Step 6: Implementation

The consideration and planning in Steps 4 and 5 should have helped you identify some of the steps you need to take to implement your chosen LTSS model in your community. This implementation checklist can help you get a clearer view of certain aspects of your program.

Implementation Checklist

Based on your unique plan, you may wish to add action items to this list or break items down into smaller steps.

Program Development Resources

The following national organizations can assist with tribal LTSS programs. Some national programs may have initiatives geared toward working with tribes.

• National Association of Area Agencies on Aging
• Administration for Community Living
• Leading Age
• National Adult Day Services Association
• See other national LTSS resources

Certification for Medicare and Medicaid

There are many kinds of certification that facilities and programs can apply for. Certification through CMS for Medicare and Medicaid is an important step in developing an LTSS program.

Accreditation is often a lengthy process. Be sure to plan on spending plenty of time on this certification and other types of accreditation.

Learn more about Medicare and Medicaid certification—after following the link, check the list on the left for information on different types of services and facilities.

Create a Work Plan

Develop a work plan that shows the activities you need to accomplish and when they should take place.

Strategies for Success

Because the following approaches tend to be ongoing and always changing, they may not be on your checklist, but they are important strategies:

• Take advantage of existing resources
  • Streamline LTSS services with existing tribal health services
  • Collaborate with other tribes that have similar programs and services
  • Create or improve an elder safety code
  • Start an elder taskforce
• Communicate often with key stakeholders
  • Recruit LTSS champions who can help create momentum around your program
  • Gain the support of tribal leaders and your community
• Build and use partnerships
  • Contract with other tribal and nontribal providers

After implementing an LTSS program, it is important to evaluate how well it works, whether it meets the goals you set for it, and how it benefits community members. Proceed to Step 7.