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Disability, Comorbidity & Service Use Julian Montoro-Rodriguez, PhD Director Center on Aging California State Univer

Disability, Comorbidity & Service Use Julian Montoro-Rodriguez, PhD Director Center on Aging California State University San Bernardino. Inland Empire Disabilities Collaborative Conference 2013 “ Aging Well With A Disability ” September 17, 2013 8:00-4:30 San Bernardino Hilton Hotel

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Disability, Comorbidity & Service Use Julian Montoro-Rodriguez, PhD Director Center on Aging California State Univer

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  1. Disability, Comorbidity & Service UseJulian Montoro-Rodriguez, PhDDirector Center on AgingCalifornia State University San Bernardino Inland Empire Disabilities Collaborative Conference 2013 “Aging Well With A Disability” September 17, 2013 8:00-4:30 San Bernardino Hilton Hotel 285 E. Hospitality Lane San Bernardino, CA www.iedisabilitiescollaborative.org

  2. Disability, Comorbidity & Service Use- IEDC The Developmental Disability Services System in California has been challenged recently by: 1) an increase in the number of individuals eligible for these services 2) limited resources, rate freezes and inadequate transparency in resourceallocation.

  3. Disability, Comorbidity & Service Use- IEDC These two factors are a threat to the financial solvency of service providers. As a result there maybe be a: 1) Decreased access to high-quality care 2) Increase cost of care

  4. Disability, Comorbidity & Service Use- IEDC DESIGNING STRATEGIES TO MEET THE GOALS OF THE CALIFORNIA DEVELOPMENTAL DISABILITY SERVICES:1. POLICY RECOMMENDATIONS: - Adjust Frozen Rates - Adopt Equitable &Transparent Vendor payment systems - Maximize System Efficiency: group versus individual setting care; new sources of funding (federal programs, family cost-participation).

  5. Disability, Comorbidity & Service Use- IEDC DESIGNING STRATEGIES TO MEET THE GOALS OF THE CALIFORNIA DEVELOPMENTAL DISABILITY SERVICES:2. SOCIAL SERVICE PLANNING RECOMMENDATIONS: - Identify environmental factors impacting DDS - Adopt Best Strategies to support older adults using DDS

  6. SOCIAL DETERMINANTS OF QUALITY OF LIFE BY OLDER ADULTS WITH DISABILITY:1. Education 2. Socioeconomic Status 3. Chronic Conditions 4. Environmental Risk 5. Community Resources & Services 6. Informal Support

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