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Topics in Rebalancing
A Series of 6 Topic Papers
Over the course of the Rebalancing
Research, 6 cross-cutting topic papers were developed. Each deals with
a theme related to rebalancing using information from all or some of the
8 States, and each focuses on State policies and activities related to
the Topic. Each is summarized below.
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►Topic Paper # 1:
State Strategies to Build and Sustain
Consumer Advocacy, October 2006 |
This paper, by
Reinhard Priester, Amy Hewitt, and Rosalie Kane, examines the strategies used by
States to build, sustain, respond to, and engage consumer stakeholders, and
issues in assuring that a broad range of consumer voices are heard |
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►Topic
Paper # 2:
State Long-Term Care Systems: Organizing for
Rebalancing, December 2006
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This
paper, by Rosalie Kane, Robert Kane, Martin Kitchener, Reinhard Priester,
and Charlene Harrington, discusses how the way States organize
themselves for long-term cared affects rebalancing efforts.
Illustrating with appended organizational charts, the Paper discusses
Integration versus Fragmentation of functions, programs, and
consumer populations, and Centralization versus Decentralization. |
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►Topic
Paper #3:
Managed Long-Term Care and the Rebalancing of State Long
Term Support Systems, December 2007
Newly Posted!! |
This paper, by Robert Kane, Reinhard Priester, Rosalie Kane, and Dann
Milne, discusses managed long-term care programs and plans for managed
care in the eight States with particular emphasis on Florida, Minnesota,
New Mexico and Texas. It addresses the relationship between goals to
rebalance systems towards community use and the development of capitated
managed long-term care programs, which is motivated by other goals
besides rebalancing long-term care.
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►Topic
Paper #4:
State Long Term Support Systems to Promote Informed
Consumer Decisions: Information Provision, Decisions Tools, and Options
Counseling, December 2007- Newly Posted!! |
This
paper, by Rosalie Kane, Reinhard Priester, and Robert Kane, analyzes
approaches in the eight States to create opportunities for participants
to make informed decisions among a variety of HCBS long term support
options and to make informed choices about leaving or remaining in an
institution. The paper offers a framework for defining and analyzing
the likelihood that the system helps consumers make informed decisions
about their services. |
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►Topic Paper #5:
The Future of the Nursing Home in a Rebalanced
Long-Term Supportive Services (LTSS) System Newly Posted!! |
This paper, by Reinhard Priester, Rosalie Kane, and Robert Kane,
examines whether and how each State envisages the future of
nursing homes in rebalanced long-term supportive services (LTSS)
systems. In the context of each State's particular history and
configuration for nursing homes, it discusses State quantitative
and qualitative goals for nursing homes, State strategies to
reduce the supply of nursing homes, and State strategies to make
services in nursing homes more individualized and conducive to
resident's quality of life and integration into the larger
community. |
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►Topic Paper #6:
Community-Based Residential Care Settings as Rebalancing Vehicles: State
Strategies to Make Them More like Home than like Institutions
Newly Posted!! |
This paper, by Rosalie Kane and Lois Cutler, discusses
community-based group residential settings, which in any
rebalancing statistics are typically counted in the community
rather than the institutional column, but which are extremely
varied within and across States. Using information from all
eight States, the Topic Paper identifies 5 criteria on which
residential settings could be arrayed as more . |
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