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June 2009 Symposium

Home and Community-Based Services:
Examining the Evidence Base for State Policymakers

A one-day symposium convened on
Thursday, June 11, 2009

The Hilltop Institute sponsored its sixth day-long symposium at which national experts discussed the measures and evidence to examine whether the expansion of home and community-based services (HCBS) has produced desired outcomes (quality, choice, cost, satisfaction, and safety) in the long term for older adults and persons with physical disabilities. This symposium moved beyond widespread praise for HCBS in order to assess the breadth and depth of evidence that HCBS is effective. For all supporters of HCBS, this type of clear-eyed focus is necessary to confront the reality that HCBS continues to be underfunded (relative to institutional care), at least in part, because many state policymakers remain unconvinced that the evidence base exists to support further transformative state investments in broad rebalancing efforts. The day was divided into four sessions and highlighted by a keynote address, a luncheon address, and concluding reflections. More than 130 policymakers, health services researchers, and health care practitioners from across the country participated in the event.

Symposium Proceedings

Symposium Brochure

Speaker Biographies

Symposium Pictures

Keynote: Creating the Analytic Framework. to Understand and Evaluate. Home and Community-Based Services (HCBS)

Speaker:

Susan Reinhard

Presentation

Commentator:

Martha Roherty
 
 
Session 1: Effectively Assessing Quality in HCBS

Speakers:

Gale Arden

Presentation
  Walter Leutz Presentation

Moderator:

Cynthia Woodcock
 
 
Session 2: Assessing the Performance of Consumer-Directed and Tailored Service Initiatives within HCBS

Speakers:

William A. B. Ditto

Presentation
  Randall Brown Presentation

Moderator:

Stephanie Cannon-Jones
 
 
Luncheon: The Evolving HCBS Landscape: Challenges, Solutions and Recommendations
Speaker: Carol Raphael Presentation
 
Session 3: Effectively Targeting Candidates for HCBS

Speakers:

Leslie Hendrickson

Presentation
  Kathy Leitch Presentation

Moderator:

Anthony Tucker

 
Session 4: Determining whether HCBS is Cost-Effective

Speakers:

H. Stephen Kaye

Presentation
  David Grabowski Presentation
  Peter Arno Presentation

Moderator:

Stacey Mazer
 
 
Reflections

Conversant:

Henry Claypool