Scope of Services Workgroup Progress Report

1. Scope of Services WorkgroupProgress Report Chair: Valerie Er-O’Connor Co-Chair: Joya La Rock

2. Scope of Services Workgroup Goal • Determine which services, programs and funding are recommended for integration during Phase I

3. Scope of Services Workgroup Deliverables • Complete matrix of LTC services currently available in San Diego County • Complete matrix of all LTC services currently not available in San Diego County • Make formal recommendation on services, programs and funding to be integrated in Phase I

4. Scope of Services Workgroup Accomplishments/Progress to Date • Scope of Services Workgroup established and members recruited • Matrix template has been developed • Information on available LTC service being collected • Meeting regularly since August 1999

5. Scope of Services Workgroup Next Steps • Identification of LTC services currently not available • Recommendation of services, programs, funding to be integrated in Phase I • Ongoing member recruitment and involvement

6. Health Plan Workgroup Progress Report Chair: Don Billings

7. Health Plan Workgroup Goals • Establish linkages with health plans that currently provide primary and acute care services to the LTC population

8. Health Plan Workgroup Deliverables • Prepare report on barriers to use of home and community-based services by health plan members and efforts to improve identification of and assistance with LTC needs • Provide information regarding the current and proposed health plan activities • Report on “lessons learned” from health plans

9. Health Plan WorkgroupAccomplishments/Progress to Date • Health Plan Workgroup established and members recruited • Meeting regularly since September 1999 • Medicaid and Medicare health plans that serve the LTC population have been identified • Health plan survey and cover letter has been developed to collect information

10. Health Plan WorkgroupNext Steps • Administer health plan survey and compile results • Prepare report on barriers to use of HCBS by health plan members and efforts of health plans to improve identification and assistance with LTC needs • Prepare report with key issues to be addressed for successful integration of acute and LTC services • Ongoing member recruitment and involvement

11. Governance Workgroup Progress Report Chair: Evalyn Greb

12. Governance Workgroup Goals • Develop a recommendation for the governance structure for the implementation phase of the LTCIP

13. Governance Workgroup Deliverables • Prepare report and present information on LTCIP governance options, including experience with other counties/states, legislative authority, potential for risk bearing, relationship with Board of Supervisors • Make formal recommendation on governance structure and rationale

14. Governance WorkgroupAccomplishments/Progress to Date • Governance Workgroup established and members recruited • Meeting regularly since September 1999 • Review and analysis of options for governance structure

15. Governance WorkgroupNext Steps • Evaluate each viable option and identify the advantages and disadvantages of the various options • Provide information on LTCIP governance options • Make a formal recommendation on governance structure and rationale • Ongoing member recruitment and involvement