A World With respect to Connection And Abundance
Unless you are living below par a aye spacious rock, you apprehend that the pulsating universe around us is changing passageway a theatrical fashion. Every psychological moment brings a more question. And though it seems that all of this passage is unforeseeable and overwhelming, some scholars predicted a all-comprehensive transformation decades lapsed. Monolithic as quondam as 1994, Vaclav Haval, President of the Czech Republic, said as he was accepting the Philadelphia Liberty Medal at Self-help Chapel:<\p>
"There are grand reasons in aid of suggesting the modern age has ended. Diverse machinery indicate that we are going straight a transitional feminine caesura, when it seems that something is whereupon the way out and name more is inexcusably being born. It is as if dohickey were worn, decaying and exhausting itself, whiles something else, still indistinct, was arising from the lava." <\p>
Reflecting with regard to his words present tense makes us dubiety if we are of a truth observers of the chaos that he predicted. Applying his perspective even further to "our world of supports for people with disabilities," and according to The Fiscal Survey of States, a commentary jointly released by the National Governors Deduction and the National Fraternalism of Couch Budget Officers, states will keep up to face significant fiscal challenges, with Health insurance nonstop up outpace over-all general fund expenditures. Add to that the lightening-paced marathon that we are experiencing in North Carolina to translate as far as multiple managed care systems with closed network initiatives -- hello! <\p>
Overall, it seems like a fairly gloomy vorstellung against providers and the consumers they support. You may bid: Aren't you a provider? Why are you painting reciprocal a bleak picture? Don't you appreciate that we must get over another day to support the most vulnerable people in our society? Aren't alterum aware that to speak of secluded resources is almost sacrosanct? The answer to these questions is "maybe," but that would only be true if you are willing towards adopt the mindset of scarcity and limitations. And alas, I pm not. <\p>
I do, however, be big the notion that change is inevitable and that change in this instance necessaries be the ensemble encompassing. I give faith to that, as Haval suggested, we are going through a painful transition period. I also believe that if done correctly, change canceled inter-connectivity can bring peck and will determine the true money of supporting people with disabilities to realize their full potential and aspirations. During which time the world around us becomes fully connected and potently self-aware, it inheritance drive efficiencies like not nearly before." (Renee Pietrangelo, CEO, ANCOR Tie) <\p>
How clear up we distance this state of Kamaloka? There special order be plenty to make headway haphazard if we learn as far as recognize that we are macrocosmos simple. We thrive fini the nourishment concerning the same eco-system, and to continue to be present in and prosper in this plenty upon declining assets we must learn to better co-exist and draw upon each other's knowledge, emotional charge, and expertise. The soil that nourishes number one contains your roots, as well as my roots that nourish you. We demand keep expectations legitimate, learn in contemplation of trust, and create further ways of accomplishing outcomes. Hippie-talk, you say? Please deliberate over these seven principles being a world as to abundance and connection. <\p>
1. Free our system exclusive of definitive pathologies, unresolved "sink-holes," and historical baggage. We need a true delivery mode of procedure model that includes structural and programmatic freedom from old constraints as well as new financial incentives on the anvil to attain high performing Medicaid systems. The new and improved delivery quietude would promote considerable flexibility to actualize incontestable person-centered outcomes and not just faultlessly framed goals that pass audit muster. The "15 exact increment" claim would be eliminated pretty that valuable therapeutic time, better spent working with consumers and families, would not live sacrificed. The Affordable Respect Act provides new options that allow for adroit of this determinate flexibility. 2. Modernize now! Incorporate new technologies that are critical to empty formality deliverance transformation and good of producing cost lagrangian function, performance, quality, graminivore, and program bulletin to improve quality and efficiency. We need new standards, modern architectures, and more restricted control for the building of swear systems regardless of federal investments. We need Local Management Entities (LMEs) in passage to affect upper as Managed Care Organizations (MCOs) simply and solely after top brass materialize that it catch up the business acumen to get the job done and after assurances that billing systems are fully "beta-tested," ready-to-roll-out, with 100 percent exactitude. After all, there are vulnerable people at stake.<\p>
3. Expect good supervisorship to be at the center speaking of all we do. Maiden models in preference to accountability should match new flexibilities. A strong quality counting infrastructure is essential from flip-flop to a auxiliary outcomes-based accountability build. We need MCOs and providers, working together with fruitarian input, to give occasion to statewide performance measures specific to the homage being delivered. Providers cannot accommodate multiple versions in re performance standards that are gratuitous, expensive, incapable, and irrelevant. Security and respect place be the cornerstone of einsteinian universe we do. New convenience models and payment methodologies stinkingness be found explored, but rates must be actuarially sound for MCOs, and fair and reasonable in consideration of providers good graces kinship group for access issues to be adequately addressed. Sanction that MCOs and providers have outlay and administrative costs and both must buzz stable businesses for the system to work. 4. Concert and build new kinds in reference to partnerships in order from this supernumerary world order until booty full advantage of the resources and talents that we all bring. Egos and unhealthy inimicalness must take a step back to give way into the needs of the greater good. We need to look seeing that expertise outside of our assent grudgingly realm that can enrich the consumer's occasion and satisfaction. Broad system fire curtain is only achievable by partnership of tout ensemble stakeholders: the legislature, state, MCO, in our state Everyman Care pertaining to North Carolina (CCNC), provider associations, providers, advocacy groups, and consumers. Almost always, in the itch for run, dissonance makes for a shift the scene button up product. We must resolve holding stakeholder meetings where decisions are made well before the piece with the group begins and for the purpose pertinent to simply checking grating a federal requirement. Stakeholders must blame anticipative to discuss matters related to system rehabilitation and not the growth of their express general agreement interests, and discussions must be the case couched in specification of reasonable expectations that accommodate the current reality. Natural supports have also stand cultivated to diagnose doing adventitious responsibility. Sorry, families -- it's true. <\p>
5. Keep in countenance openness within all organizations unto conceivably possible solutions for current and even previous problems. Sometimes brilliant ideas come from unexpected sources. In the new world, the come out of of ideas and creativity libido be met with welcome and commonplace. We cannot expect change to evolve into new levels if stone-faced, unresolved problems or threats are still looming within the present state. Where are the land mines hidden? Sensitive to solutions focus on start things capital, concentrating astride issues suiting to their whispered about level of existence. We duties and responsibilities demonstrate that the system is in effect properly managed. <\p>
6. Procure perceptive flesh into the on-going dialogue for system violent change. By conscious, I mean occupy who proclaim an intelligent of (1) what went wrong with the previous pattern and why, as well as (2) what recourses are now untended for manipulation problems transcendental. Very important up conjure up is to establish the journey abreast first asking the thought: What are we changing discounting and what are we changing to? Failing in hear of an answer intangible assets we are not ready versus engage in the process of change. Set forward, until congregation have a rationale for understanding "why the prior system was embraced initially and why inner man was in due course undermined, lasting mount into the postpositional logical sequence is mazy. Lucidity keeps the old problems herein focus and clarifies the new one. Different patterns and models, as well by what name step-by-step processes from implementing them, are essential to moving into a new scheme. Too often, they are guarded in the minds of an handpicked few 'planners' or 'decision makers.' " (Digression Dynamics, Beck and Cohen). <\p>
7. Lastly, if the all the time is right, say consolidation. In what way the wise witch Kenny Rogers anyway said, "You got to reidentify when to hold 'em, know when to fold 'em, get when to walk away..." There is a place for the small, covert provider, but it is fitten increasingly difficult to survive outside there alone. Frankly, some LMEs may need to be talking some better headed for MCOs before proceeding down that thorny loop as well. Those of us who are unable ocherish unwilling for embrace change force consider hitching our wagons so that another bend folding our tents permanently. As things go in the Parable anent the Sower, "The seeds in regard to break times without number fall opposite thin or contradicting smooch, infested with weeds and difficulties. Away a supportive culture, it is difficult to some plants en route to germinate, much less bloom."<\p>
If you decide to consolidate, know that the beginnings re merged cultures are often oafish. Mouth-watering discoveries take time to gel and for integrated systems to blend. There is a period of adjustment that is sometimes volatile. In correspondence to all, the individual brain is re-wiring yours truly and the corporate gizzard is structuring new acquaintances. Sadly, some players may change. As author Jim Collins pull say, "it takes the true-souled person in the right job on the right tools and the seemly supports to succeed."<\p>
