CARR is one of the four grant recipients under the 2017 San Diego Foundation's Age Friendly Communities Program - a partnership between The San Diego Foundation and The Del Mar Healthcare Fund at The San Diego Foundation. The grant project's findings will move San Diego towards receiving an Age Friendly/Livable Community for All Ages designation from the World Health Organization/AARP.
"Why is there a drastic difference in people's perceptions of aging versus reality?" This was the question recently put to 44 experts in the field of aging by SeniorCare.com. They compiled these responses to produce the report, American's Misconception On Aging. CARR was one of the contributors, alongside Dr. Bill Thomas, the SCAN Foundation and the American Health Care Association. Below are some of the key findings and an excerpt from our contribution. The entire report may be viewed here.
The Assisted Living Waiver Program (ALWP), administered by the California Department of Health Care Services, has 292 RCFEs enrolled in the program as of December 2017, up from 284 in September 2017.
The purpose of this program is to allow residents who are low-income, and who would otherwise qualify for skilled nursing, to receive, as a Medi-Cal benefit, services that would otherwise not be reimbursed when delivered in the non-medical care setting of an assisted living facility. Medi-Cal recipients can also receive SSI in California. For information on the program, please visit DHCS website.
"CARR is honored to be the County of San Diego's vendor entrusted with developing a fair rating system deserving the confidence of the public and providers." --Chris Murphy, CARR's Executive Director
SAN DIEGO, Calif., May 5, 2015 -- The County of San Diego, Aging & Independence Services awarded Consumer Advocates for RCFE Reform (CARR) a fixed price contract for a pilot project to create a rating system for the County's assisted living facilities, and to develop a consumer-friendly website to display the ratings and facility information. The pilot program is a six-month effort with a current contract value of $50,000.
CARR was the first to harvest California public records on assisted living facilities (ALF), and to maintain a database of all public records in its possession. Unlike other databases, CARR’s data is not supplied by facilities themselves. Rather, the data is collected from the public documents in individual ALF files maintained by the California’s Department of Social Services (DSS), Community Care Licensing Division (CCLD), and San Diego Regional Office
CARR obtains access to facility files by submitting California Public Records Act (CPRA) requests to various CCLD regional offices. Documents we ask for are:
Following successful completion of a six month pilot program to develop a uniform rating system using public documents data for California assisted living facilities, CARR received a one-year follow-on contract to launch the program. The San Diego County sponsored program is called "Choose Well", and will offer consumers direct contact with providers volunteering to participate. Facilities who join the program will have their facility rated, using the Choose Well Scoring tool; they will receive a Facility Profile Page where the facility can promote the amenities, care, services, price range, and philosophy of care that make them a distinguished provider in the county.
California Healthline recently asked CARR and other experts in the field "How should California regulate its growing RCFE industry?". Provided here is CARR's submission. You can read all of the submissions on their site.
The Need for Data-Driven Practices
The primary focus surrounding California’s RCFE industry is policy reform. In CARR’s view, modification of regulatory language may do little to affect the performance of facilities without accompanying improvements to the oversight and enforcement practices of California’s Department of Social Services (DSS). CARR’s five years spent reviewing the public documents strongly suggests a department significantly weakened by the absence of evidence-based practices.
The Aging-In-Place Disparity in California’s RCFEs: Medical Needs in Non-Medical Facilities?, by Christina L. Selder, M.S. & Christine M. Murphy, M.S.Presented at the Gerontological Society of America, Annual Scientific Meeting (Social Research, Policy & Practice) on November 20-24, 2013
Purpose:The vast majority of older adults (90%) report a preference to age-in-place and research has identified the value of older persons remaining in the same place till the end-of-life. Aging-in-place has become an integral component of the philosophy and promise of the assisted living (AL) industry. CARR’s ongoing public record research suggests that California’s policy and practices are creating an increased risk for older adults who choose to remain in assisted living facilities (ALF) and age-in-place. CARR’s study examined the conceptual intersection where medical needs, non-medical facilities, and California’s AL regulations come together.