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Long Term Care Reform: Ten Years After Little Hoover

This issue brief assesses the progress of long term care reform in California since the Little Hoover Commission recommendations in 1996 and introduces new strategies to improve care over the next five years.

In 1996, an independent state oversight agency known as the Little Hoover Commission (LHC) issued a landmark report that outlined recommendations for improving the availability, access, and quality of long term care in California.

This 2006 issue brief looks at the progress that has been made in long term care reform in California since the release of the LHC recommendations. It includes findings from a survey of long term care experts and a long term care strategy group meeting, both of which confirm that efforts to fulfill the LHC recommendations and tackle broad systemic change have been largely inadequate.

The report highlights three strategic priorities for ensuring sustainable, high-quality long term care in California over the next five years:

  1. Create seamless, coordinated, and/or integrated service delivery systems
  2. Move to an approach that eliminates or decreases the silo effect that current state and federal funding streams create
  3. Create quality measures, standards, and accountability that can be used across all programs and services

The issue brief (and the list of strategy group attendees), as well as a copy of the original Little Hoover Commission report, are available under Document Downloads.