HomeMy WebLinkAboutLetter #03 Jean RossPICKING UP THE PACE OF CHANGE: 2017 LONG-TERM SERVICES AND SUPPORTS | LONGTERMSCORECARD.ORG
Indiana: 2017 Long-Term Services and Supports Scorecard Results
Picking Up the Pace of Change: Long-Term Services and Supports Scorecard, 2017 Edition takes a multi-
dimensional approach to measure state-level performance of long-term services and supports (LTSS)
systems that assist older people, adults with disabilities, and family caregivers. The full report is
available at www.longtermscorecard.org.
Purpose: The Scorecard aims to pick up the pace of improving LTSS and measures system performance
from the viewpoint of service users and their families. It is designed to help states improve the
performance of their LTSS systems so that older people and adults with disabilities in all states can
exercise choice and control over their lives, thereby maximizing their independence and well-being.
State policymakers often control key indicators measured, and they can influence others through
oversight activities and incentives.
Results: The Scorecard examines state performance, both overall and along five key dimensions. Each
dimension comprises 3 to 6 data indicators, for a total of 25. It also measures changes in performance
since the second Scorecard (2014), wherever possible (on 23 of the 25 indicators). The table below
summarizes current performance and change in performance at the dimension level. State ranks on
each indicator appear on the next page.
Dimension Rank
Number of
Indicators with
Trend*
Number of Indicators Showing:**
Substantial
Improvement
Little or No
Change
Substantial
Decline
OVERALL 51 23 6 14 3
Affordability & Access 51 5 0 5 0
Choice of Setting & Provider 50 5 1 2 2
Quality of Life & Quality
of Care 37 3 1 1 1
Support for Family Caregivers 51 4 1 3 0
Effective Transitions 33 6 3 3 0
*Trend cannot be shown if data are missing for either the current or baseline data year. In each state, 20 to 23 indicators have enough data to
calculate a trend. **See full report for how change is defined.
Impact of Improved Performance: If Indiana improved its performance to the level of the average of the top-five-performing states,
•158,673 more place-based subsidized units and vouchers would be available to help low-income
people with LTSS needs afford housing;
•109,708 more people of all ages would receive Medicaid LTSS to help them with daily activities;
•28,821 more home health and personal care aides would be available to provide care in the
community;
•26,335 more low-/moderate-income adults with disabilities would have Medicaid coverage;
•$1,122,100,000 more would go to home-and community-based services instead of nursing homes.
PICKING UP THE PACE OF CHANGE: 2017 LONG-TERM SERVICES AND SUPPORTS | LONGTERMSCORECARD.ORG
Dimension and Indicator (Current Data Year) Baseline
Rate
Current
Rate Rank Change All States
Median
Top State
Rate
51
Affordability and Access 51
241%237%28 233%164%
87%83%27 81%46%
40 38 39 48 164
49.1%49.8%38 53.4%78.1%
37 38 40 54 111
*41%42 *60%92%
50
23.6%19.4%46 33.1%68.5%
32.0%28.0%50 55.4%83.6%
*0.4 49 *9.6 131.9
13 15 34 19 41
48 50 28 52 121
5.5%5.7%27 5.8%17.7%
37
22.3%19.2%41 21.9%43.3%
6.8%6.3%36 5.5%3.4%
21.3%16.4%19 16.8%8.0%
51
0.00 0.00 32 1.00 6.50
0.50 1.50 34 2.41 4.30
0.50 0.50 45 4.00 5.00
0.00 0.00 37 1.00 4.00
33
9.1%8.1%11 11.2%4.1%
28.2%27.0%48 24.4%18.3%
18.7%17.0%32 15.7%5.0%
24.9%22.9%23 23.8%9.1%
24.4%23.5%48 18.3%8.9%
8.8%8.5%17 7.4%14.9%
*
Home health and personal care aides per 100 adults 18+ with ADL disabilities (2013-2015)
OVERALL RANK
Median annual nursing home private pay cost as a percentage of median household income age 65+ (2015-2016)
Median annual home care private pay cost as a percentage of median household income age 65+ (2015-2016)
Private long-term care insurance policies in effect per 1,000 people age 40+ (2015)
Percent of adults age 21+ with ADL disabilities at or below 250% of poverty receiving Medicaid (2014-2015)
Medicaid LTSS beneficiaries per 100 people with ADL disabilities (2012)
Percent of people with 90+ day nursing home stays successfully transitioning back to the community (2012)
* Comparable data not available for baseline and/or current year. Rank cannot be calculated without current data. Change in performance
cannot be calculated without both baseline and current data.
Notes: ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home and Community-Based Services;
LTSS = Long Term Services and Supports.
Support for Family Caregivers
Supporting working caregivers (composite indictor, scale 0-9.0) (2014-2016)
Person and family-centered care (composite indicator, scale 0-5.5) (2016)
Transportation policies (composite indicator, scale 0-5.0) (2012-2016)
Effective Transitions
Percent of nursing home residents with low care needs (2014)
Nurse delegation and nurse practitioner scope of practice (composite indicator, scale 0-5.0) (2016)
Indiana: 2017 State Long-Term Services and Supports Scorecard Dimension and Indicator Data
Percent of home health patients with a hospital admission (2015)
Percent of long-stay nursing home residents hospitalized within a six-month period (2014)
Percent of nursing home residents with one or more potentially burdensome transitions at end of life (2013)
Percent of new nursing home stays lasting 100 days or more (2012)
Assisted living and residential care units per 1,000 population age 75+ (2014)
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units (2015)
Quality of Life and Quality of Care
Rate of employment for adults with ADL disabilitities age 18–64 relative to rate of employment for adults without ADL
disabilities ages 18–64 (2014-2015)
Percent of high-risk nursing home residents with pressure sores (2015-2016)
Percent of long-stay nursing home residents who are receiving an antipsychotic medication (2015)
ADRC/No Wrong Door Functions (composite indicator, scale 0-100%) (2016)
Choice of Setting and Provider
Percent of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities
(2014)
Percent of new Medicaid aged/disabled LTSS users first receiving services in the community (2012)
Number of people participant-directing services per 1,000 people with disabilities (2016)
Key for Change:
Performance improvement
Little or no change in
performance
Performance decline
N/A