Reducing Risk Tool Kit Components

Minnesota: Return to Community Initiative

• DHS Bulletin 16-25-01. Assistance for Private Pay Nursing Facility Consumers Who Want to Return to the Community.
• Policy brief. Promising Practice: Nursing Home Transition and Diversion.
• Slide presentation - program overview.
• Research paper. Targeting Criteria and Quality Indicators for Promoting Resident Transitions from Nursing Home to Community (ASPE, 2009).
• Research paper. Targeting Criteria (Health Services Research, 2010).
• Client stories - video clips.
• RTCI Protocols: 72-hour, 10-day, 30-, 60-, and 90-day check-ins; Community Living Specialist Protocols, Community Planning Tool, Return to Community Protocol.
• Dashboard Report (June 2016).
• Evaluation Findings. Presentation slides from research conference (November 2016).
• Statute. Expansion of RTCI in Governor’s 2018–2019 budget proposal; revised statute (256.975 subd. 7 has been amended by Chapter 6, Article 3, Section 6 256.975 subd. 12 has been added by Chapter 6, Article 3, Section 7).

Connecticut: Transition/Diversion Continuum

• Connecticut Strategic Rebalancing Plan, 2013.
• MFP Operational Protocol.
• MFP Quarterly Reports.
• MyPlaceCT website.

Maine: Long-Term Care Ombudsman's Outreach and Advocacy

• Maine statute, §5107-A: Long-term care ombudsman program.
• Homeward Bound operational protocol.  
• Homeward Bound video.
• Homeward Bound consumer outreach brochure. 

Oregon: Nursing Home Downsizing and Diversification

• House Bill 2216 on downsizing.
• Nursing Facility Capacity Reduction Report, December 2014.
• Department of Human Services, Aging and People with Disabilities, Oregon Administrative Rules, Chapter 411, Division 70, Nursing Facilities/Medicaid – Generally and Reimbursement. (On penalties for failing to meet bed reduction goals, see p. 88).
• The State of Nursing Homes in Oregon, 2015, April 2016 report.

Connecticut: Nursing Home Diversification and Rightsizing

• Connecticut Strategic Rebalancing Plan, 2013.
• Nursing Facility Diversification webpage.
• Nursing Facility Diversification Request for Proposals, 2014.
• State of Connecticut Medicaid Long-Term Care Demand Projections.

Minnesota: Nursing Facility Performance-Based Incentive-Based Payment Program (PIPP)

• PIPP webpage with latest (2017–2019) project summaries.
• Nursing Facility Reimbursement and Regulation, brief, Research Department, Minnesota House of Representatives, 2016.
• Greg Arling et al., “Minnesota’s Provider-Initiated Approach Yields Care Quality Gains at Participating Nursing Homes,” Health Affairs 32, no. 9 (2013): 1631–38.
• Valerie Cooke et al, “Minnesota’s Nursing Facility Performance-Based Incentive Payment Program: An Innovative Model for Promoting Care Quality,” Gerontologist 50, no. 4 (August 2010): 556–63. 

Maine:

• Maine Medical Eligibility Determination (MED) form
• Christine Gianopoulos, “What Works? Maine’s Statewide Uniform Assessment and Home Care Planning System Tells All,” Gerontologist 41, no. 3 (2001): 309–11.

Connecticut:

• Connecticut Home Care Program for Elders (CHCPE) Regulations.
• CHCPE Annual Report, 2015.
• CHCPE Categorical Eligibility Chart, 2017.
• CHCPE Request for Referral form.
• Unmet Needs in the Connecticut Home Care Program for Elders, 2010 report.