4737E-mail: [email protected]
Carol Aronson(Care Coordination)DirectorShawnee Alliance for Seniors6355 Brandhorst DriveCarterville, Illinois 62918-9802618-985-8322Fax: 618-985-9096E-mail: [email protected]
Jean Bohnhoff(Municipality)Executive DirectorEffingham County Committee on Aging209 S. MerchantEffingham, IL 62401217-347-5569Fax: 217-342-9798 E-mail: [email protected]
Melanie Chavin(Alzheimer Disease and RelatedDisorders)Vice President, Program ServicesAlzheimer’s Association – Greater ILChapter8430 W. Bryn Mawr, Suite 800Chicago, Illinois 60631847-933-2413Fax: 773-444-0930E-mail: [email protected]
Pat Stacy Cohen(Adult Day Services)Managing DirectorIllinois Adult Day Service Association6141 N. CiceroChicago, Illinois 60646773-202-4130Fax: 773-202-1326E-mail: [email protected]
Pat Comstock(Nursing home or assisted livingestablishments)DirectorHealth Care Council of Illinois1029 S. Fourth StreetSpringfield, Illinois 62703217-527-3615Fax: 217-528-0452E-mail: [email protected]
Older Adult Services Advisory CommitteeOlder Adult Services Act – Advisory Committee Members
Appendix C
Older Adult Services Act26
Thomas Cornwell, M.D.(MD specializing in gerontology)Medical DirectorHomeCare Physicians1800 N. Main St.Wheaton, Illinois 60187630-614-4960Fax: 630-682-3727E-mail: [email protected]
Jan Costello(Home Health Agency)Executive DirectorIllinois HomeCare and Hospice Council100 E. Washington StreetSpringfield, Illinois 62701217-753-4422Fax: 217-528-6545E-mail: [email protected]
Jerry Crabtree(Township official)Associate Director, EducationCoordinator Township Officials ofIllinois3217 Northfield Drive Springfield, Illinois 62702217-744-2212Fax: 217-744-7419E-mail: [email protected]
Frank Daigh(Citizen member over the age of 60)30 Babiak LaneSpringfield, Illinois 62702-3517217-528-8964E-mail: [email protected]
Barbara B. Dunn(Primary care service provider)Executive DirectorCommunity Health Improvement Center2905 N. Main StreetDecatur, Illinois 62526217-877-6111Fax: 217-877-3077E-mail: [email protected]
Robyn Golden(Health care facilities licensed underthe Hospital Licensing Act)Director, Older Adult ProgramsRush University Medical Center710 S. Paulina Ave., Ste. 422Chicago, Illinois 60612312-942-4436Fax: 312-942-3601E-mail: [email protected]
Joyce E. Gusewelle(Parish nurse)Director of Health and WellnessEden United Church of Christ903 N. Second St.Edwardsville, Illinois 62025618-656-4330Fax: 618-656-4384E-mail: [email protected]
Flora Johnson(Trade or union member)Board Chair and Personal Care AssistantService Employees International Union(SEIU)SEIU Health Care – IL and Indiana209 W. Jackson, 2nd Floor, Suite 200Chicago, Illinois 60606312-939-7490Fax: 312-939-8256E-mail: [email protected]
Myrtle Klauer(Nursing home or assisted livingestablishments)Illinois Council on Long-Term Care3500 W. Peterson Ave., Ste. 400Chicago, Illinois 60659-3307773-478-6613Fax: 773-478-0843E-mail: [email protected]
Michael Koronkowski(Pharmacist)Clinical Assistant Professor, GeriatricsUIC College of Pharmacy833 S. Wood St., Room 164, (m/c 886)Chicago, Illinois 60612312-996-8865, ext. 3Fax: 312-996-0379E-mail: [email protected]
27
Jonathan Lavin(Illinois Area Agencies on Aging)President and CEOAgeOptions, Inc.1048 Lake St., Ste. 300Oak Park, Illinois 60301708-383-0258Fax: 708-524-0870E-mail: [email protected]
Dave Lowitzki(Representative of SEIU Healthcare)Policy CoordinatorSEIU Healthcare Illinois and Indiana209 W. Jackson, Suite 200Chicago, IL 60606312-596-9401Fax: 312-641-0773Email: [email protected]
Phyllis B. Mitzen(Citizen member over the age of 60)Health and Medicine Policy ResearchGroupCenter for Long Term Care Reform29 E. Madison St., #602Chicago, Illinois 60602312-372-4292Fax: 312-372-2753E-mail: [email protected]
Melissa E. O’Brien(Nutrition Representative)Director of NutritionSenior Services Center of Will County251 N. Center StreetJoliet, IL 60435815-740-4520Fax: 815-727-7630E-mail: [email protected]
Patricia O’ Dea-Evans(Family caregivers)PresidentA Silver Connection8 Woods Chapel Rd.Rolling Meadows, Illinois 60008847-303-9602E-mail: [email protected]
Eli PickExecutive Director(Nursing home or assisted livingestablishments)Ballard Rehabilitation9300 Ballard Rd.Des Plaines, Illinois 60016847-294-2300Fax: 847-299-4012E-mail: [email protected]
Thomas R. Prohaska(Gerontology Researcher)Co-DirectorUniversity of Illinois at ChicagoCenter for Research on Health and Aging1747 W. Roosevelt Rd., Suite 558(Mail Code 275)Chicago, Illinois 60608312-413-9830Fax: 312-413-9835E-mail: [email protected]
Susan Real(Family caregiver)Planning and Program ManagerEast Central Illinois Area Agency onAging1003 Maple Hill Rd.Bloomington, Illinois 61705309-829-6020, Ext. 218Fax: 309-829-6021E-mail: [email protected]
Kirk Riva(Nursing homes/SLFs Representative)Vice President of Public PolicyLife Services Network (LSN)2 Lawrence SquareSpringfield, Illinois 62704217-789-1677Fax: 217-789-1778Email: [email protected]
Older Adult Services Act28
David M. Vinkler(Statewide organizations engaging inadvocacy or legal representation onbehalf of the senior population)Associate State Director – Advocacy andOutreachAARP Illinois Legislative Office300 W. Edwards, 3rd FLSpringfield, Illinois 62704217-522-7700Fax: 217-522-7803E-mail: [email protected]
Cathy Weightman-Moore(Illinois Long-Term Care Ombudsmen)Regional OmbudsmanLong-Term Care Ombudsman Program,Catholic Charities, Diocese of Rockford102 S. Madison StreetRockford, Illinois 61104815-966-5300Fax: 815-962-9036E-mail: [email protected]
Cynthia Worsley(Statewide senior centers associations)PresidentAssociation of Illinois Senior CentersFox Valley Older Adult Services1406 Suydam Rd Sandwich, Illinois 60548815/[email protected]
Ancy Zacharia(Advanced practice nurse withexperience inGerontological nursing)Nurse PractitionerHomeCare Physicians1800 N. Main StreetWheaton, Illinois 60187630-614-4960Fax: 630-682-3727E-mail: [email protected]
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CHAIR – Charles D. JohnsonDirectorIllinois Department on AgingOne Natural Resources Way, Ste. 100Springfield, Illinois 62702-1271217-785-2870Fax: 217-785-4477E-mail: [email protected]
VICE-CHAIR – Theresa EaglesonAdministrator of Medical ProgramsIllinois Department of Healthcare andFamily Services201 S. Grand Ave. EastSpringfield, Illinois 62763217-782-2570E-mail: [email protected]
VICE- CHAIR – William A. BellActing Deputy DirectorOffice of Health Care RegulationIllinois Department of Public Health525 W. Jefferson StreetSpringfield, Illinois 62761217-782-0345Fax: 217-782-0382E-mail: [email protected]
Michael GelderSenior Health Policy AdvisorOffice of the GovernorJames R. Thompson Center100 W. Randolph, 16th FLChicago, Illinois 60601312-814-6700E-mail: [email protected]
Arthur FriedsonChief Human Resources OfficerIllinois Finance AuthorityTwo Prudential Plaza180 N. Stetson, Suite 2555Chicago, Illinois 60601312-651-1300Fax: 312-651-1317E-mail: [email protected]
Yvonne ClearwaterIllinois Department of InsuranceSHIP Director320 West Washington StreetSpringfield, Illinois 62767217-782-0004E-mail: [email protected]
Gwen DiehlVeterans' Homes CoordinatorIllinois Department of Veterans AffairsP.O. Box 19432833 S. Spring StreetSpringfield, Illinois 62794-9432217-785-4575Fax: 217-782-4160E-mail: [email protected]
Gail HedgesManager, Division of EconomicOpportunityIllinois Department of Commerce &Economic Opportunity620 E. Adams Street, CIPS 5Springfield, Illinois 62701217-785-6156Fax: 217-785-2008E-mail: [email protected]
Older Adult Services Advisory CommitteeState Members (Ex-officio and nonvoting)
Older Adult Services Act30
Robert KilburyDirectorDivision of Rehabilitation ServicesIL Department of Human Services100 S. Grand Avenue East, 1st FLSpringfield, Illinois 62762217-557-0401Fax: 217-558-4270E-mail: [email protected]
Samuel MordkaSenior Housing Program Coordinator/Interagency LiaisonOffice of Housing Coordination Services, Illinois Housing Development Authority401 N. Michigan Ave., Ste. 700Chicago, Illinois 60611-4205312-836-7346Fax: 312-832-2191E-mail: [email protected]
Sally PetroneState Long-Term Care OmbudsmanIllinois Department on Aging421 E. Capitol Ave., #100Springfield, Illinois 62701-1789217-785-3143E-mail: [email protected]
Last updated October 2010
Meetings were held in 2010 on the following dates in Chicago and Springfieldlocations by video conference.
March 8, 2010
June 14, 2010
September 13, 2010
November 15, 2010
To view the minutes and a schedule of future meetings, visitwww.state.il.us/aging/1athome/oasa/oasa.htm on the web.
Older Adult Services Advisory CommitteeMeeting Dates for 2010
Appendix D
2011 Report to the General Assembly
State of Illinois Department on Aging
One Natural Resources Way, Suite 100Springfield, Illinois 62702-1271
Senior HelpLine: 1-800-252-8966, 1-888-206-1327 (TTY) 8:30 a.m. to 5:00 p.m. Monday through Friday
24-Hour Elder Abuse Hotline: 1-866-800-1409, 1-888-206-1327 (TTY) www.state.il.us/aging/
The Illinois Department on Aging does not discriminate in admission to programs or treatment of employment in compliance with appropriateState and Federal statutes. If you feel you have been discriminated against, call the Senior HelpLine at 1-800-252-8966, 1-888-206-1327 (TTY). Printed by Authority State of Illinois IOCI 401-11 (400, 1/11)