Case Study 1
Goals
- Increase the proportion of LTSS consumers who are served in home- and community-based settings by increasing the availability of HCBS options.
- Improve the experience of LTSS consumers by improving the effectiveness of care coordination.
- Improve health and functional outcomes for LTSS consumers.
- Reduce the rate of growth in LTSS expenditures.
After a great deal of preparatory work, James and the CPT recruited additional stakeholders identified as important to the success of the pilot. They also developed materials to clarify and expand communication about the goals and scope of the initiative and created an extensive plan for gathering input. Groups of both internal and external stakeholders were asked first to provide feedback on the clarity of the goals and later to provide input into the key decisions that would define the program design and implementation.
As part of the outreach plan James conducted group and one-on-one meetings, community forums, focus groups, as well as creating a web-based forum for public comment. He also led (and continues to lead) many informal conversations with a wide range of stakeholders, many with passionate and at times conflicting positions.
It’s now time for James and the CPT to sort through the feedback as they tackle the major design decisions for their pilot MLTSS program.
