Michigan s Long-Term Care Conference Hilton Detroit, Troy March 23-24, 2006

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2. What is NFTI?. 2001 Real Choice Systems Change Grant, Centers for Medicare and MedicaidAdministered by MDCH, Division of Community Living and DYNS Services, Inc.Diverted 105 individuals from nursing office placementTransition 210 individuals from nursing offices to group livingBuilt on experience of Michigan Centers for Independent Living move work.

Presentation Transcript

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Michigan Nursing Facility Transition Initiative Michigan's Long-Term Care Conference Hilton Detroit, Troy March 23-24, 2006

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What is NFTI? 2001 Real Choice Systems Change Grant, Centers for Medicare and Medicaid Administered by MDCH, Division of Community Living and DYNS Services, Inc. Redirected 105 individuals from nursing office situation Transition 210 individuals from nursing offices to group living Built on understanding of Michigan Centers for Independent Living move work

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NFTI Partners Michigan Department of Community Health Division of Community Living Neighborhood Services Organization MI Choice Waiver Program Detroit Area Agency on Aging Area Agency on Aging of Western Michigan State Housing Development Authority University of Michigan: Turner Geriatric Center

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NFTI controlling standards Promote real framework change in long haul mind: People ought to have the capacity to picked where to live and have the capacity to pick the slightest prohibitive condition People who needn't bother with nursing consideration ought not be in NF Result in huge cost move from institutional to group mind Housing is basic segment of long haul mind program

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NFTI Transition Component Identify individuals in NF who express a craving to live in group Develop individual focused move arranges: Housing segment Services Component Build on existing group limit in MI Choice Waiver Coordinate with Housing suppliers

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NFTI and MI Choice Waiver Located a NFTI extend at two MI Choice Waiver operators Detroit Area Agency on Aging Area Agency on Aging of Western Michigan Developed "wrap around" model to facilitate NFTI with MI Choice Waiver

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MI Choice Waiver History Funded by State and Federal $ Established in 1992 Statewide scope by 1998 Served 15,000 in 2000 Currently serves 8,600 individuals Medical qualification: "nursing home" LOC Financial qualification: 300% of SSI

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Project Model NFTI Coordinator at MI Choice Waiver Agent to create move arranges with individuals who wished to leave nursing office: create individual focused move arranges Housing Services Financial execute arrange

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Preliminary Transition Results 58% of the general population transitioned did not require state subsidized Medicaid administrations from MI Choice or Adult Home Help The normal cost of the individuals who used the MI Choice Waiver was $670 every month Average month to month Medicaid reserve funds was $3,066 contrasted with Nursing Facility 56% fell into most reduced RUGs classification (Reduced Physical Function)

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Preliminary Transition Results proceeded with… Mi Choice Waiver specialists give compelling and reasonable strategies to transitioning individuals from nursing offices Building people group backings and lodging is basic to coming back to the group Important to take a gander at individuals who don't fit the bill for MI Choice waiver or Home Help

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Case Histories Transition member: 61 year old male, restricted English, blazed in house terminate, after hospitalization was set in NF for a long time since he had no place to live, nursing office social laborer reached NFTI program to mastermind move to group. Living in group since September 2004. 32 year old quadriplegic, critical ADL and IADL bolster, moved to group in October 2004 with help of Section 8 lodging

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Recommendations, proceeded with Coordinate NFTI with Money Follows the Person extend Include NFTI in state Quality Improvement Initiative for long haul mind Develop nearby collaboratives to bolster extend including: Centers for Independent Living, Continuums of Care, MI Choice Waiver Agents, Community Mental Health Agencies, Hospitals and Nursing Facilities Promote NFTI mind assistance display which will bring about better care and less protracted remain in intense care and long haul mind

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Transition Participants

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Transition Participants

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Transition Participants

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Transition Participants

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Training and Education Component Develop Transition instruction segment, which expands on Center for Independent Living Project and NFTI encounters Train wide assortment of long haul mind experts, members and group assets

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Recommendations Incrementally grow Transition and Diversion ventures statewide utilizing NFTI demonstrate Continue existing projects in Wayne and Kent provinces Continue assessment to refine cost show/results investigation Modest extension to maybe a couple different districts for each year Target 10 to 12% of NF occupants who needn't bother with nursing care

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Recommendations proceeded with… Coordinate NFTI with Money Follows the Person extend Include NFTI in state Quality Improvement Initiative for long haul mind Expand neighborhood strong lodging consortia to different territories of state and to include: Centers for Independent Living, MI Choice Waiver Agents, Hospitals and Nursing Facilities.

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Addressing Barriers Fear of leaving foundation Care facilitator and Community Consortia Lack of cash, criminal history, poor record of loan repayment, absence of group backings Care facilitator and Community Consortia Lack of reasonable, boundary free, and available lodging Section 8 Housing Certificates for a very long time 18 to 62 Community Supportive Housing Consortia Michigan Team

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Local Consortia Human Service Agencies Co-drove by social administrations, incorporate Area Agencies on Aging, MI Choice Waiver Agents, Centers for Independent Living, emotional wellness, substance mishandle, employments, and other specialist co-ops Local Governments Co-drove by biggest city or district Include other neighborhood wards Nonprofit patrons and promoters Some with lodging background Some specialist organizations

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