The Generation Project

 

 

 

 

 











Generations Project in the News

 

Indiana gets $21 million over 5 years for senior alternatives

INDIANAPOLIS (AP) -- The state has received a $21 million federal grant to be used over the next five years to pay for home health care, assisted living and other services needed by senior citizens moving out of nursing homes, the state's human services chief said Friday.

The South Bend Tribune | January 26, 2007

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Bring home the promise of choice for nursing care


Our position: Indiana should heed the success of other states and begin implementing its home- and community-based nursing care law.

The Indianapolis Star | April 17, 2005

It's a "motherhood and apple pie" issue to state officials and a win-win in the eyes of advocates for the elderly and disabled.

It's also the law, and has been for two years. The legislation signed by Gov. Frank O'Bannon in 2003, passed without a single dissenting vote by the Indiana General Assembly, mandates a "rebalancing" of long-term care toward home- and community-based services and away from nursing homes.

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Funding home health care a good investment for Indiana
Michiana point of view
The South Bend Tribune | March 13, 2005

By JOHN BRODEN

Most of the budget options facing the state of Indiana this year involve difficult choices of which programs to cut or eliminate. However, in one instance, legislators can look to a rare, but enviable, win-win option which will provide great savings to the state while providing more popular health care choices and options for Hoosiers.

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Changing Medicaid
The Issue: Daniels says he may have to cut optional programs. Our View: He should consider home health-care option.
(Evansville Courier & Press | Evansville, IN | March 8, 2005)

Indiana Gov. Mitch Daniels says the state may have to make drastic cuts in Medicaid, the health- care program for disabled and low-income Hoosiers, if the program is to stay afloat. Optional programs that the state is not required by federal law to offer may have to go, he said.

That may happen, in part or in total. Yet, there is another option available for cost-cutting, one that the governor need only reach out and grab hold of. That is Indiana's home health-care law, which was passed by the Legislature two years ago but, for the most part, has not been implemented.

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Senior Shuffle
Nursing homes seek balance between profit, capacity
Fort Wayne News-Sentinel | March 8, 2005

By Jennifer L. Boenr
March 8, 2005

While one nursing home prepares to close its doors, a sister facility just around the corner is expanding.

Courtland Health and Rehabilitation Center, 3555 Spy Run Extended, will close by summer. Currently, 62 people live at Courtland.

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State can save money and serve people with home health care
Michiana point of view
The South Bend Tribune | March 3, 2005

By WILL PHILLIPS

By spending 84 percent of the public dollars that provide long term care for the elderly and physically disabled on nursing home care and only 16 percent of its public Medicaid and CHOICE program dollars on home and community based care, Indiana has earned the distinction of being one of the worst states in the nation in terms of providing a balanced and responsive system of long term health care for its citizens.

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How to find care outside the home
The Indianapolis Star | February 27, 2005

By Shari Rudavsky
February 27, 2005

Few seniors want to live in a nursing home. But, for some, they provide a needed level of care and the only safe option.

About one in 20 Americans older than 65 is in a nursing home, according to government statistics.

Once a family reaches this point, next comes the arduous task of choosing a facility. Here's what the experts say you should know.

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Facing the aging boom
Taking care of an elderly relative requires love, tact and planning.
The Indianapolis Star | February 27, 2005

By Shari Rudavsky
February 27, 2005

Arthur Johnson didn't hesitate when his father died 21/2 years ago. The 62-year-old attorney and his wife, Penny, immediately invited his mother, who could no longer care for herself, to move from her Muncie house into their own living room.

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Patients have a choice
Logansport Pharos-Tribune | February 23, 2005

By Kristi Osenbaugh
February 23, 2005

"People work hard all their lives and then they have to leave? Changes need to be made to keep people in their homes."

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Beyond the nursing home
Extending long-term care for low-income Hoosiers will be complex and perhaps costly.
Fort Wayne News-Sentinel | February 17, 2005

By Bob Caylor
February 17, 2005

In the long run, making more Hoosiers eligible for home health care will be good for them and, perhaps, good for the state’s finances, too. That wasn’t lost on state legislators; when Senate Enrolled Act 493 was passed two years ago, not a single lawmaker voted against it at any point in either the House or Senate.

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A shift to home-based care
Fort Wayne Journal Gazette | February 15, 2005

If Gov. Mitch Daniels wants to cut Medicaid costs without a hue and cry from the Hoosiers who depend on services, he need only insist that Senate Enrolled Act 493 be implemented. The governor can’t lose: The state will save money, and Hoosiers will be better served.

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Indiana is urged to end reliance on nursing homes
The Indianapolis Star | February 9, 2005

By Diana Penner
February 9, 2005

Two years after Indiana lawmakers voted to shift more people from nursing homes to home- and community-based care, advocates for elderly and disabled people Tuesday called on the state to implement that plan.

The state's failure to move forward with the intent of the legislation passed in 2003 has meant "the wasteful expenditure of hundreds of millions of Medicaid dollars," John Cardwell, director of The Generations Project, said in a written statement.

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Generations Project Releases Study on State's Long Term Care System
Inside Indiana Business with Gerry Dick | February 8, 2005

(Indianapolis) Today, The Generations Project, a non-profit policy education organization based in Indianapolis, released a major study of Indiana’s publicly funded system of home and community based long term care for senior citizens and persons with disabilities.

The study, completed with funding from The Nina Mason Pulliam Charitable Trust, concludes that implementing a sweeping reform law passed by the General Assembly in 2003 is a key to resolving the state’s Medicaid funding and service delivery crisis.

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Those needing health care aid face long waits
Fort Wayne Journal Gazette | December 26, 2004

By Rick Farrant

Richard Mulroy had heart problems, prostate cancer and severe arthritis when niece Brenda Tremoulet and husband Paul rescued him in April 2000 from a life of isolation in Denver.

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Seniors want alternatives to nursing homes
The Seymour Tribune | October 20,2004

By Kyle Lowry

Emotions ran high Tuesday at the senior health forum to discuss community-based and home health care at the Seymour Community Center.

“My daughter thinks I ought to be shipped off to a nursing home,” said 70-year-old Virginia Vincent of North Vernon. “I think if you keep an older person in their own environment and keep them active they’re more likely to be better off.”

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Forum seeks answers for senior care
The Seymour Tribune | October 15,2004

Three state and local agencies will spotlight community-based and home health care during a forum in Seymour Tuesday afternoon.

Indiana Home Care Task Force, Aging and Community Services of South Central Indiana and Seymour Community Service Council are sponsoring the forum on Indiana’s new home and community based health care law at 1 p.m. at Seymour Community Center, 107 S. Chestnut St.

Full Article published at

 


 

Update on John Cutter
(As appeared in the Summer 2004 edition of the Citizens Action Coalition of Indiana newsletter, Citizens Power | May 2004

The following article appeared in the Daily Reporter, Greenfield, Indiana on July 3, 2003. Excerpts from the article have been reproduced in Citizens Power with permission from the Daily Reporter.

Written by Mary Beth Wagner and Scott Slade, staff writers at the Greenfield paper, the article profiles John Cutter, a Greenfield area nursing home resident who died in early 2004. At the time of his death, Mr. Cutter was on a waiting list for home and community based services through the Indiana CHOICE program. He had hoped to take advantage of provisions in recently-passed Senate Enrolled Act 493- which would have allowed the Medicaid dollars providing him with nursing home care to provide him with more appropriate home and community based care options.

Full Article (pdf)

 


 

Indiana passes balancing act in long-term care; Honor Society of Nursing lends support to public awareness program
This article, published in the Second Quarter 2004 issue of Reflections on Nursing Leadership, is posted with permission. Reflections on Nursing Leadership is published by the Honor Society of Nursing, Sigma Theta Tau International.

"We can't afford not to do this," was state Sen. Greg Server's analysis of the choices faced by Indiana lawmakers in 2003 when considering a bill that would help balance long-term-care funding between institutional care and other types of home- and community-based care. That bill became law in 2003 when the state's General Assembly passed Senate Enrolled Act 493.

Full Article (pdf)

 


 

Home Care for Seniors and Disabled in Jeopardy
Saving pennies while wasting millions, advocates charge Indiana breaks its own law
The Indianapolis Eye | Indianapolis, IN | December 22, 2003

The Indiana General Assembly did something visionary when it passed SEA 493, the Long-Term Care Services Act in 2003. The law provided a means for funding home care rather than nursing home care, a change which actually saves the state money. Now critics charge state agencies are ignoring legal deadlines and withholding start-up funds needed to jump-start the mandated — and ultimately cost neutral — reform.

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Reawakening a sleeping giant --
State conference for people with disabilities rejuvenates ADA aim.
The Times of Northwest Indiana | Munster, IN | December 8, 2003

Marca Bristo remembers breaking her neck 26 years ago and, because of her wheelchair, being forced to ride in rat-infested cargo elevators to enter museums and being all but prohibited from restaurants.

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Senior care options set to widen
The Daily Reporter | Greenfield, IN July 3, 2003

John Cutter is going home today to celebrate Independence day with his family. The 74- year-old Greenfield resident would like nothing more than to make permanent the four day absence from the nursing home where he lives - a possibility made more likely on Tuesday when Indiana law SEA 493 took effect.

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The Generations Project: Creating Consensus to Reform Long Term Health Care in Indiana
(As appeared in the Summer 2003 edition of the Citizens Action Coalition of Indiana newsletter, Citizens Power | May 2003)

Citizens Action Coalition has had a major and consistent role in reforming long term health care in Indiana since the mid 1980's when CAC worked with many other organizations to pass the CHOICE home health care program. Since December of 2001, CAC has increased its involvement in long term health care reform through its involvement with The Generations Project.

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State subsidizing empty nursing-home beds --
Governor, agencies looking for ways to balance funding between nursing homes, at-home care

The Times of Northwest Indiana | Munster, IN | November, 2002

Indiana ranks near the top when it comes to its abundance of nursing-home beds but near the bottom when it comes to filling them -- a cost of millions of dollars to taxpayers.

Full Article published at