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Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits

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Implementation issues for consumer-directed programs: comparing views of policy experts, consumers, and

Lori Simon-Rusinowitz¹, Lori N Marks, Dawn M Loughlin

¹University of Maryland, Center on Aging, College Park, MD 20742, USA. ls119@umail.umd.edu

Journal of Aging & Social Policy

|April 17, 2007

Summary

Consumer-direction (CD) in long-term care empowers individuals by placing resources directly in their hands. Examining multiple stakeholder views is crucial for effective CD personal assistance services implementation.

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Area of Science:

Gerontology
Health Services Research
Public Policy

Background:

Growing support for consumer-direction (CD) in aging community services.
CD shifts long-term care responsibilities, empowering consumers with direct control over resources.
Implementation challenges persist, particularly for older adults.

Purpose of the Study:

To highlight the importance of multi-stakeholder perspectives in CD program implementation.
To inform the design and policy of the Cash and Counseling Demonstration and Evaluation (CCDE).

Main Methods:

Analysis of three background studies informing CCDE design.
Inclusion of policy expert interviews, consumer/representative surveys, and focus groups.
Incorporation of CCDE design and first-year implementation experiences.

Main Results:

Individual studies provided essential planning information for CCDE.
Synthesizing multiple stakeholder views created a "dialogue" enhancing knowledge.
This multi-perspective approach expanded understanding of CD service implementation.

Conclusions:

A comprehensive, multi-stakeholder approach is vital for effective CD service implementation.
Increased knowledge from diverse perspectives can guide future CD program expansion.
This research aims to broaden access to consumer-directed care for all ages.