draft agenda - advancing ... potomac v ending inappropriate medication in long-term care...

Draft

Agenda

TUESDAY, SEPTEMBER 11, 2012

HCBS Conference Begins

7:00 a.m. - 5:00 p.m. Registration

7:30 a.m. - 8:30 a.m. Continental Breakfast

8:30 a.m. – 10:00 a.m. Opening and Welcome

Plenary:

Kathy Greenlee

Administrator, Administration for Community Living

Assistant Secretary, Administration on Aging

10:00 a.m. – 10:15 a.m. Break

10:30 a.m. – 5:00 p.m. CIRS-A Training and Certification

Prince William Room

10:15 a.m. – 11:30 a.m. Sessions:

Potomac III & IV ACL/AoA

Washington Room

CMS Intensive – Medicaid 101: Overview of the

Program

Conference Theatre

National Core Indicators: Measuring the

Outcomes of Waiver Services

This session will provide an introduction to the National

Core Indicators consumer survey and will include a

description of the results of the recent round of surveys in

such areas as choice, relationships, health and safety,

community inclusion, and employment. The session will

also include presentations that describe how the outcome

data has been used in states to improve and enhance

public policy and practice. Finally it will include

information about the use of outcome data that aligns

with the HCBS Waiver Assurances.

PRESENTERS:

Chas Moseley, National Association of State Directors of

Developmental Disabilities Services; Valerie J. Bradley,

President, Human Services Research Institute,

Cambridge, MA; Celia Feinstein Co-Director, Temple

Center of Excellence in Developmental Disabilities,

Philadelphia PA, John Martin Ohio Department of

Developmental Disabilities

Potomac I

Effective Delivery of Training to Caregivers

One of the most important aspects of ensuring quality

outcomes for individuals needing long-term services and

supports is ensuring that caregivers are appropriately

trained to provide all the services needed by the

consumer or family member. Unfortunately, training for

both paid and unpaid caregivers is often hard to come by.

Many state HCBS programs provide only limited training

opportunities for the workforce. This session will provide

examples of real-life training programs that work.

Speakers will highlight the program design, training

delivery and curriculum development approaches taken

by two non-profit organizations, a state agency and a

labor-management partnership, and will compare and

contrast approaches to training paid and unpaid

caregivers. The panelists will discuss best practices from

their operational experiences; identify topics that are in

demand and share examples of specific curricula. They

will also address the policy considerations that have

enabled these programs to become successful as well as

provide tips for others seeking to develop training

programs.

MODERATOR:

John Burant, Home Care Director,SEIU

PRESENTERS:

Charissa Raynor, RN, Executive Director, SEIU

Healthcare Northwest Training Partnership; Cheryl

Miller, Executive Director, Oregon Home Care

Commission; Suzanne Miller, President/CEO, National

Family Caregivers Association; Peggy Powell, National

Director, Workforce and Curriculum Development, PHI.

Potomac V

Ending Inappropriate Medication in Long-Term

Care

Inappropriate medication of consumers receiving long-

term services and supports across care settings can take

many forms, including the misuse of psychotropic drugs

as chemical restraints. Session participants will hear from

medical, legal and advocacy experts at the state and

national level on the topic of psychotropic drugs as

chemical restraints. The session will include information

about the dangers of psychotropic drugs (both when used

as recommended and for off-label purposes), signs of

inappropriate medication, enforcement mechanisms and

other ways to reduce psychotropic drug use (i.e. state

laws, informed consent), alternative person-centered

treatments and therapies, resources for help and current

national and state-level efforts to reduce inappropriate

medication of long-term services and supports

consumers.

PRESENTERS:

Claire Curry, Legal Director, Civil Advocacy Program ,

Legal Aid Justice Center; Lori Smetanka, Director,

National LTC Ombudsman Resource Center The

National Consumer Voice for Quality Long-Term Care

Lincoln Room

Medicaid Managed LTSS: Opportunities for

Innovative Program

Design and Diverse Target Populations

Many states are launching or considering a movement to

managed long term services and supports

(MLTSS). Successful MLTSS efforts require the core

elements of strong program design features and

beneficiary protections, strong financial incentive

structures, strong stakeholder engagement and strong

state commitment. While these common elements are

essential to successful programs, MLTSS is not

monolithic. Large states, small states and all in between

can design programs using a variety of Medicaid

authorities to meet specific objectives, to serve particular

populations, and to better integrate care across the acute,

primary, behavioral and long term service continuum.

This session will spotlight two very different programs

which promise to enhance community-based services to

individuals with a wide array of support needs. With

state partners, Mercer will discuss how states can

structure MLTSS programs to provide evidenced-based,

recovery oriented, and community based services for

individuals with mental health support needs – expanding

the array of available services while minimizing costly

institutional or emergent care delivery. In addition, the

session will describe the efforts of another state to tip the

institutional bias within their long term care system and

increase the availability of person-centered community-

based services. While the States vary in their objectives

and the authorities they used to achieve them, the

fundamentals upon which the programs have been

designed are similar, and feature strategic rate design to

provide the incentives necessary for the States to meet

their goals.

PRESENTERS:

Rosanne Mahaney, Director of the Division of Medicaid

and Medical Assistance, State of Delaware; Mary

Sowers, Senior Associate, Mercer Government Human

Services Consulting; Lou Ann Owen, Medicaid Deputy

Director, State of Louisiana; Brenda Jackson, MMP,

LLC; Meredith Mayeri, Senior Associate, Mercer

Government Human Services Consulting

Kennedy Room

Role of Research in Advancing Programs and

Services

With ongoing increases in the number of older workers

and families coping with dementia, the collaboration of

practitioners, policymakers, and researchers is essential.

The purpose of this symposium is to demonstrate the role

of an applied gerontological research center and its

partnerships with service providers and national grantees

to oversee, implement, and evaluate programs and

services for older adults. Specifically, this symposium

will focus on two projects supported by the

Administration on Aging and another project supported

by a Department of Labor grantee. The first presentation

discusses the state-wide replication of an evidence-based

exercise and behavior management program provided to

over 500 dementia caregiving families in Ohio. The

second presentation outlines the partnership of an applied

gerontological research center with three Alzheimer’s

Association Chapters in the implementation of an

innovative family caregiving program in 19 northern

Ohio counties. The third presentation demonstrates the

extent to which human service providers in seven states

were aware and participated in the Senior Community

Service and Employment Program (SCSEP), a training

program for low-income, unemployed older workers in

non-profit organizations. This symposium will discuss

the important role of research in determining the benefits

of innovative and long-standing programs for older adults

and their families.

PRESENTERS:

Heather L.Menne,PhD, Senior Research Scientist,

Benjamin Rose Institute on Aging; Carol J.

Whitlatch,PhD, Senior Research Scientist II & Assistant

Director for Research, Benjamin Rose Institute on Aging;

Farida K.Ejaz, PhD, Senior Research Scientist II,

Benjamin Rose Institute on Aging.

Roosevelt Room

Mental Health

Potomac VI

Senior Hunger in America 2010: An Annual

Report

The report was commissioned by the Meals On Wheels

Research Foundation, prep