TEAMWORK AND TEAM BUILDING KEYS TO GOAL ACHIEVEMENT AND SUSTAINABILITY.
The Five Keys to Sustainability - advancingstates.org Keys... · The Five Keys to Sustainability...
Transcript of The Five Keys to Sustainability - advancingstates.org Keys... · The Five Keys to Sustainability...
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The Five Keys to Sustainability
HCBS Conference: Sustainability Session
Karen LLanos, Director
Medicaid Innovation Accelerator Program
Center for Medicaid and CHIP Services, CMS
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Sustainability approaches• Karen LLanos, Director Medicaid Innovation Accelerator Program,
Center for Medicaid and CHIP Services, CMS
State Panel: experiences with sustainability • Elizabeth Jones, Money Follows the Person Project Director, Texas
Health and Human Services Commission
• Tom Gossett, TEFT Grant Business Project Manager, Aging & Adult Services Division, Minnesota Department of Human Services
• Tim Cortez, Manager, Community Options Section, Department of Healthcrae Policy and Financing
General questions & answers
1
Agenda
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Sustainability Approaches
• Demonstration initiatives struggle with maintaining changes once grant funding has ended.
• Researchers and funders have identified practices that can help to maintain and sustain these efforts.
• Sustainability approaches cluster into fıve areas: 1. Partnership Expansion
2. Sustainable Funding
3. Permanent Advisory Committees
4. Policy Change
5. Institution/Organization Change
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Key #1: Partnership Expansion
• Expanding the numbers and types of partners increases the number of individuals who support the ideas and practices identified as critical to promotion of the grant-funded activities (the champions)
‒ Ensures that information and lessons learned from the grant-funded activities become part of the larger ongoing public dialogue
• Planting seeds of awareness and increasing community knowledge are enduring regardless of ongoing presence.
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Key #2: Sustainable Funding
• Be innovative in thinking about potential funding sources
‒ Effective sustainable programs make good, logical arguments for how defıned activities meet seemingly unrelated funding guidelines.
‒ Adapt quickly and respond to emerging opportunities.
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Key #3: Permanent Advisory Committees
• Approach sustainability through the development of permanent advisory committees or offıcial entities focused on providing input and advice to decision makers.
• Focus on understanding and communicating the potential health impacts of local decision-making.
• The development of these entities may not guarantee that favorable decisions will be made; however, they do ensure that attention to your mission and vision continues.
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Key #4: Policy Change
• Long-lasting community change will result from changing policies.
• The most commonly reported types of policy change were municipal and county ordinances, policies and guidelines.
• Other types of policy changes related to sustainable funding include legislative support.
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Key #5: Institutional/Organizational Change
• Strategies include:
‒ supporting staff positions
‒ creating new departments, and
‒ formally including lessons learned from grant-funded activities in missions and visions.
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Key Questions/Considerations for States
• What partnership expansions occurred across sectors and disciplines and into broader geographic areas?
• Describe additional funding that extended beyond grants to Medicaid authorities and other funding sources.
• Which permanent advisory committees were established to inform decision makers about a range of active living impacts?
• Describe pertinent policy changes that occurred which will continue to further the TEFT and MFP missions? How will these changes accomplish that?
• Discuss how sustainability achieved through institution/organization changes led to the allocation of dedicated staff and incorporation of TEFT and MFP into agency missions.
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State Experience: Colorado
Tim Cortez
Manager, Community Options Section
Department of Healthcare Policy and Financing
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State Experience: Minnesota
Tom Gossett
TEFT Grant Business Project Manager
Aging & Adult Services Division
Minnesota Department of Human Services
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State Experience: Texas
Elizabeth Jones
Money Follows the Person Project Director
Texas Health and Human Services Commission
• Awarded MFP demonstration grant in 2007• Target populations: older Texans, individuals with physical
disabilities, and individuals with an Intellectual or Developmental Disability (IDD)
• Transition to either 1115 managed care HCBS or 1915(c) waiver programs for IDD
• Demonstration services: behavioral health pilot, and relocation services
• Total Transitions as of December 2016: 11,433
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Questions?