Transcript The Coordinated Care Initiative

PRESENTATION TO CFILC
FEBRUARY 10, 2014
Outline of Presentation
• Increased 7C and 7B $$ from
omnibus bill
• SPIL sense: 2011-2013 and present
• Status of Current SPIL
• Funding Formula
Increased 7C and 7B $$ from Omnibus Bill
Senate amendment to the title of the bill (H.R. 3547)
entitled ‘‘An Act to extend the application of certain space
launch liability provisions through 2014.
Massive $1.1 trillion spending bill in bipartisan
compromise. "The spending bill puts flesh on the bones of
a bipartisan budget deal struck in December, when
Republicans and Democrats agreed to partially repeal
sharp spending cuts known as the sequester. As a result. . .
domestic agencies — which have already absorbed
sequester reductions — will receive a bump up in funding
of similar size." Lori Montgomery in The Washington Post.
Increased 7C and 7B $$ from Omnibus Bill
(continued)
•
Increase total funding for Independent Living programs 3.34%,
from a Fiscal Year 2013 total of $130 million to a new Fiscal Year
2014 total of nearly $135 million.
• The 3.34% increase would provide equivalent boosts to funding for
Parts B, C, and Chapter 2 programs. Specifically, Part C funding for
CILs grows to $78.3 million. Part B State Grant funding raised to a
new total of $22.9 million.
• Part B and Chapter 2 programs would see the increased funding
immediately. (May require SPIL revision) Part C funded Centers
would receive the increased amounts on October 1, 2014.
SPIL sense: 2012-2013 SPIL Highlights
• 19 ILCs assisted 77 people with disabilities to transition
out of institutions
• Systems Change Network expanded from 65 to 800
members
• 39 youth with disabilities received leadership training
and services
• 6 eight week disability action classes in the San Diego
area.
• ILCs cleaned up financial records and administrative
manuals, created strategic plans, transition plans, and
sustainability plans
SPIL sense: 2012-2013 SPIL Highlights
• 258 people with disabilities received training and counseling
around their benefits (Social Security, etc.) and returning to
work.
• 12 ILC Directors and 10 ILC Management staff received Peer
Review training
• Collaborative work funded through SPIL projects engaged the IL
Network with Department of Health Care Services (DHCS) the
California Housing Finance Agency, Department of Housing and
Community Development and California Tax Credit Allocation
Committee to create permanent supportive housing for lowincome persons with disabilities, particularly those who reside in
a long-term facility and desire to return to community living.
SPIL sense: 2012-2013 SPIL Highlights
Sources and Amounts of Funds and Resources
Title VII, Chapter 1, Part B = $2,079,442.00
State Government Funds (CA General Fund) = $231,049
What Activities were Conducted with
Part B Funds?
Expenditures of
Part B Funds by
DOR Staff
Expenditures for
Services Rendered by
Grant or Contract
SILC Resource Plan
$ 511,604
Transition Fund
$ 139,953
Demonstrated ways to expand and
improve IL services
Supported activities to increase capacity
to develop approaches or systems for
providing IL services
$ 996, 315
$ 1,024,488
SPIL sense: 2012-2013 SPIL Highlights
Other systemic uses for 7B funds *Not* expressed in FY 2012-13
Conducted studies and analyses, gathered information,
developed model policies, and presented findings in order to
enhance IL services
Provided training regarding the IL philosophy
Provided outreach to unserved or underserved populations,
including minority groups and urban and rural populations
SPIL sense: 2012-2013 SPIL Highlights
Name of Grantee or Contractor
Use of Funds (based on the activities
listed in Subpart 1, Section B)
Amount
of Part B
Funds
University of CA, San Francisco
Transition study
$52,479
CFILC-Sacramento
Systems Change Hub
$375,000
DMC, ILCSC, A2i, CIL, RICV
Community Organizing
$433,545
WCIL, CID, Kern Assistive
Technology-Bakersfield, FREED,
RICV, MCIL, SCRS, CCCIL, ILRC
Capacity Building
$108,307
DS&LC, SCIL, DRC, CCCIL, ILRC,
CALIF
Benefits Planning
$78,996
PIRS, ILRC, CID, CIL, RICV, DMC,
CCCIL, ILCSC, SVILC, CRIL, DRAIL
National Collaboration
$36,663
RICV
Leadership Development
$20,666
CALIF
California Rental Assistance Project
$10,000
SPIL sense: Present
• 2014-2016 SPIL Radically Different From Previous
SPILs.
• Does Not Tackle Big Systems Change Issues.
• Fundamental Premise: Stabilizing and
Strengthening the Independent Living Centers Will
Address Unmet Needs of Californians with
Disabilities.
SPIL sense: Present
Current Projects Funded:
• 8 month period; effective February 1, 2014 through September 30, 2014
• to support efforts to achieve greater long term stability through technical
assistance and peer mentoring (Technical Assistance), and to build internal
capacity to provide services by undertaking revenue generating ventures
(Capacity Building).
Capacity Building
• Central Coast Center for Independent Living - $8,333
• Disabled Resources Center, Inc. - $8,333
• Independent Living Center of Southern California - $8,333
Technical Assistance
• Communities Actively Living Independent & Free -$10,000
• Silicon Valley Independent Living Center - $10,000
SPIL sense: Present
Where we are better:
• New SPIL is smaller and easier to manage
• Jay Harris has a committed schedule for releasing RFPs.
So far, on target with schedule
Goal to never release VIIB Funds so close to the end of
the year
• Hoping that for the first time in the 18 year life of the
program, 7B funds are
Spent completely
Spent timely
Spent according to the specifications of the SPIL
SPIL sense: Present
"We can't solve problems by using the same kind of thinking we
used when we created them."
Paraphrasing Ram Dass 1974, quoting Albert Einstein
Relationship between SILC/DOR/SPIL has changed
• Anecdote about 7B project creation as CRDS
• 2008 Luciana Profaca produced first ever accounting
of VIIB Carry-Forward
• Quarterly financial updates with numbers, details,
accountability
• Meetings between SILC/DOR/Some of you: Roles
and Responsibilities
SPIL sense: Present
We’re still not there:
• Sole focus on ILCs is narrow
• Does Not Tackle Big Systems Change Issues.
• No design for the reciprocal relationship between ILC
workplans and the SPIL
• Some ideas for measuring and evaluating, but still rough
• Directors who have been “in the system” a long time miss the
flexibility and freedom of previous SPILs.
• Grant amounts are too small
• No work on improving outcomes for
underserved/underrepresented
• What do you think is missing?
What does SILC need from California ILCs?
Talk to us, with us, not behind us.
December meeting anecdote
Participate in meetings and give us information about your
community and its needs.
Share with us your 704 reports, Consumer Satisfaction
Survey reports, and results from any VIIB funded work.
Tell us your ideas about how we can better support you and
the network.
Goal 4: In order to build a more robust statewide
system, the IL network will achieve greater long-term
stability.
• Objective 1: A working group will propose a more equitable
funding formula with feedback from stakeholders including
interested ILCs.
– Measurable Indicator: The working group proposes a
recommendations document.
• Activity: SILC in partnership with the IL community
convenes a workgroup to explore a more equitable
funding formula and compile a recommendations
document.
Funding Formula
Points of consensus so far:
Base funding needs to be raised.
Base funding should include all federal funds and all
centers so that none are left out.
Any changes introduced should be incremental so
centers have time to prepare and implement
The funding formula should express a value regarding
annual funding increases tied to an economic
indicator.
California’s ADRC Program Updates
• SILC Awarded additional $180K through 9/30/14
• Program moving from CHHSA to California
Department of Aging 7/1/14.
– Funding will be transferred from SILC to CDA in July.
– ADRC program linked to MFP program
– ADRC Advisory Committee changing to LTSS Advisory
Committee
California’s ADRC Program Focus 2013-14
• Goal to fund new partnerships before program
transfer
– Lots of carry-forward funds in the ADRC program
RSA Recommending
More centers closing across the country
Hawaii lost its only center
SILCs should plan for funding for technical assistance to troubled
centers
SILCs should attend federal site reviews as observers only to learn
more about
What RSA is looking for
How RSA process works
Where center has deficits
Listen to debriefing between RSA and ILC Board.
What do you think?
Questions/Comments
You are the experts –
We need to hear from you
Thank you!
Liz Pazdral, Executive Director
(916) 445-0142
[email protected]