Stakeholders' Blueprint for Long-term Care
People with disabilities and older adults in Wisconsin have a lot at stake in how Wisconsin redesigns its long-term care system. That’s why over 60 Stakeholder groups worked together over the past few months to develop a vision for the future of long term care in Wisconsin. This led to the creation of the Stakeholders’ Blueprint for Long Term Care Redesign.
All stakeholders agree with the Legislature and Department of Health Services that Wisconsin needs a sustainable long-term care system that provides people with cost-effective and quality care. The Blueprint fits within the parameters laid out by the legislature in the 2015-2017 budget. It is intended to help DHS and the legislature develop the best plan possible to implement the budget guidelines.
1. Build on what is already working in Wisconsin’s long term care system, which includes: a regional structure that allows for adaptation to the unique features of each region; Wisconsin-based
managed care organizations (MCOs) with proven
records of successfully supporting people in the community;a variety of high-quality provider agencies; a robust self-directed services program; and nationally-recognized local Aging and Disability Resource Centers (ADRCs).
2. Make stakeholders equal partners in decision-making at all levels of the system, and in ensuring the long term sustainability of the system.
3. Implement major changes in the long term care system using a thoughtful, staged process that allows enough time to pilot the new model in some parts of the state, evaluate and refine
it, and then systematically expand.
4. Prioritize community living and employment; create multiple mechanisms to prevent and reduce institutional care; and take the necessary measures to accommodate individuals with
complex health and/or behavioral health needs.
5. Use a variety of strategies to prevent, delay, and reduce the need for long term care services.
6. Ensure that the person drives the process, and that each individual care plan reflects the person’s goals.
7. Incentivize innovation.
8. Focus on the needs of the “whole person” with coordination of care across the continuum to ensure that medical, behavioral,
and non-medical long-term care support needs are met.
9. Protect and empower consumers with unbiased, consumer-friendly information; strong rights protections; and an independent ombudsman system.
10. Ensure full access to services regardless of where people live.
11. Put people before profits – improving people’s quality of life should take precedence over maximizing profits.