Real Choice Products and Publications
Summary of Final Evaluation Report - Systems Transformation
Community Listening Sessions
Littleton Model Community
Principles of Person Centered System
Real Choice Systems Change Project - Evaluation Report
Real Choice Systems Change Initiative - Legislative Educational Series
The State of Long Term Care in New Hampshire
New Hampshire Long Term Support Systems Transformation Strategic Process
Transitions in Caregiving - Caregiver Assessments
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Final Evaluation Report - Systems Transformation
New Hampshire’s Systems Transformation Grant project implemented a comprehensive strategy to rebalance the system of supports for older adults and for adults with disabilities from a primarily provider-driven, medical model of care to a consumer-directed, person-centered system of supports. The evaluation results on this project paint a mixed picture of accomplishment towards system rebalancing. The majority of the objectives and strategies identified with Goal 1, access, and Goal 2, choice and control, have been accomplished. The experiences of the Goal 4, IT, have been mixed. However, the activities and program outcomes achieved under the System’s Transformation Grant were externally successful in bringing stakeholders together to inform system change, implementing a highly successful person-centered training across the state, streamlining the eligibility process, expanding access to community based programs for frail adults to needed areas of the state, and leveraging the broad range of CMS Real Choice grants to move New Hampshire closer to a consumer-directed, person-centered system of supports.
Click Here to Read the Report Summary
Click Here to Read the Full Report
Community Listening Sessions
Over the period of May 12, 2008 to July 22, 2008, the Bureau of Elderly and Adult Services
in collaboration with the State Committee on Aging and the Institute on Disability at UNH,
conducted seventeen community listening sessions throughout the State to hear what
seniors and local service providers thought about the transformation efforts taking place in
the long term care services system. The listening sessions were held as part of the Systems
Transformation Grant work plan as a means of public outreach and comment. BEAS also
plans to use the findings from these sessions as a documentation of need for the upcoming
State Plan on Aging. Click Here to Read the Full Report
A Model Community is inclusive of all it’s citizens, regardless of age or ability. A Model Community provides choice and control for its citizens who, because of disability, health issues or aging, need long-term supports in order to stay in their community. A Model Community encourages its citizens to fully engage with their community through business, civic, volunteer, and social opportunities. As it builds an inclusive community, a Model Community provides examples of success that guide others. Click here to read the Model Community Report presented in Denver, CO, Summer 2003.
The Town of Littleton, in partnership with the North Country Health Consortium, received a grant to support older people and individuals with disabilities to live independently. Click here for the details on this project or Click here to visit Littleton's website.
Principles of Person Centered System
New Hampshire is in the process of transforming its long term care system from one that is provider driven and medically oriented to one that places the individual and the family at the center of the planning and service delivery process. In a truly person centered system, the individual has maximum choice and control over the supports he or she receives. Click Here to read the full document
Real Choice Systems Change Project - Evaluation Report
In the fall of 2001, New Hampshire was awarded one of the nation’s largest Real Choice System Change Grants. Part of President Bush’s New Freedom Initiative, these grants were intended “to help ensure that all Americans have the opportunity to live close to their families and friends, to live more independently, to engage in productive employment, and to participate in community life.” The Real Choice grants were awarded to help states design and implement improved ways of providing community supports and services to children and adults who have a disability or long-term illness. The purpose of this evaluation is to assess the work of the Real Choice Advisory Council in setting direction and guiding system change efforts in New Hampshire. Click here to read the complete Program, May 2005
Real Choice Systems Change Initiative - Legislative Educational Series
As a part of the Real Choice Systems Change initiative, the Advisory Council sponsored An Educational Series for Legislators titled Supporting Older Adults and Individuals with Disabilities in Your Community. The series, which ran during the 2003-2004 session of the New Hampshire General Court, included the following presentations by nationally renowned speakers: Changes in Disability Policy, Financing Long-Term Care, Workforce Issues, Access to Home-Based Care, Coordinated Transportation, Mental Health Reform, and Affordable Housing. Each session was held twice – once during a breakfast meeting and once during a luncheon meeting. Click here to read the complete Evaluation Report
The State of Long Term Care in New Hampshire
In order to determine the state of Long Term Care and the needs of New Hampshire's communities, New Hampshire’s Department of Health and Human Services (DHHS) in conjunction with the Institute on Disability at the University of New Hampshire conducted extensive research. Between 1998 and 2009 a number of reports and documents were published which were used as reference and data in determining this information. Click here to view a summary of Long Term Care Documents Issued in NH between 1998 and 2009
New Hampshire Long Term Support Systems Transformation Strategic Process
In the fall of 2005 the federal Medicaid Program awarded New Hampshire’s Department
of Health and Human Services a Real Choice System Transformation Grant (STG). The
five-year grant supports the Department’s effort to develop a comprehensive long-term
care system that is community based and provides increased consumer choice and selfdirected
services and supports for New Hampshire’s older adults and citizens with
disabilities. The work on the STG began with a strategic planning process that brought
together stakeholders from across New Hampshire to develop a vision, mission, and goals
for transforming the state’s long-term care system. Click here to view the Strategic Planning Evaluation Report, September 2006
New Hampshire Long Term Support Systems Transformation Assessments
Transitions in Caregiving Assessment - Initial Assessment Tool (Coming Soon)
Transitions in Caregiving Assessment - 6-Month Assessment (Coming Soon)
Transitions in Caregiving Assessment - Renewal (Coming Soon)
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