On Monday, Oct. 19, providers, stakeholder groups, Managed Care Organizations and potential IHAs gave testimony to DHS regarding the vision for the future of the long-term care system in the next version, Family Care/IRIS 2.0. There were many points of view coming to the microphone but clarifying questions coming from Brian Shoup, Division of Long Term Care Administrator, seemed to focus on quality outcomes for the residents being served.
Mike Pochowski, Board President-Elect for WALA and Director of Government Affairs and Legal Operations at Brookdale Senior Living provided testimony on behalf of WALA.
WALA also provided followup information in an email yesterday to Shoup regarding a question he had about case management in IHAs. This email quoted WALA’s Testimony as well as providing additional insight into the duplicate services being performed.
WALA “hope[s] you will seriously consider an assessment methodology using the current comprehensive regulatory required assessments in assisted living. The AL providers are required to perform RN assessments not less than annually and upon change in condition. Having AL providers and IHAs duplicate work is expensive and can lead to errors.
We have offered many times over many years to help develop a pilot project to test the ability of a new system using the RN assessment as the basis of needs evaluation. While we understand the IHAs have a responsibility for the assessment and care planning, the recommendation we make is sub-capitate this responsibility is worth exploring.