Community Care Services Program: annual report, state fiscal year 2010 summary

COMMUNITY CARE SERVICES PROGRAM SUMMARY ANNUAL REPORT

CCSP SFY 2010

The CCSP provides consumers the long term care option of community-based services. Consumers who qualify for nursing facility (NF) level of care, and are Medicaid eligible, may choose to receive service in the community, instead of institutionalization.

It is estimated that between 1990 and 2010 the number of people over the age of 60 increased by 62.5% in Georgia. Those 85 years+ are by far the fastest growing age group; by 2010 their numbers are expected to increase by 114.6%. Growth projections for seniors suggest that there will be greater demand for an array of cost-effective home and community-based services and long-term care resources.

CCSP - Demonstrated Quality Performance:

Cost savings to the state

Improved Consumer Quality of Life

Measurable program value

Personal choice &



consumer independence

Community-based services



Supports individual independence

Improves consumer quality of life Supplements family responsibility



Supports family/ informal caregiver

Served 12,762 consumers who live independently in their home and/or community; 73% are female and 47% are non-White 92% of eligible consumers chose CCSP Consumer satisfaction with CCSP services averaged 99% Consumer satisfaction with CCSP care coordination was 95%
92% of clients report that the CCSP care coordinator assisted them in having a better quality of life

Cost-effective



For eligible consumers, CCSP is less

costly than Medicaid in a nursing

home Savings to state budget & taxpayers



Alternative Medicaid long term care option to nursing facility placement

CCSP Medicaid consumer expenditure averages 30% of what it would cost for these consumers to be in a Medicaid nursing facility - a $19,917 per consumer taxpayer savings, or, $254,180,754 statewide
CCSP care coordination cost per consumer was $1,793
Cost to administer CCSP is only 1% of the total CCSP Administrative budget

64% of consumers contribute to the cost of their services, with 1% paying the entire cost

"CCSP has helped my mother to be able to stay out of the nursing home. My

brothers and I considered sending her to the nursing home until we were informed

about CCSP."

Daughter caregiver of Female consumer age 76 receiving ERS, PSS

Newnan, Southern Crescent AAA

"I am very happy living at the alternative living services home. The staff is very helpful and the residents are nice. Here I can still do some things for myself. I can get help when I need it at any time." Female consumer age 89 receiving ALS
Cordele, River Valley AAA

"Your program has improved my wife's quality of life 90%. Prior to my discovering CCSP, I was hit or miss being the only caregiver. Your program has benefited me. I have some free time to take care of myself mentally and physically so I can better care for her. CCSP has given my wife a better attitude towards wellness. She was despondent and depressed before we found CCSP. The adult day health program and the aide have increased her morale and attitude. The program has been an asset to us both."
Husband caregiver age 77 of Female consumer age 75 receiving PSS, ADH Loganville, Northeast GA AAA

Community-based long term

care option

Assures least restrictive living

environment suitable to needs of



eligible consumer



One-stop access to local

information, referral & services

Gateway/Aging & Disability



Resource Connection (ADRC)

statewide database Aging Network: 12 Area Agencies

on Aging, care coordination, and,

457 service provider agencies



28 years of successful community-based program services and care coordination delivery
Services effectively delay or prevent consumer institutionalization an average of over 4 additional years (48 months)
159 consumers admitted to CCSP from nursing facilities; 61 nursing facility residents enrolled in Money Follows the Person, and transitioned with support services into the CCSP
92% of eligible consumers choose the CCSP over more expensive nursing facility care
49% of consumers are over age 75. Clients younger than age 60 have increased from 17% to 22% since SFY 2000
Aging and Disability Resource Connection for community information, assistance & referral to services and consumer programs

Comprehensive care
coordination planning &
development
Preventive and supportive Initiates brokering, delivery &
monitoring of services Collaborates with consumer to
establish social, health and support services Monitors provider and care coordination agencies compliance with program policies and procedures Conducts ongoing training of program staff and agencies

Consumer freedom of choice between community services and institutional care, and between service provider agencies

Consumer focus and individualized Plan of Care

Critical Incident Review monitors

serious injury, falls & abuse,

neglect and exploitation data on

CCSP clients and implements

statewide

intervention

recommendations for safety and independence

Development and delivery of services by provider agencies in the home and/or community

Encourages innovative

program collaboration

State, university, corporate and non-

profit community partners Quality management strategy and



systematic review of Waiver



Assurances performance

Program deliverables based on

measures, targets and continuous

quality improvement



Statewide service provider agencies

training

Preventive and supportive policies &

standards for delivery of consumer

focused quality services

Statewide database of community services and resources
CCSP supports economic development in Georgia, partnering with 457 public and private licensed, enrolled service businesses and healthrelated agencies
Consumer Directed - Personal Support Services option promotes consumer choice and independence. It provides the opportunity to hire and manage personal care with consumer-hired employees.

"My son requires total care, and I have cared for him for 36 years alone without any family support. I am very

grateful he was admitted to the CCSP. With the services, I can take time for myself and my health. It is a

wonderful relief."

Mother caregiver age 60 of Male consumer age 38 receiving PSS, PSSX

Meigs, SOWEGA AAA

Decreasing Depression in Community Elders
The Georgia Coalition on Older Adults and Mental Health (GCOAMH), a collaboration of public and private partners, focuses on mental health issues and service needs for older adults. CCSP care coordinators are trained to identify, assess, and refer consumers with depression for treatment.

Aging & Disability Resource Connection (ADRC)

"I am very grateful for the help that I get to help care for my husband. The aide does the things that I am not able to do to care for him. I cannot get him into the shower, but the aide can. The shower makes him feel so much better. It gives me a chance to get away and have some time for myself. It is hard having to stay in the house 24 hours a day 7 days a week. I look forward to the one day a week I can get out. The meals help by giving me a break from cooking 3 meals a day, and my husband enjoys them."
Caregiver wife of husband age 76 Blackshear, Southern GA AAA

Provides information, resource and referral assistance to aging consumers, those with disabilities, to caregivers and families. It is estimated that 60% of the 2 million people living with developmental disabilities in the U.S. live with a family care giver. Twenty-five percent of these caregivers are over age 60.1
In SFY 2010 61,000 caregivers contacted an ADRC. As care givers age and consumers with a disability live longer, there will be increasing need for caregiver support in the community.
Nursing Facility to Community Transition & Money Follows the Person (MFP)
In SFY 2010 the CCSP admitted 159 eligible consumers from nursing facilities. Additionally, 61 consumers were enrolled from nursing facilities and supported through MFP in their transition into the community. Over the period of the grant, ending in SFY 2016, the MFP targets transitioning 375 elderly and/or disabled consumers from nursing facilities to the community, realizing potential savings to GA taxpayers in excess of 6 million dollars a year in long term care costs.

CCSP SERVICES - SFY 2010

Adult Day Health (ADH)
Alternative Living Services (ALS)
Consumer Direction PSS option (CD-PSS)
Emergency Response Services (ERS)
Home Delivered Meals (HDM)
Home Delivered Services (HDS)/ Skilled Nursing (SN)
Personal Support Services (PSS)
Out-of-Home Respite Care (OHRC)

ADH, 788

ALS, 2261

OHRC, 72

PSS, 9441

HDM, 5481

HDS/SN138

ERS, 5973

Consumer Directed PSS Option,
355

Note: Consumers may utilize more than one service

CCSP SERVICES, cont'd
74% of CCSP consumers used Personal Support Services, which accounted for 70% of total CCSP expenditures
43% of CCSP consumers utilize Home Delivered Meals 47% of CCSP consumers used Emergency Response Services Alternative Living Services ranked second in expenditures, accounting for 12% of CCSP
Medicaid provider services costs
"I'm almost 102 years old and without CCSP services I would be in the nursing home for sure. The aides help out so much and everybody is absolutely great."
Female consumer age 101 receiving PSS, PSSX, HDM Nicholls, Southern GA AAA
Call toll free statewide # 1-866-55-AGING Gateway/ADRC
local & statewide information, resources & referral
CCSP Statewide SFY 2010 Annual Report Summary DHS Division of Aging website http://aging.dhr.georgia.gov
1 The State of the State in Developmental Disabilities, Braddock, Hemp, Rizzolo, 2008 2 CCSP 5-Year Waiver Renewal Statewide Data Collection & Analysis Report, GA Health Policy Center, GSU, FY 08
Community Care Services Program (CCSP) SFY 2010