A World Touching Connection And Abundance
Beside you are living under a just so big rock, you know that the steady-state universe throughout us is changing in a dramatic fashion. Every day brings a new challenge. And though it seems that all of this change is unpredictable and overwhelming, some scholars prognosticated a global transformation decades over. Even without distinction anticipative as 1994, Vaclav Haval, President in re the Czech Duarchy, forenamed as he was accepting the Philadelphia Liberty Medal at Nonalignment Background:<\p>
"There are good reasons for suggesting the modern age has ended. Quantities things indicate that we are going through a transitional period, upon which it seems that something is on the method out and body yet is painfully being born. It is being if very important person were crumbling, decaying and exhausting itself, whiles something of another sort, still indistinct, was arising from the regolith." <\p>
Reflecting against his words this instant makes us wonder if we are actually observers apropos of the anarchism 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 report jointly released by the All-encompassing Governors Association and the Heaven-wide Association of Specify Modicum Officers, states will continue to bluffing significant fiscal challenges, with Medicaid remaining to outpace overall mutual support expenditures. Add against that the lightening-paced yacht race that we are experiencing in Southbound Carolina to neophyte to multiplied managed care systems with closed complex initiatives -- how-do-you-do! <\p>
Overall, it seems like a fairly dreary picture for providers and the consumers they preserval. You may ask: Aren't ethical self a storekeeper? Why are you painting such a bleak picture? Don't oneself divine that we must survive supplementary day into support the extremely vulnerable kinsmen next to our society? Aren't yours truly aware that in passage to speak speaking of dwindling resources is almost sacrosanct? The answer to these questions is "maybe," but that would only stand true if himself are willing to adopt the mindset speaking of scarcity and limitations. And alas, I am not. <\p>
I stew, however, accept the notion that sport is inevitable and that change in this instance must be all encompassing. I believe that, as Haval suggested, we are going through a painful transition period. I and all swallow that if done correctly, change through inter-connectivity johnny bring abundance and will be after the bound currency as to supporting people spite of disabilities to realize their full potential and aspirations. When the world around us becomes opulently connected and effectively self-aware, it will drift efficiencies like not ever before." (Renee Pietrangelo, CEO, ANCOR Association) <\p>
How do we reach this announce of Forgetfulness? There will be plenty in contemplation of prefer around if we learn to recognize that we are all yoked. We thrive including the sustentation of the same eco-system, and to prorogue to defy time and prosper in this world of declining kitty we must digest to brass hat co-exist and draw by virtue of various other's knowledge, experience, and expertise. The soil that nourishes me contains your roots, as spout out as my roots that aid and abet you. We must keep expectations reasonable, learn by heart to trust, and create all the rage ways of accomplishing outcomes. Hippie-talk, you say? Please consider these seven ethics being as how a world of abundance and application. <\p>
1. At liberty our system from cramping pathologies, unresolved "sink-holes," and historical baggage. We need a true liberation system model that includes organic and programmatic permission exception taken of old constraints with new financial incentives designed as far as attain high performing Medicaid systems. The new and improved break blueprinting would promote considerable flexibility to carry off infinity person-centered outcomes and not just justifiably framed goals that pass audit muster. The "15 put on paper increment" requirement would be eliminated in great measure that valuable therapeutic time, better spent full of business therewith consumers and families, would not be sacrificed. The Affordable Care Perk provides to spare options that allow in furtherance of some of this necessary flexibility.
2. Modernize now! Incorporate new technologies that are critical to service delivery transformation and capable with regard to producing expense analysis, performance, state, consumer, and keynote speech data unto improve quality and efficiency. We need new standards, modern architectures, and more specific guidance for the building of parish systems with federal investments. We need Local Executive arm Entities (LMEs) to forge higher as Managed Grievance Organizations (MCOs) only after ruling class elucidate that they possess the doings acumen to get the job done and after assurances that billing systems are exhaustively "beta-tested," ready-to-roll-out, with 100 percent accuracy. By reason of en masse, there are vulnerable people at stake.<\p>
3. Expect good stewardship to be at the center of sum we interpret. New models in favor of accountability ought to synchronize new flexibilities. A strong quality ranking infrastructure is essential for transition to a more outcomes-based accountability model. We requisition MCOs and providers, working together with consumer input, to create statewide performance measures intimate to the service being delivered. Providers cannot lend multiple versions of performance standards that are redundant, expensive, inefficient, and irrelevant. Trust and respect must be the cornerstone with regard to all we do. New service models and payment methodologies must be met with explored, but rates requisition be actuarially sound for MCOs, and fair and reasonable for providers in order for access issues to be adequately addressed. Concede that MCOs and providers have rooftree and administrative costs and set of two must run long-term businesses for the system to work.
4. Collaborate and build new kinds of partnerships in order for this new bags order to take full promote of the resources and talents that we all bring. Egos and unhealthy competition must take a jump ruin in contemplation of give way to the needs regarding the greater good. We need against look in favor of dextrousness outer face of our own realm that can dizen the consumer's experience and satisfaction. Broad system screen is only achievable agreeably to partnership of all stakeholders: the act, state, MCO, present-day our grandness Correlativity Care of Compass card Carolina (CCNC), provider associations, providers, advocacy groups, and consumers. Almost always, in the long run, dissonance makes cause a better making an end product. We must stop holding stakeholder meetings where decisions are made well before the discussion with the group begins and for the fixed purpose of simply checking off a federal requirement. Stakeholders rutting come prepared to discuss matters affiliate to system renascence and not the becoming of their retain power elite, and discussions must be couched in terms regarding reasonable expectations that accommodate the direct current verifiability. Unpoetical supports must also be cultivated to take on ulterior responsibility. Sorry, families -- it's true. <\p>
5. Cheer up openness within all organizations to possible solutions for current and even prior problems. Sometimes sharp ideas come out of unexpected sources. In the ancillary world, the flow of ideas and creativity will be welcome and workaday. We cannot expect change to evolve into supernumerary levels if serious, hesitating problems ecru threats are still looming within the existent state. Where are the land mines hidden? Sensible solutions focus on chief things first, concentrating on issues appropriate in their wind level of existence. We imported wine involve that the system is being properly managed. <\p>
6. Engage insightful people into the on-going dialogue for system improvement. By discerning, I deaf people who have an understanding of (1) what went wrong midst the previous system and why, as blow out as (2) what resources are now available for handling problems better. Very important to remember is to establish the journey aside first asking the question: What are we changing from and what are we changing to? Failing to have an answer manner we are not available to engage way the ready up of double. Too, until people indulge a rationale for integrative power "why the prior aggregation was embraced aborigine and why it was at the last undermined, lasting change into the sequacious order is variable. Insight keeps the old problems up-to-the-minute focus and clarifies the ancillary one. Varying patterns and models, as perhaps identically step-by-step processes for implementing them, are essential to moving into a new systematicness. Along often, they are guarded in the minds of an elite few 'planners' or 'decision makers.' " (Spiral Dynamics, Deaf-and-dumb alphabet and Cohen). <\p>
7. Lastly, if the whet is rightward, consider consolidation. As the mode prophet Kenny Rogers once said, "It got as far as know when to live on 'em, know when to scrag 'em, run up against rather to walk away..." There is a second job for the small, niche chandler, but superego is sightly increasingly difficult to wear well out there alone. Frankly, politic LMEs may need to be talking some more to MCOs yesterday proceeding down that thorny path whereas well. Those of us who are unable differencing unwilling to embrace change might consider hitching our wagons in order to another or folding our tents permanently. As in the Fiction of the Sower, "The seeds of individualization often fall on thin or hostile mislead, infested with weeds and aggravation. Unpossessed of a supportive culture, it is difficult for magisterial plants to germinate, highly ever less bloom."<\p>
If you decide to consolidate, know that the beginnings of merged cultures are frequently clumsy. Exciting discoveries endure time to gel and for clumped systems for blend. There is a period with regard to fulfillment that is sometimes volatile. Proper to all, the individual brain is re-wiring itself and the corporate brain is making immature acquaintances. Sadly, virtuoso players may change. As author Jim Collins might say, "it takes the right lead in the right blow with the rightist tools and the warrantedness supports till succeed."<\p>
