Long-Term Living Department Data Analysis: April 2019-January 2020 Insights
Explore comprehensive data analysis from April 2019 to January 2020 for the Long-Term Living Department, including assessments, results, and inputs on various aspects such as HCBS, Nursing Facilities, LIFE programs, and more.
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Presentation Transcript
FED DATA Tyrone Williams, Chief, Assessment Unit Office of Long-Term Living Department of Human Services 1
FEDs MA LTSS FEDs MA LTSS April 2019-January 2020 2252 Total=76,590 FEDs 3% 32585 43% 41753 54% HCBS Nursing Facility LIFE 2
FED Results MA LTSS FED Results MA LTSS April 2019 January 2020 10160 18% 66430 82% NFCE NFI 3
HCBS FED Results HCBS FED Results April 2019-January 2020 9190 22% 32563 78% NFCE NFI 4
Assessor Input HCBS Assessor Input NFCE Assessor Input NFI Disagree 3% Disagree 0% Agree Agree Disagree Disagree Agree 97% Agree 100% 5
Nursing Facility FED Results Nursing Facility FED Results April 2019-January 2020 378 1% 32207 99% 6 NFCE NFI
Assessor Input Nursing Facility Assessor Input NFCE Assessor Input NFI Disagree 0% Disagree 8% Agree Agree Disagree Disagree Agree 92% Agree 100% 7
LIFE FED Results LIFE FED Results April 2019-September 2020 592 26% 1660 74% NFCE NFI 8
Assessor Input LIFE Assessor Input NFCE Assessor Input NFI Disagree 0% Disagree 8% Agree Agree Disagree Disagree Agree 92% Agree 100% 9
FEDs Non FEDs Non- -MA LTSS MA LTSS April 2019-January 2020 Total=2869 FEDs 562 20% 2307 80% Dom Care PCH 10
Dom Care FED Results Dom Care FED Results April 2019-January 2020 71 13% 491 87% NFCE NFI 11
Assessor Input Dom Care Assessor Input NFCE Assessor Input NFI Disagree 1% Disagree 8% Agree Agree Disagree Disagree Agree 99% Agree 92% 12
Personal Care Home FED Results Personal Care Home FED Results April 2019-January 2020 207 9% 2100 91% NFCE NFI 13
Assessor Input-Personal Care Home Assessor Input NFCE Assessor Input NFI Disagree 0% Disagree 25% Agree Agree Disagree Disagree Agree 75% Agree 100% 14
OLTL Medical Reviews OLTL Medical Reviews 15
Medical Reviews All Program Types Medical Reviews All Program Types April 2019-January 2020 Percentage of Medical Reviews requested=6% MDRs 4626 Completed Assessments 79459 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 16
Medical Reviews All Program Types April 2019-January 2020 Assessor Agreed Disagreed* Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 1,591 1,330 (84%) 261(16%) 1,223 (77%) 368 (23%) NFI 3,035 2,557 (84%) 478 (16%) 2,467 (81%) 568 (19%) Overall 65% of medial reviews are NFI. Generally, assessors and medical reviews agree with FED outcomes whether NFCE or NFI. NFI outcomes are necessary for PCH supplement and Dom care eligibility and therefore may drive increases in NFCE assessor and medical review disagreements. *Assessor disagreements don't overturn a FED result 17
Medical Reviews MA LTSS Medical Reviews MA LTSS April 2019-January 2020 Percentage of Medical Reviews requested=6% MDRs 4318 Completed Assessments 76590 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 18
Medical Director Reviews HCBS April 2019-January 2020 Assessor Agreed Disagreed Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 1,187 1,161 (97%) 26(3%) 1094 (92%) 93 (8%) NFI 2,113 1914 (91%) 199 (9%) 1822 (86%) 291 (14%) 94% of assessors and 89% of medical reviews agree with FED outcomes for waiver services whether NFCE or NFI. 19
Medical Director Reviews Nursing Facility April 2019-January 2020 Assessor Agreed Disagreed Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 99 79 (80%) 20(20%) 78 (79%) 21 (21%) NFI 864 604 (69%) 260 (30%) 610 (71%) 254 (29%) 75% of assessors and medical reviews agree with FED outcomes for nursing facilities. Nursing facility short term stays drove the majority of the 25% disagreements with FED outcomes due to borderline needs. 20
Medical Director Reviews LIFE April 2019-January 2020 Assessor Agreed Disagreed Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 11 11 (100%) 0 (0%) 11 (100%) 0 (0%) NFI 44 26 (59%) 18 (41%) 22 (50%) 22 (50%) 50/50 Medical review FED outcome 21
Medical Reviews Non Medical Reviews Non- -MA LTSS MA LTSS April 2019-January 2020 Percentage of Medical Reviews requested=11% MDRs 308 Completed Assessments 2869 0 500 1000 1500 2000 2500 3000 3500 22
Medical Director Reviews Dom Care April 2019-January 2020 Assessor Agreed Disagreed Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 32 10 (31%) 22 (69%) 2 (6%) 30 (94%) NFI 6 5 (83%) 1 (17%) 5 (83%) 1 (17%) 23
Medical Director Reviews PCH April 2019-January 2020 Assessor Agreed Disagreed Agreed Assessor MDR MDR Disagreed FED Result Initial FED Result NFCE 262 69 (26%) 193 (74%) 38(15%) 224 (85%) NFI 8 8 (100%) 0 (0%) 8 (100%) 0 (0%) 24
