Area Agencies on Aging monitor contracts of services to older adults. Individuals are independent of service provision and not employed by a direct service agency. The individual should be independent of service provision but it is not prohibited by regulations currently. Case Management in Mental Health has two positions that can perform a monitoring or coordination function, social service technician 2 and social services provider 1. Long-term Care Ombudsman Program investigates and resolves complaints of residents of nursing homes and personal care homes.
Ombudsmen routinely visit long-term care facilities to monitor conditions and speak with residents.
Recommendations to Standardize and Streamline Monitoring Process Examine waivers and consolidate duplicated items where appropriate. Convene a study group to examine why monitoring is not consistent across the state and make recommendations on a more complete system. Of course concerns should be resolved at the immediate point of delivery, however conflicts can arise either within a service or between services. In this regard, care or service coordinators should be available to resolve conflicts and handle concerns. Standards of service coordination should be established for each population based on the intensity, services, and need.