Long-Term Care

2007 Update

2003 Progress Review and Update

A Long-Term Care Plan for North Carolina
Final Report
Executive Summary
Issue Brief
Interim Report

In the fall of 1999, the then Secretary of the North Carolina Department of Health and Human Services, the Honorable H. David Bruton, MD, asked the NC IOM to convene a statewide task force to assist DHHS in developing a long-term care plan. After 18 months of research and examination of issues, the task force presented their final report to the incoming NC DHHS Secretary, the Honorable Carmen Hooker Odom, in March 2001.

Community Alternatives Program for Disabled Adults (CAP/DA)
Final Report

In the fall of 2002, the North Carolina General Assembly directed the NC Institute of Medicine to study the CAP/DA program, and to recommend ways to improve the administration of the program. Because of the short time frame involved in studying this program, the NC IOM did not follow its usual task force process, but relied instead on a series of key informant interviews to address the questions raised by the NC General Assembly. Specifically, we spoke with 49 individuals, including agency staff within the Division of Medical Assistance (DMA), local CAP/DA agency staff, consumer advocates, home health and nursing home staff, and a few CAP-DA consumers. In January 2003 we held a one-day meeting with the key informant interviewees to share their reaction to a series of options developed through the interviewing process.

This report begins with an overview of the CAP/DA program, and then presents the analysis of the legislatures' questions.