Advancing Person-Centered, Integrated LTSS

LTQA has initiated a study to build the framework for developing the “business case” for integrating long-term services and supports (LTSS) and medical care.  The study is preparing a detailed definition (“Taxonomy”) of LTSS integration that describes the components of integration and provides a scale of the degree of integration.  LTQA is completing case studies of 10 “exemplar” programs with experience in integrating LTSS and is preparing a description and analysis of the various approaches and their potential impact on costs and quality.  This preparatory study for developing the business case for LTSS integration will establish a framework for measuring (in a subsequent study) the impact of integration on overall health care costs and outcomes.

LTQA is grateful to the Gary and Mary West Foundation, The John A. Hartford Foundation, The SCAN Foundation, and the Commonwealth Fund for their support for this project.

Standardizing Assessment Items

LTQA developed an expert consensus on a path forward for standardizing the items on assessment instruments for persons in need of LTSS. The path forward included recommended steps needed to advance progress toward common core assessment domains, concepts, and items that could form the basis for person-centered assessment, care planning, and care coordination. Broad adoption of a core set of standardized items would enable data sharing, care planning, and quality measurement across settings.

The project involved preparation of two Background Reports on the need for standardized assessment items and state initiatives, the convening of a two-day expert Roundtable at the Brookings Institution, and the preparation of a Report from the Roundtable with proposed next steps in advancing progress toward common assessment tools.

LTQA is grateful to The SCAN Foundation for its support of this project.


Advancing Innovative Communities

The 1st Innovative Communities Summit represented the first of many opportunities for LTQA to serve as a neutral convener of broad-based groups concerned about and committed to advancing change within the nation’s health care system in order to improve effectiveness and efficiency of care and quality of life while saving health care dollars.


The 2nd Innovative Communities Summit was designed to build on the great work that participants in the 1st Innovative Communities Summit carried out in Dec. 2010. Participants in that inaugural meeting worked together to create a common vision for a more collaborative future for those who provide and those who receive care and services.


The 3rd Innovative Communities Summit brought together twenty-two self-identified Innovative Communities who brought together a variety of stakeholders at the community level to improve care transitions and reduce unnecessary rehospitalizations. LTQA provided regular meetings to encourage sharing of ideas and best practices.