Vermont's elders live with dignity and independence in settings they prefer and 6 more...less...

Vermont's seniors live with dignity and in settings they prefer

Students are proficient in core academic subjects--

Vermonters are Healthy

VERMONT'S ELDERS LIVE WITH DIGNITY AND IN SETTINGS THEY PREFER

VERMONT'S ELDERS LIVE WITH DIGNITY AND IN SETTINGS THEY PREFER

VERMONT'S ELDERS LIVE WITH DIGNITY AND IN SETTINGS THEY PREFER

State Ranking on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers (AARP, Scan Foundation, Commonwealth Fund)

52020

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Story Behind the Curve

This scorecard ranks states and DC in order from 1 to 51 on a wide range of issues pertaining to older adults and people with disabilities.  The LTSS scorecard has five domains that states are ranked within, and each of those domains has multiple indicators that are used to derive the overall score.  The domains include:

  • Affordability and Access

  • Choice of Setting and Provider

  • Quality of Life and Quality of Care

  • Support for Family Caregivers

  • Effective Transitions

AARP and ADvancing States recognize that the report can be challenging when solely viewed as a numerical ranking; however, it also can provide states with opportunities to highlight areas of success while simultaneously identifying areas for improvement. ADvancing States believes that all states have unique attributes and strengths and we are encouraged with the progress all states have made since AARP initiated this project in 2011.  ADvancing States encourages each state to look beyond the total tabulations and state rankings and spend time understanding the individual components within each of the domains and how your state may improve as well as areas of success that you can highlight.  

 

A few important things to consider about this report:

Some of the factors that impact the indicators are within Aging and Disability or Medicaid agencies’ spheres of influence, but many are not.  (i.e. the poverty rate in your state, Medicare policy, housing affordability, and Federal funding allocations for several programs)

Some of the data-sources used, including those from the Federal government, (especially CMS) may not be current enough to reflect improvements made in state systems since the information was first collected. 

Many state-specific innovations may also not be captured because the report relies on sources of data that can draw all-state comparisons. 

Many of the indicators and data sources shifted since the most recent (2017) release of the scorecard, so we do not believe it is useful to compare results across the different reports; however, we caution that there is likely to be press attention paid both to the individual state rankings as well as to any change in positioning that occurred between the releases. 

 

The ranking of the top five states is as follows (note: some states are tied in this ranking system) 

  1. Minnesota

  2. Washington

  3. Wisconsin

  4. Oregon

  5. Vermont

Partners

A wide variety of public and private entitities contribite to each state's ranking including:

  • the federal government
  • state government
  • local government
  • HCBS service providers
  • LTSS facilities
  • Housing agencies and providers
  • Transportation agencies and providers
What Works
Strategy
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy