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Health Commission approves plan to develop Long Term Care Integration implementation body
Summary
The San Francisco Health Commission voted to direct the Department of Public Health to work with partners to develop an implementation plan for a Long Term Care Integration strategy, including formation of a new implementation body to coordinate long-term services and supports and prepare for California—s Coordinated Care Initiative.
The San Francisco Health Commission on for the record approved an amended resolution directing the Department of Public Health to develop an effective implementation plan for the Long Term Care Integration (LTCI) strategic plan and to help form an LTCI implementation body.
Ann Hinton, director of the Department of Aging and Adult Services, said the plan grew from work by the Long Term Care Coordinating Council and a design group that included city departments, health plans and community providers. "This work started under the auspice of the Long Term Care Coordinating Council," Hinton said, describing goals to expand community-based supports and create a central access point while preserving strong community provider relationships.
The commission heard a detailed overview of California—s Coordinated Care Initiative (CCI) and its Cal MediConnect demonstration, which seeks to coordinate Medicare and Medi-Cal benefits for dual-eligible beneficiaries. Eileen, co-chair of the LTCI design group, told commissioners that eight counties are currently authorized under state legislation and that San Francisco—s inclusion in the statewide rollout could be possible in 2016 depending on readiness and additional legislation.
Commissioners debated the resolution—s language. Commissioners and staff agreed to amend the resolution to direct the Department of Public Health to continue developing an implementation plan, including formation of an LTCI implementation body, rather than directing continued work by the original design group. The amendment was moved, seconded and approved by voice vote.
Supporters said the implementation body would include the Department of Aging and Adult Services, Human Services Agency and the Department of Public Health, health plans and the Long Term Care Coordinating Council to provide oversight. The presenters and commissioners emphasized that many of the LTCI recommendations—such as increased access, caregiver training, dementia resources and nonprofit readiness for managed care—are useful whether or not the state—s CCI reaches San Francisco on the same timeline as other counties.
The resolution passed by voice vote; no roll-call tally was recorded in the meeting transcript. Commissioners were expected to work with staff to develop membership and convene the implementation body in coming months.
What happens next: the Department of Public Health will continue work on the implementation plan and staff the formation of the implementation body, and the commission asked for follow-up reporting on membership, funding sources and measurable milestones.
