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      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
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Colorado has been an "alexandria" for disability & Elder Rights 

One of its "Founders" civil rights attorney john Holland understood the importance of "STAFFIng" & where we really need to go


Val's Take
    Several years ago I was working as Colorado's Legal Assistance Developer for the Elderly.

       As part of that position, I provided Technical Assistance to the Colorado Long Term Care Ombudsman.

        What should I discover -- Colorado's Nursing Home Grievance Procedure has a Right of Judicial Review.

           We really need to be doing this I thought.  The LTC Ombudsmen were skeptical.

         The problem is they're just NOT attorneys -- I thought. 

         I'm going to run this by John Holland who is enormously respected by the LTC Ombudsmen -- the Nursing Home Class Action Lawsuit he spearheaded  resulted in no small measure in the Federal Nursing Home Reform Law of 1987 and he and Kathleen Mullen really closed the horrible O'Hara Facility in Denver.

        So I set up a meeting with John and explained how I saw how this Grievance Procedure could really transform Nursing Home Care.

        He listened very politely and told me about his Class Action lawsuit, how it lasted for years, and there were still problems.

          He wasn't interested in the Nursing Home Grievance Procedure route as much as I tried to convince him it wouldn't be as bad as a Class Action Lawsuit. 
      
            [Parenthetically, Kathleen Mullien's Class Action against the Colorado Mental Health Institute @ Pueblo -- the "Neiberger Case"--  was finally dismissed --- only to have Staffing Problems re-emerge @ CMHIP and CMS find the facility in IMMEDIATE JEOPARDY.]

            On the other hand, John 
was interested in Legislation  on  Nursing Home Staffing.

            Thanks for nothing -- I thought.  That's impossible or next to it.

           Well, over the course of many years, I've finally come to realize not only that there was a lot to John's advice but it applies to multiple systems affecting children & adults with disabilities.

         A Broad-Based Coalition to address the Need for:
  • An Independent Agency to Set Independent Specific Staffing Standards that correlate with the Broad Standards typically in law and regulation.
  • Consideration of Proposed Staffing Alternatives for Approval & to share with others.
  • Routine Staffing Audits​

--has the potential to bring long-lasting change to under-staffed systems serving children, adults & elders with disabilities.


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Valerie Schlecht: Attorney & Mental Health Advocate with CCDC
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Pat Tunnell, former Colorado Long Term Care Ombudsman--one of the kindest & most caring people most of us have ever met.
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Tim Fox
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Amy Robertson
^^^Tim Fox & Amy Robertson are attorneys & Co-Executive Directors of the Civil Rights Education & Enforcement Center [CREEC]
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Jayla Sanchez Warren, former Lead LTC Ombudsman for the Denver Regional Council of Governments, now head of the DRCOG Area Agency on Aging
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Amy Smith: Always on the State, National & International Leading Edge of Mental Health Advocacy
BTW:  We Haven't Pictured Even 1% of the People who make Colorado a Disability & Elder Rights Advocacy "Alexandria"
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Legal Legend Attorney John Holland
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Legal Director for the CO Cross Disability Coalition
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Latonya Reeves, ADAPT -- passionate about Civil Rights for people with Physical & Mental Disabilities
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Randy Chapman: one of the Founders of Disability Law Colorado, formerly the Legal Center for People with Disabilities & Older People. He literally wrote the nationally recognized "Special Education Handbook."
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The Gal -'- Colorado's Dorothea Dix -- Kathleen Mullen
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Julie Reiskin, Executive Director of the Colorado Cross Disability Coalition [CCDC].
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Dr. Lacey Berumen, former Executive Director of NAMI Colorado, now a National Board member for NAMI
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Kelli Fritts: Legislative Liaison for AARP
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Dawn Russell with ADAPT-- during one of her many acts of Civil Disobedience. Photo Credit: Denver Post
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Josh Winkler -- ADAPT
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Moe Keller: Head of Policy for Mental Health Colorado, former member of Colorado's Legislative Joint Budget Committee
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Aubrey Boggs, Colorado Mental Wellness Network [CMWN]
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The Jail Wait Case: Iris Eytan, the Colorado Lawyers Committee & Disability Law Colorado
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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System