Colorado’s No Wrong Door Efforts: Solving the Puzzle of LTSS Ruby Gonzalez January 2018 1
Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2
What we hope you walk away with today … • An understanding of: The LTSS Puzzle No Wrong Door (NWD) NWD Regional Pilot Sites NWD Project Deliverables NWD Data Collection 3
LTSS Puzzle: The Status Quo 4
What is No Wrong Door? No Wrong Door (NWD) is a seamless entry point system for all individuals accessing long-term services and supports (LTSS), regardless of age, disability or pay source. 5
Background Community Living Advisory Group (CLAG) Create comprehensive • access points for all LTSS 6
Background • Colorado Community Living Plan (CCLP) Transition from long-term care facilities and hospitals Diversion from long-term care facilities Improve communication among LTSS entry point organizations to: Provide accurate, timely and consistent information about service options in Colorado 7
Background 8
Background 9
Background 10
NWD Mission Colorado’s NWD system, through collaborative partnerships , increased communication and shared technology , ensures that all Coloradans with disabilities and older adults are connected to the supports and services they need to live dignified and self- determined lives in the community of their choice, regardless of pay source. 11
NWD Vision Coloradans with disabilities and older adults can easily obtain comprehensive information and streamlined access to personalized supports and services that promote dignity, respect and freedom of choice from wherever they enter the system and for as long as they need services through the system. 12
Six Criteria of Colorado’s NWD System 13
NWD on the Local Level 14
State Level Oversight 15
More Recent Developments 16
Questions 17
Regional Pilot Site Service Areas 18
No Wrong Door Metro • Lead Agency: Colorado Access Project Lead: Lara Martinez Traveling Team Option Counselors Share Information Staff Telephones via Alturista 19
Larimer County No Wrong Door • Lead Agency: Larimer County DHS Project Lead : Kelly Morrison, Deputy Division Manager, DHS Benefits Planning Division Person-Centered Options Counselor Act as a Link New Tool to Assess 20
Pueblo County No Wrong Door Lead Agency: Senior Resource • Development Agency (ADRC) Collaboration Project Lead: Tara Morrow, ADRC/211 Supervisor Call Center Ombudsman Restructure Database Text & Chat Feature More accurate information 21
SW Colorado’s No Wrong Door • Lead Agency: San Juan Basin Area Agency on Aging Project Lead: Christina Knoell, SBJ AAA Director Centralized Hub Person-Centered Options Counselor Improve Processes 22
Pilot Deliverables TOOLKIT Job Descriptions Decision Support Tools Operational Protocols 23
Pilot Deliverables ACTION PLANS Regulatory & Financial Model Policy Barriers 24
Data Collection Strategy Time Study Referring Agencies Administrative Costs Client/Proxy/Caregiver Front-line Staff 25
Questions? 26
Contact Information Aron Snyder No Wrong Door Implementation Project Manager Aron.Snyder@state.co.us Ruby Gonzalez No Wrong Door Implementation Policy Specialist Ruby.Gonzalez@state.co.us 27
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