1 / 14

Creating a Consumer Direction Program for an Area Agency on Aging

Creating a Consumer Direction Program for an Area Agency on Aging. The National Association of Area Agencies on Aging Scripps Gerontology Center, Miami University, Oxford Ohio. Choice for Independence. Survey of all AAAs

gin
Download Presentation

Creating a Consumer Direction Program for an Area Agency on Aging

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Creating a Consumer Direction Program for an Area Agency on Aging The National Association of Area Agencies on Aging Scripps Gerontology Center, Miami University, Oxford Ohio

  2. Choice for Independence • Survey of all AAAs • Majority wanted more information about Choices for Independence initiatives • 48% ranked consumer direction as one of their top technical assistance/training priorities

  3. Designing and implementing a consumer directed program at a AAA

  4. Motivations • Labor shortages in home care • Political pressure to spend local dollars or lose them • Increased options for older adults and caregivers

  5. Challenges • Societal values/paying family members • Role of case manager • Universal concerns about fraud, abuse, health and safety, quality of service • Provider concerns

  6. Design solutions to some of the challenges • Care plan costs • Limits on who can be hired • Agency-wide trainings • Implementation team • Meetings with provider network • Independent evaluation

  7. Consumer Direction Model • Consumer as employer of record • Supports in place • Fiscal intermediary • Case managers • Consumer training • Authorized reps

  8. Evaluation of the program • Baseline and follow-up information about participants • Comparison to consumers who stayed in traditional program • Results • Consumer profiles • Consumer impacts • Caregiver impacts

  9. Characteristics of Traditional and Consumer-directed consumers

  10. Satisfaction with Choice and Control over Services for Traditional ESP and Consumer-directed ESP clients

  11. Additional findings • Caregivers for consumer-directed participants spend an average of 7 hours a day providing unpaid care • Every caregiver said they would recommend the program to others • Consumer-directed participants used more of their authorized care plan costs • Self-directed participants received nearly 3 times as many units of service as participants in the traditional program

  12. Lessons Learned • Older, more frail and cognitively impaired consumers can succeed in consumer directed services • Program serves families • Case managers play a key role • Program planning and design can preempt some of the challenges • Political processes, leading for change within the agency are crucial

  13. Contacts • National Association of Area Agencies on Aging (n4a) • www.n4a.org • rlogan@n4a.org • Scripps Gerontology Center • www.scrippsaging.org • kunkels@muohio.edu

More Related