This report provides an overview of 33 states’ initiatives (FY02 CPASS and Real Choice Grantees) to improve their LTC systems and the enduring improvements achieved. It includes lessons learned and recommendations that can guide states that are undertaking similar initiatives. Grantees made enduring systems improvements in five major areas—many states in more. Virtually all agreed that prior to introducing new policies and programs, it is essential to obtain stakeholder buy-in and commitment. 

O’Keeffe, Dr.P.H., R.N., Janet; Anderson, Ph.D., Wayne; O’Keeffe, B.A., Christine; Coleman, M.A., Barbara; Greene, M.B.A., M.S., Angela; Brown, M.S., David 

Assistive Technology; CPASS; Personal Assistant; Stakeholder Involvement; Transportation; Affordable, Accessible Housing; Consumer Involvement; 

Accessibility, Aging Issues, Consumer/Participant Direction, Developmental/Intellectual Disabilities, Housing, Peer Supports, Physical Disabilities, State/Agency Information, Waiver 

Reports 

RTI - Systems Change Evaluation 

Alaska, California, Colorado, Commonwealth Northern Mariana Islands, Connecticut, District of Columbia, Georgia, Hawaii, Indiana, Kansas, Louisiana, Mississippi, Montana, Nevada, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin, All States/Territories 

02/27/2008 

Janet O'Keeffe
RTI International

janoke1@earthlink.net