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State of IllinoisIllinois Department on Aging
Older Adult Service Older Adult Service Advisory CommitteeAdvisory Committee
(OASAC)(OASAC)4 Years Later4 Years Later
Governor’s Conference on AgingIllinois Department on Aging
December 2009
PRESENTERS: Janice Cichowlas, Ph.D., JD
Policy Analyst
Illinois Department on Aging
Sandra Alexander, MSW
Division Manager
Illinois Department on Aging
Illinois P.A. 93-1031 (SB2880)Illinois P.A. 93-1031 (SB2880)Older Adult Services ActOlder Adult Services Act
Momentum initiated from 2003 long term care summits conducted across the state
Culmination of effort conducted on behalf of aging network, senior advocacy groups and state leadership
Signed August 27, 2004
P.A. 93-1031 (SB2880)P.A. 93-1031 (SB2880)Older Adult Services ActOlder Adult Services Act
Transform and restructure Illinois’ system of care for older adults Shift focus from facility care to home and community based care
Service Restructuring
Grants/ Demonstration
Reports & Products
Advisory Committee (OASAC)
Older Adult Service Advisory Older Adult Service Advisory Committee (OASAC)Committee (OASAC)
Purpose: Advise Directors of IDoA, HFS and
IDPH on all matters related to this Act
Designate IDoA as lead agency, and appoint 32 members with each member serving a specific term
Establish an Advisory Committee that meets quarterly; Executive Committee that meets monthly
Organizational Chart: OASACOrganizational Chart: OASAC
Illinois Department on AgingHealthcare and Family Services
& Pubic Health
Older Adult Services Advisory Committee
CoordinatedPoint of Entry
Service Expansion
Work Force & Caregiver Finance
NursingHome
Conversion
Guiding Principles of OASACGuiding Principles of OASAC1. 1. Rights of Older AdultsRights of Older Adults
All services provided to older adults, regardless of the oversight agency, should promote the right of older adults to live out their lives with dignity, retaining their autonomy, individuality, privacy, independence, and decision making ability.
Guiding Principles of OASACGuiding Principles of OASAC2. 2. Consumer DirectionConsumer Direction
Right of an older adult to be fully informed of all options and to choose, decline, and have input into how any and all services are provided for which they are eligible. All programming provided for older adults using public funds, regardless of the agency providing oversight, should incorporate this concept.
Guiding Principles of OASACGuiding Principles of OASAC3. 3. Accountability and Accessibility of InformationAccountability and Accessibility of Information
All providers of services must meet contract requirements, all applicable federal and state requirements, and program standards
Appropriate sanctions shall be levied for failure to comply with regulations
Information concerning sanctions should be available for public review
A balanced approach to oversight must be developed
Guiding Principles of OASACGuiding Principles of OASAC4. 4. StandardsStandards
Maximize the program participants’ quality of care and assure the services shall be rendered in a timely manner to protect and promote the rights of older adults to live in the least restrictive settings.
The Five OASAC WorkgroupsThe Five OASAC Workgroups Finance Services Expansion Nursing Home Conversion Coordinated Point of Entry Workforce and Caregiver
Finance Workgroup:Finance Workgroup:2009 Accomplishments2009 Accomplishments
Gathered and analyzed data from several states on LTC services and funding mechanisms global budgeting consolidated long term care agencies reducing institutional capacity nursing home transition/diversion programs
Services Expansion Workgroup:Services Expansion Workgroup:2009 Accomplishments2009 Accomplishments
Advocated for rate increases were provided in both in-home care and adult day services
Issued Medication Management issue paper Studied the Elder Economic Standard Index (EESI)
to replace the Federal Poverty Level (FPL) Advocated for funding of respite services Provided oversight of the Determination of Need
(DON) Study
Nursing Home Conversion Workgroup:Nursing Home Conversion Workgroup:2009 Accomplishments2009 Accomplishments
Developed a pilot nursing home bed conversion program
“The Nursing Home Bed reduction and Resource Conversion Program: Expanding Health care Service Options to Benefit Illinois Seniors”
Explored availability of respite services statewide
Coordinated Point of EntryCoordinated Point of Entry Workgroup:Workgroup:2009 Accomplishments2009 Accomplishments
Twenty-two standards have been developed to promote a consistent service model for CPoE sites across the state of Illinois
Workforce and CaregiverWorkforce and Caregiver Workgroup: Workgroup:2009 Accomplishments2009 Accomplishments
Reviewed career ladder/lattice programs to improve Reviewed career ladder/lattice programs to improve the recruitment and retention within the health care the recruitment and retention within the health care workforce workforce
Advocated for standardized and improved training programs
2010 & Beyond2010 & BeyondP.A. 96-0248
State Plan due September 30, 2010 Facilitated planning process to develop
recommendations to reform the delivery of services to older adults
Review and recommend changes/improvements to workgroups
2010 Workgroup Goals (Highlights) 2010 Workgroup Goals (Highlights)
Implement and evaluate a medication management pilot program
Implement and evaluate a health and social service coordination pilot in the state
Initiate a pilot for a single occupancy room bed conversion program in three areas of the state
Implement the CPoE standards throughout the state
2010 Recommendations2010 Recommendations Support rate increase to achieve a living wage Recommend the development of a training
certificate/accreditation program
- Core curriculum
- Safety training Recommend career ladder/ lattice programs
ConclusionConclusion Substantial, if incremental, progress is being made
toward implementing the Older Adult Services Act
To make real progress, Aging will need increased funding, commitment from the Governor’s office, and legislative leadership to support home and community based services
ContactsContacts Senior HelpLine
1-800-252-8966
Web site Illinois Department on Aging
http://www.state.il.us/aging/