Provider Alliance August 28 th th From ISAC Meeting, Aug. 12, 2015 Challenges ◦ Demographics ◦ The Role of Families ◦ Reaching the Unserved and Underserved ◦ Quality – Doing and Measuring What Matters Strengths and Opportunities 1
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The Impact of the Aging Baby Boomers 1 in 5 Americans over 65 20.2% 20% 19.3% 16.1 % 13% 3
Pennsylvania’s Aging Population
MORE PEOPLE WILL NEED MEDICAID FUNDED LONG TERM SUPPORTS & SERVICES. THE WORK FORCE IS NOT GROWING AS FAST AS THE NEED FOR SUPPORT STAFF. 75,000,000 60,000,000 45,000,000 30,000,000 15,000,000 2000 2005 2010 2015 2020 2025 2030 Source: U.S. Census Bureau, Population Division, Interim State Population Projections, 2005 Females aged 25-44 Individuals 65 and older Larson, Edelstein 5
Reaching People Who Need Supports and Services
Pennsylvanians with DD 190,330 estimated Pennsylvanians with Developmental Disabilities* 53,237 137,093 28% 72% Receiving Services Not Receiving Services *Based on 1.49% prevalence of Pa citizens, US Census
People in Service April, 2015 Total 53,237 Out of Home 16,010 Receiving ODP Residential 30% Services Out-of-Home Receiving ODP Services In- In Home [VALUE] Home [PERCENTAGE] ODP Total Enrollment includes Consolidated Waiver, P/FDS Waiver, Adult Autism Waiver, ACAP, Base, SC Services Only, Private ICFs/ID and Public ICFs/ID (State Centers).
Peo eople in in PA with ith IDD IDD Total 190,333 16,010 Receiving ODP Residential 8% Services Out-of-Home Receiving ODP Services In- 37,228 Home 20% Not Enrolled in ODP 131,619 69% Not Receiving Unserved Services Emergency Living with 2,436 1% Families? Unserved Critical 3,038 2% *Based on 1.49% prevalence of Pa citizens, US Census
Reaching the Unserved and Underserved As with climate change, if we don’t do something, the consequences will be felt – by families. 10
Investment Decis In Decisions Li Living Arr rrangement/ t/Program and and Aver erage Cos Cost t per per Per erson April pril,2015 30,000 $26,591 25,000 Persons 20,000 15,000 Ave Cost/Mo. 11,949 11,689 $11,581 $11,213 10,000 $5,021 5,000 2,085 $1,666 1,287 956 P/FDS $20,000 Family Living $60,252 0 Group Homes $138,972 Group Family Living Private State Center P/FDS Private ICF/ID $134,556 State Center $319,092 Homes ICF/ID Waiver
Long Term Implications Type of Annual 5 years 10 years 20 years Service P/FDS $30,000 $150,000 $300,000 $600,000 Family Living $60,252 $301,260 $602,520 $1,205,040 Group $138,972 $694,860 $1,389,720 $2,779,440 Homes Private ICF/ID $134,556 $672,780 $1,345,560 $2,691,120 Public ICF/ID $319,092 $1,595,460 $3,190,920 $6,381,840
Quality – Can We Do Better?
Choice - Glass Half Full and Half Empty 51% choose where they live 38% chose whom they live with
Employment People Want to Work 15
Community Access Glass Half Full and Half Empty 88% 64% 4.4 times 2 times per month per month
Promoting Good Health Lots of Room for Improvement 57% 6.4 times in the past month
Strengths Opportunities Renewing 3 Medicaid waivers Strong self-advocacy Strong family advocacy New HCBS regulations New models to support people living with family Strong provider community and friends Powerful history of accomplishment Technology breakthroughs Strong desire to do improve on our past Breakthroughs in developmental neurology $3 Billion +
Framework for Change Catalysts Strategy Goals Leadership Policies Procedures/Practices Outcomes Financing Listening to self- advocates Training & TA and families Service Innovation Outcome Data Values Interagency and Stakeholder Collaboration Adapted from Hall et al (2007)
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