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The LTSS Roadmap and Technical Assistance Center

The LTSS Roadmap and Technical Assistance Center. 2019 National Title VI Training & Technical Assistance Conference Jonathan Collins, Project Manger Kauffman & Associates, Inc. What is LTSS?.

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The LTSS Roadmap and Technical Assistance Center

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  1. The LTSS Roadmap and Technical Assistance Center 2019 National Title VI Training & Technical Assistance Conference Jonathan Collins, Project Manger Kauffman & Associates, Inc.

  2. What is LTSS? Long-term services and supports (LTSS) are a spectrum of health and social services that support elders or people with disabilities who need help with daily living tasks. LTSS can be provided in the home and community or in a facility. • Medical, personal, and social services • Help people with functional limitations, including elders and people with disabilities • Home- and community-based services are preferred option to maximize independence

  3. Types of LTSS Services Caregiver and client training Case management Dietary management by dieticians Disease prevention Durable medical equipment Health promotion Hospice care Medication management Occupational therapy Pharmacy Personal emergency response systems Physical therapy Respite care for caregivers Skilled nursing Speech therapy

  4. Types of LTSS Services cont. Adult day care or senior centers Financial management, help with bill-paying Home-delivered meal programs Home safety assessments, repairs, and modifications Homemaker and chore services Nutritional meals at congregate sites Information and referral services Legal services Personal care (dressing, bathing, etc.) Telephone reassurance Transportation and access

  5. LTSS RoadMap For tribes interested in establishing an LTSS program in their communities. Designed to help people understand their communities needs.

  6. Step 1: Needs Assessment

  7. Step 1: Needs Assessment Collecting of information that provides a complete picture of your community. Helps identify and prioritize needs of the community. A crucial step in the roadmap process

  8. Steps to a Needs Assessment Identify initial needs Collect Data Define LTSS Needs Describe LTSS Needs

  9. Step 2: Goals & Objectives Goals set your purpose and state which issues you want to address. Objectives are measurable targets that help you meet your goal. Performance metrics are ways to measure changes in your community, to see if you are meeting your goals.

  10. To help identify your goals and objectives, consider these questions: What goals do you want to achieve through your LTSS program? What are some objectives you need to accomplish to help achieve the goal?

  11. Step 3: Compare Models LTSS programs follow one of two models: Home and Community-Based Services Facility-Based Services Financial Considerations and the level of tribal involvement in LTSS program delivery differ between models.

  12. Step 4: Select a Model Study each model to understand how each relates to your community, consider the following: Impact Required Resources (Non-Financial) Sustainability and Cost Effectiveness

  13. SWOT Analysis 1. Hold a meeting of people who know about LTSS, health care, elder care, social services, and Medicare and Medicaid services and programs. 2. Create a list of strengths, weaknesses, opportunities, and threats for your LTSS project. 3. Review and discuss the items in each of the four categories, ensuring items are in the correct categories. 4. Develop action items that deal with each quadrant of the SWOT matrix. Examples of action items include: • Strengths: How can we take advantage of each strength to expand or build LTSS? • Weaknesses: How can we address and correct these weaknesses? • Opportunities: How can we use these opportunities to benefit our program? • Threats: How can we reduce the risks posed by these threats?

  14. Step 5: Planning Strategic planning can: Give you a clear understanding of your community’s current situation Help you anticipate problems Build on your community’s current strengths Steps to Strategic Planning: Understand your LTSS model • Review program requirements, identify your funding source, figure out amount of financing Plan strategically • Identify things that might affect your program Prepare for implementation • Create a implementation plan and develop timelines, line up your resources

  15. Step 6: Implementation The implementation checklist can help you get a clearer view of certain aspects of your program. Implementation Checklist: • Financing • Accreditation • Buildings • Staffing Certifications Develop a Work Plan Strategies for success • Existing resources, communicating with key stakeholders, build and use partnerships.

  16. Step 7: Evaluation Evaluation measures your progress towards your goals and objectives, helps identify successes and areas that need improvement. Evaluation Questions Key Elements Logic Model Evaluation is a continuous process. Use your evaluation results to help improve your program.

  17. https://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/planning/ltss-roadmap.htmlhttps://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/planning/ltss-roadmap.html

  18. Visiting the LTSS Technical Assistance Center

  19. Visits to the LTSS TA Center Who has visited the Long-Term Services and Supports Technical Assistance Center on cms.gov? For those who haven’t used this website, have you heard of it before?

  20. What is the LTSS TA Center? A guide for American Indian and Alaska Native audiences in planning and implementing programs to care for their elders and people with disabilities

  21. The LTSS TA Center Offers information and resources on many LTSS topics Designed for tribal communities Updated based on your input

  22. LTSS TA: Assisting Communities Resources for Native communities, especially health planners For reservations, rural areas, or urban areas Supported by an agency partnership: CMS, ACL, and IHS

  23. Visiting the LTSS Technical Assistance Center

  24. Getting to the Site https://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/index.html

  25. Tribal Leaders New section with information for tribal leaders and policymakers • LTSS overview • How to use the TA Center • Toolkit • Long-term care videos

  26. Planning and Evaluation Provides an introduction to the planning process and guides you through detailed steps • Early planning steps • Advanced planning steps • A step-by-step planning roadmap • New information on program evaluation was added based on your input

  27. Program Examples Profiles that highlight examples of successful tribal LTSS programs • Pueblo of Zuni’s LTSS Network • Cherokee Nation Home Health Services, Inc. • White Earth Long Term Care Consultation • Oneida Nation’s COP-W Program • Cherokee Elder Care Program

  28. Program Structure Describes and compares the two main models for providing LTSS • What’s the difference? • Home- and community-based • Facility-based • Level of tribal involvement

  29. State and Federal Relationships Offers information about working with state and federal programs and connecting with resources • State resources map • National and regional resources • State Medicaid plans and waivers • 1915 (c) waivers by state • Overview of 1915 (c) waivers

  30. Videos

  31. Database of IHS, Tribal, and Urban LTSS Programs The ITU database has an interactive map that looks at LTSS in Indian Country by the numbers

  32. LTSS Focus Areas The LTSS Focus Areas section offers research on specific types of services, including: LTSS for Native Veterans, caregiver support, elder abuse prevention, hospice and palliative care, tribal nursing homes and emerging LTSS issues. Reports, fact sheets, infographics and videos Tribal programs highlighted as examples

  33. Financing Offers information on possible LTSS funding sources • Financial planning steps • Who pays for LTSS • Information on funding LTSS through reimbursements • New section on grants

  34. Other Resources Newsletter • Monthly email newsletter • LTSS news and funding opportunities • Highlights a TA Center tool or resource Webinars • Monthly webinars on different LTSS topics given by experts from across the country

  35. TA Center Social Media CMS Tribal Affairs LinkedIn Group CMS Twitter LTSS Email Newsletter

  36. Visit the Long-Term Services and Supports Technical Assistance Center:https://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/index.html

  37. What information did you think was helpful? • Which sections would you like to spend more time exploring? • Is there anything else you would like to see on the TA Center? Final Discussion and Questions

  38. Jonathan Collins Project Manager II Kauffman & Associates, Inc. (202) 823-3969 Jonathan.Collins@kauffmaninc.com Contact:

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