Operational Protocol

Table of Contents

1. Project Introduction
   • A.0 Introduction [ Word | PDF]
   • A.1 Case Study [ Word | PDF]
   • A.2 Benchmarks [ Word | PDF]
2. Demonstration Policies and Procedures
   • B.1 Participant Recruitment and Enrollment [ Word | PDF]
   • B.2 Informed Consent and Guardianship [ Word | PDF]
   • B.3 Outreach/Marketing/Education [ Word | PDF]
   • B.4 Stakeholder Involvement [ Word | PDF]
   • B.5 Benefits and Services [ Word | PDF]
   • B.6 Consumer Supports [ Word | PDF]
   • B.7 Self-Direction [ Word | PDF]
   • B.8 Quality [ Word | PDF]
   • B.9 Housing [ Word | PDF]
   • B.10 Continuity of Care Post Demonstration [ Word | PDF]
3. Organization and Staffing [ Word | PDF]
4. Evaluation [ Word | PDF]
5. Final Budget

Appendices

1. Transition Flow Sheet [ Word | PDF]
2. Recruitment and Outreach Materials
   • B.1 Frequently Asked Questions [ Word | PDF]
   • B.2 Brochure [ Word | PDF]
   • B.3 Poster
3. List of Hawai‘i Facilities (Nursing Homes, ICF-IDs, Hospitals)
4. Enrollment Materials
   • D.1 Hawai‘I Preference Interview [ Word | PDF]
   • D.2 Informed Consent for Participant [ Word | PDF]
   • D.3 Participant and Family or Caregiver Rights and Responsibilities [ Word | PDF]
   • D.4 Transition Coordinator Log [ Word | PDF]
5. Qualified Waiver Services
   • E.1 1915c Waiver Program Services Grid [ Word | PDF]
   • E.2 Qualified Waiver/HCBS Services Descriptions [ Word | PDF]
   • E.3 HCBS Service Descriptions [ Word | PDF]
6. QExA Transition Grid
7. Self Direction Appendices
   • G.1 Appendix A: Self Direction Combined (NHWW/HCCP/RACCP/MFCCP) [ Word | PDF]
   • G.2 Appendix A: Self Direction: Developmentally Disabled/Mentally Retarded [ Word | PDF]
8. Quality Management Strategy (Combined for NHWW/HCCP/RACCP/MFCCP) [ Word | PDF]
9. Evaluation Measures
   • I.1 California Nursing Facility Transition Screen
   • I.2 Overview of Evaluation
   • I.3 List of Variables
   • I.4 Schedule of Deliverables
   • I.5 Training Satisfaction Survey [ Word | PDF]
   • I.6 Resume—Dr. Christy Nishita and Dr. Jean Johnson
10. List of Meetings Conducted by GHP Management Team
11. Crosswalk Between State Procedure Codes and Type of MFP Services
12. Worksheet for MFP Proposed Budget

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