Real Choice System Chg/ Aging & Dis. Resource Ctr

2009

Measurable Outcome(s): Phase 1 - Advisory group with 15 organizations represented, including at least 5 persons who are seniors, consumers, or parents; 2 face-to-face, full advisory group meetings; 3 stakeholder workgroups, meeting 1 or 2 times each; 2 standard assessments (hospital discharge interview/form and PCP checklist); standard PCP training curriculum; Eighteen Month Report: PCP Hospital Discharge Planning Model Document Phase 2 - At least 5 formal agreements (MOAs) among hospitals, SDS, and ADRC offices focused on the discharge planning model; Medicaid applications available online; at least 3 ADRC offices equipped with portable technology for use in the field; at least14 PCP training events, attended by at least 50 discharge planners and ADRC staff; at least 1 multi-media distance venue created for PCP training; at least 2 TA visits with ARDC offices Evaluation - Summaries of results for improvements: evaluations from each training event (10) and patient feedback forms (2); Evaluations Outcomes Report; Final Report

Performing Technical Assistance and/or Training, Performing Research or Evaluation

Quality Assurance, Health-Related Activities, Quality of Life

Family Members/Caregivers, Adults with Disabilities, Children/Adolescents with Disabilities/SHCN

None

State

N/A