LTSS Roadmap Videos
Guidance for the LTSS roadmap planning model videos for community officials.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 03, 2016
Based on extensive interviews with tribal health experts, community planners, elders, and caregivers, these videos present the stories of several tribal health programs. Drawing from the words and stories of the people most involved, these videos share the challenges and successes of tribal programs using different LTSS models to meet the needs of elders and persons with disabilities in their own communities.
What Works for Us: Building Partnerships and Coordinating Services
Time: 4:11
Most LTSS programs for tribal elders and people with disabilities are stitched together from state and federal funding streams, community services, and various types of tribal support. "There's always a way, and a mechanism" to fill gaps and serve tribal members, explains an experienced health administrator in this video.
What Works for Us: Culture and Community
Time: 4:19
Listen as tribal healthcare leaders from across the nation describe how their cultures—Native languages, ceremonies, foods, and even architectural design—are infused into LTSS programs for elders and people with disabilities.
What Works for Us: Staff Hiring and Retention
Time: 3:55
Locations can be remote and paychecks are sometimes low. Yet experienced administrators of tribal and Alaska Native LTSS programs manage to hire and retain good employees. In this video they share some challenges and solutions.
What Works for Us: State and Federal Relationships
Time: 3:59
Much of the funding needed for LTSS flows from state and federal sources. Here, experienced tribal planners and administrators describe the challenges—and rich rewards—of developing good working relationships with state and federal officials.
Serving Diverse Populations and Places: Phoenix Native Health
Time: 6:53
Phoenix Native Health is an urban Indian organization that serves over 300 tribes in Arizona. It also provides long-term services and supports to a growing urban Indian senior population.
Keeping Elders in the Village: Tanana Chiefs Conference Community Health Outreach Program
Time: 7:31
Tanana Chiefs Conference delivers home- and community-based services in remote Alaska Native villages across the interior of Alaska to help elders stay in their communities.
LTSS in Indian Country: Tohono O'odham Nation
Time: 5:48
Tohono O’odham Nation Nursing Care Authority (TONCA) coordinates and delivers skilled nursing care, hospice, and other LTSS. TONCA includes the Archie Hendricks Sr. Skilled Nursing Facility, Tohono O’odham Hospice, Desert Pathways Program, and the Tohono O’odham Elder Assisted Living Facility.
TONCA received an All-Stars award from the Honoring Nations project as an outstanding example of tribal governance. Read the Honoring Nations Profile for TONCA (PDF, 24p) (PDF).
LTSS in Indian Country: Oneida Nation of Wisconsin
Time: 6:47
The Oneida Nation of Wisconsin worked with the state of Wisconsin to create a ‘win-win’ scenario for the state and tribe in reimbursing Medicaid-covered long-term services and supports provided by the Oneida Nation. The Oneida Nation also uses needs assessments and research to inform changes to care delivery.
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