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SAGE Commission – July, 2009 Meeting

SAGE Commission – July, 2009 Meeting. Vision Statement - Draft.

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SAGE Commission – July, 2009 Meeting

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  1. SAGE Commission – July, 2009 Meeting

  2. Vision Statement - Draft Residents of the Finger Lakes Region are recognized nationally as living healthier and longer lives with a full continuum of health and health related services. These services will be person-directed, family centered, sustainable financially and make efficient use of the workforce.

  3. Key Values to Drive Vision….

  4. Work completed to date….. • Comprehensive assessment of aging services use in the Finger Lakes Region (Data Book and Demand Model) • Community Based Web-survey – summary submitted to Commission following June retreat • SAGE Commission Visioning Retreat – June 26th with summary & conclusions distributed • Interactive demand model – developed and to be used throughout the process • Develop Vision and Value Statement – July SAGE Commission meeting

  5. Next Steps • Develop demand scenario estimates – August & mid-September • Approve preliminary Preferred Scenario – September SAGE Commission meeting • Draft Strategies for achieving Preferred Demand Scenario – October – December • Finalize Strategies – SAGE Commission meetings – January – March, 2010 (Implementation Plans for key strategies will occur after high level strategies) • Final Summary Report – Summer 2010

  6. Proposed NY Demand – Use Rate Per County

  7. Proposed NY Estimated Demand

  8. Region Use Rate Variances by County The number of beds/units lower than regional means that residents are either leaving the county for services, are being served at an alternative setting or not receiving services. Higher bed/unit numbers would mean that individuals are coming into the county to acquire services or the county residents use services at this level more frequently than the region. Some discussion should occur about those counties with lower skilled and higher assisted living to determine is substitution is already occurring. Source: LA calculations from demand model July 2009.

  9. AK WA VT ME MT ND MN NH OR MA NY SD WI ID WY MI RI CT PA IA NJ NE NV OH DE IL IN MD UT CO WV VA DC CA KS MO KY NC HI TN 26 states + DC exceed national avg. 11 states 25%+ lower than national avg. OK SC AZ NM AR MS AL GA TX LA 2005 National Average = 40 per 1,000 individuals age 65+ FL 14 – 30 res. per 1,000 31-40 res. per 1,000* 41-49 res. per 1,000 52 – 65 res. per 1,000 Arkansas New Hampshire District of Columbia New York Georgia Oklahoma Kentucky Pennsylvania Mississippi Tennessee Missouri Wisconsin Montana Wyoming Connecticut Minnesota Illinois Nebraska Indiana North Dakota Iowa Ohio Kansas Rohde Island Louisiana South Dakota Massachusetts Alaska Oregon Arizona Nevada California New Mexico Florida Utah Hawaii Washington Idaho Alabama North Carolina Colorado South Carolina Delaware Texas Maine Vermont Maryland Virginia Michigan West Virginia New Jersey State Variations in Nursing Facility Beds SNF Residents per 1000 65+ 27.5 35.4 17.9 Lower Higher Source: The Lewin Group an Ingenix Company; Projecting Maine’s LTC Use, 2/29/08

  10. Oregon Model Oregon currently has the lowest use rate of Skilled Nursing Facility for the 65+ population in the US: FL Region Oregon US Occupied Beds/1000 65+ 52 17.9 40 Length of Stay – long stay 300+ days 234 days 600 days Length of Stay – short stay* 47 days 18 days 37 days Key Success Factors: • Strong and consistent governmental/aging services leadership • Strong vision for aging services which uses community based services where possible. • One administrative department for older adult services for the State. • A Medicaid waiver that allows Oregon to merge financial resources for older adults into one budget without limitations or restrictions on what is a covered service. (Medicaid 1915 (c ) & (d) waivers) * Medicare Only, does not include Medicare Advantage. These Medicare lengths of stay are 2007. Source: 2005 Lewin & Associates

  11. Oregon Model Key Success Factors: • families as older adults moved in with Strong older adult advocacy group that focused attention and action on the vision. • All services are provided on a sliding fee schedule. • Strong leadership that has consistently pushed the least restrictive location of care and sought adequate funding to meet the needs. • Priority list of services and eligibility criteria which is uniformly applied to providing support to individuals. • Matching state dollars for essential programs that supplement the federal programs. Started a program called Oregon Project Independence. • The recession in Oregon created an opportunity to make changes and support their children.

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