illinois budget cuts - the efficiency story
TRANSCRIPT
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People with DisabilitiesLiving in the Community:
The Efficiency StoryThe Efficiency Story
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What effect do Community What effect do Community Services Agencies have on Services Agencies have on Illinois’ ability to care for Illinois’ ability to care for people with disabilities?people with disabilities?
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What effect do Community What effect do Community Services Agencies have on Services Agencies have on Illinois’ ability to care for Illinois’ ability to care for people with disabilities?people with disabilities?
Let’s take a look at just one area:
EfficiencEfficiencyy
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What effect do Community What effect do Community Services Agencies have on Services Agencies have on Illinois’ ability to care for Illinois’ ability to care for people with disabilities?people with disabilities?
EfficiencEfficiency:y:
How effective are they when
it comes to value:value: providing the most servicemost service
for the least costleast cost?
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As efficiency goes up, costs come down.
Highest efficiency
Lowest cost
People with disabilities living in the community cost taxpayers less than ¼ the cost of living in an institution.
Fact:
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Community services
allow more people to live in the community
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Community services allow more people to live in the community
Group homes add savings and quality of life
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Community services allow more people to live in the community
Group homes add savings and quality of life
Through time, forced efficiencies save $, but add no quality of life
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Through time, forced efficiencies save $, but add no increases in
quality of lifeCommunity agencies have absorbed:•Cuts in funding two years in a row
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Community agencies have absorbed:•Cuts in funding two years in a row
•No increase in wages over four years
Through time, forced efficiencies save $, but add no increases in
quality of life
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Community agencies have absorbed:•Cuts in funding two years in a row
•No increase in wages over four years•Cuts in Medicaid funding
Through time, forced efficiencies save $, but add no increases in
quality of life
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Community agencies have absorbed:•Cuts in funding two years in a row
•No increase in wages over four years•Cuts in Medicaid funding•Increases in insurance costs
Through time, forced efficiencies save $, but add no increases in
quality of life
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Community agencies have absorbed:•Cuts in funding two years in a row
•No increase in wages over four years•Cuts in Medicaid funding•Increases in insurance costs•High interest costs due to late state payments
Through time, forced efficiencies save $, but add no increases in
quality of life
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Community agencies have absorbed:•Cuts in funding two years in a row
•No increase in wages over four years•Cuts in Medicaid funding•Increases in insurance costs•High interest costs due to late state payments•Higher prices for food and living expenses
Through time, forced efficiencies save $, but add no increases in
quality of life
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As efficiency goes up, costs come down.
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As efficiency goes up, costs come down.
Until we reach a certain point
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Diminishing ReturnsDiminishing Returns
Low wages = high turnover
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State pays at least 4 months late = high interest cost on loans
waiting for state $
Diminishing ReturnsDiminishing Returns
Low wages = high turnover
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Medicaid cuts = more emergency room visits
Diminishing ReturnsDiminishing Returns
Low wages = high turnover
State pays at least 4 months late = high interest cost on loans waiting for
state $
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Low wages = high turnover
State pays at least 4 months late = high interest cost on loans waiting for
state $Medicaid cuts = more emergency
room visitsShrinking community care = more
institutional care = MUCH higher costs
Diminishing ReturnsDiminishing Returns
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As efficiency goes up, costs come down.
Diminishing ReturnsDiminishing Returns
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Diminishing ReturnsDiminishing Returns
As efficiency goes up, costs come down.
Until we reach a certain point
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Diminishing ReturnsDiminishing Returns
As efficiency goes up, costs come down.
Until we reach a certain point
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Diminishing ReturnsDiminishing Returns
As efficiency goes up, costs come down.
Until we reach a certain point
Where cuts in services lead to drastic costs to
quality of life
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Diminishing ReturnsDiminishing Returns
As efficiency goes up, costs come down.
Until we reach a certain point
Where cuts in services lead to drastic costs to
quality of life
For people who can’t advocate for themselves
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Until we reach a certain point
As efficiency goes up, costs come down.
Where cuts in services lead to drastic costs to
quality of life
Diminishing ReturnsDiminishing Returns
For people who can’t advocate for themselves
We are at that point!We are at that point!
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Some Interesting Facts…Some Interesting Facts…
Illinois ranks 4Illinois ranks 4thth in number of individuals in number of individuals with developmental disabilities in state with developmental disabilities in state institutions.institutions.Illinois state institution budgets will Illinois state institution budgets will increase $30 million in Fiscal Year 2012.increase $30 million in Fiscal Year 2012.
Illinois ranks 47Illinois ranks 47thth in community spending in community spending for children and adults with developmental for children and adults with developmental disabilities.disabilities.
Illinois ranks 51Illinois ranks 51stst in number of small group in number of small group homes for children and adults with homes for children and adults with developmental disabilities.developmental disabilities.
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Our Governor and state legislators Our Governor and state legislators can say a lot about cutting vital can say a lot about cutting vital human services:human services:
“The state budget will be balanced.”“There will be no new taxes.”“State workers will receive their raises.” * * In 2011, state
employees will receive 8.2% in wage increases.
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Here’s what you will Here’s what you will NEVERNEVER hear them say:hear them say:
“We’re doing this to increase (or even maintain) quality of life for people with disabilities.”
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“We’re doing this to increase (or even maintain) quality of life for people with disabilities.”“We’re doing this so that direct contact staff will have a decent standard of living.”
Here’s what you will Here’s what you will NEVERNEVER hear them say:hear them say:
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“We’re doing this to increase (or even maintain) quality of life for people with disabilities.”“We’re doing this so that direct contact staff will have a decent standard of living.”“We’re doing this in order to make the system more efficient and effective at meeting the needs of people with disabilities.”
Here’s what you will Here’s what you will NEVERNEVER hear them say:hear them say:
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“We’re doing this to increase (or even maintain) quality of life for people with disabilities.”“We’re doing this so that direct contact staff will have a decent standard of living.”“We’re doing this in order to make the system more efficient and effective at meeting the needs of people with disabilities.”“We’re doing this to care for the most vulnerable among us: those who count on us because they cannot advocate for themselves.”
Here’s what you will Here’s what you will NEVERNEVER hear them say:hear them say:
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