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The Indian Health Service and Elder Care

The Indian Health Service and Elder Care. Bruce Finke, MD - IHS Kay Branch – Alaska Native Tribal Health Consortium For the 2008 National Title VI Training April 29, 2008 Shakopee, MN. Let’s talk about…. 2008 IHS Long Term Care Grants The Director’s Initiatives in Chronic Care

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The Indian Health Service and Elder Care

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  1. The Indian Health Service and Elder Care Bruce Finke, MD - IHS Kay Branch – Alaska Native Tribal Health Consortium For the 2008 National Title VI Training April 29, 2008 Shakopee, MN

  2. Let’s talk about…. • 2008 IHS Long Term Care Grants • The Director’s Initiatives in • Chronic Care • Health Promotion and Disease Prevention • Behavioral Health • Palliative Care Training and Resources • CDC and topics of interest in Aging • Fall and Injury Prevention • Other important topics…..?

  3. DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services; Elder Care Initiative Long- Term Care Grant Program Announcement Type: New. Funding Announcement Number: HHS–2008–IHS–EHC–0001. Catalog of Federal Domestic Assistance Numbers: 93.933. Key Dates: Letter of Intent Deadline: May 2, 2008. Application Deadline Date: June 20,2008. Review Date: July 21–August 1, 2008. Earliest Anticipated Start Date: September 1, 2008.

  4. IHS Elder Care Long Term Care Grants – FY08 Category 1 – Assessment and Planning • What do our elders need and how do we provide it? • 2 Years • Up to 50K per year • Eligible service(s) • Sustainability Category 2 – Implementation • We know exactly what we want to do, we know it will work, we just need some help getting it started. • 2 years • Up to 75K per year • Eligible service(s) • Sustainability

  5. IHS Elder Care Long Term Care Grants – FY08 Category 1 - Assessment and Planning • Understanding the need for LTC • Specifics!!!! • Demographics!!!! • Leading to comprehensive plan or vision for LTC • Leading to a detailed business plan for a service or services

  6. IHS Elder Care Long Term Care Grants – FY 08 Category 2 – Implementation • Need clearly demonstrated • Fully developed plan • Including possibly a business plan • Clear path to sustainability after 2 years

  7. IHS Elder Care Long Term Care Grants – FY 08 • If a long term care service or program is not eligible for contracting or compacting, it is not eligible for funding through the grant program. • Only long term care services that are primarily medical in nature are within the authority of the Indian Health Services • The programs or services must be designed to serve IHS beneficiaries.

  8. IHS Elder Care Long Term Care Grants – FY08 Only medical long term care services are within the authority of the Indian Health Service A medical long term care service should be • based on an individual assessment by a qualified professional. • part of an individual care plan. • linked to a specific diagnosis or diagnoses.

  9. IHS Elder Care Long Term Care Grants – FY 08 Examples of programs or services not eligible for grant funding: • Assisted Living • Custodial Nursing Home Care • Non medical transportation • Non medical nutrition • Socialization • Chore services • Social Elder Day • “PACE (Program of All-inclusive Care of the Elderly” as a specific CMS program

  10. IHS Elder Care Long Term Care Grants Examples of programs or services that are potentially eligible for grant funding: • Personal care delivered in elder housing • Swing beds, skilled nursing services, medical rehabilitation services • Medical Transportation • Medical Nutrition Therapy • Activities in a therapeutic setting • Medically required safety modifications in the home • Medical model Elder Day Health • LTC programs integrating medical Long Term Care services using the “PACE” model.

  11. Call Your Geriatrician Bruce Finke, MD 413-584-0790 615-417-4915 (cell) bruce.finke@ihs.gov

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