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Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Optimizing Care Systems for People with Intellectual and Developmental Disabilities: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26624.
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Appendix B

Statement of Task

A planning committee of the National Academies of Sciences, Engineering, and Medicine will plan a public workshop that will explore the challenges and opportunities related to building an optimal integrated care system for people with intellectual and developmental disabilities (IDD) (e.g., individuals with autism spectrum disorder). The workshop will feature invited presentations and discussions that will explore questions related to models of care, workforce, and financing and payment for care such as the following:

Models of Care

  • What are illustrative examples of care models that deliver holistic, tailored (developmentally appropriate and patient-centered), and coordinated care?
  • What factors limit the sustainability and/or adoption of these care models?

Workforce Issues

  • What is known about the workforce that serves people with IDD?
  • What are the facilitators and barriers to improving the competency and capacity of all clinicians to care for people with IDD, particularly for minority and poor populations?
Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Optimizing Care Systems for People with Intellectual and Developmental Disabilities: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26624.
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Financing of and Payment for Care

  • What key data/analytic gaps do payers and purchasers need addressed to design effective financing and payment approaches for IDD care?
  • What policy or programmatic changes would be required to ensure appropriate levels of financing for IDD health care services, including support for clinical providers to coordinate with peers in other service domains?

The planning committee will plan and organize the workshop, identify speakers and discussants, and moderate discussions. A proceedings of the presentations and discussion at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.

Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Optimizing Care Systems for People with Intellectual and Developmental Disabilities: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26624.
×
Page 99
Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Optimizing Care Systems for People with Intellectual and Developmental Disabilities: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26624.
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Page 100
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Approximately 7.4 million people in the United States live with an intellectual or developmental disability (IDD), defined by the Centers for Disease Control and Prevention as "a group of conditions due to an impairment in physical, learning, language, or behavior areas. These conditions begin during the developmental period, may impact day-to-day functioning, and usually last throughout a person’s lifetime." Individuals with IDD and their caretakers face exceptional barriers to staying healthy and accessing appropriate health services. Among these barriers are difficulty finding care providers that are adequately trained in meeting their specialized needs, unwieldy payment structures, and a lack of coordination between the various systems of care with which patients with IDD may interact (e.g., education, social work, various segments of the health care system).

The National Academies of Sciences, Engineering, and Medicine hosted a workshop to discuss promising innovations in (1) workforce development, (2) financing and payment, and (3) care coordination; and to share visions for improved systems of care. Participants noted that while many existing approaches could serve as models for improving care, large changes will need to be made in these 3 facets of the care system in order to make them accessible to all IDD patients. This publication summarizes the presentations and discussions of the workshop.

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