Long Term Care Channeling Demonstration Project Office (LTCCDPO)

Corporate body

Long Term Care Channeling Demonstration Project Office (LTCCDPO)

• LTCCDPO
• LTCCO

1981-1995

The Long Term Care Channeling Demonstration Project Office (LTCCDPO) was established under the Director of Social Services and Housing to manage Hawaii’s participation in a federal long term care channeling project which was funded from January, 1981 to May, 1984. The Hawaii demonstration project, integral to LTCCDPO, was named “Project Malama,” and commenced operations on May 15, 1982. The project was intended to demonstrate that elderly who were at most risk of institutionalization could continue to live at home, or have their institutionalization delayed, if care was “channeled” to them. In practice, the distinction between LTCCDPO and Project Malama became blurred over time, and the two entities were often referred to as “LTCCDPO/Project Malama.”

The project director was assisted by an advisory committee, appointed by the Director of Social Services and Housing, which made suggestions regarding goals and procedures; served as a link between the project and the health care community; assisted in inter-agency coordination; and recommended additional areas for study.

Hawaii was not selected to remain in the federal project beyond 1983, but Project Malama continued in existence, and continued to channel long term care, as a recipient of funds administered by the City and County of Honolulu’s Elderly Affairs Division (EAD), creating an unusual situation where a State agency reported as a contractor to a City agency. Concurrently, because the federal demonstration project was over, LTCCDPO was renamed Long Term Care Channeling Project Office (LTCCPO). In July 1987 LTCCPO was renamed Long Term Care Channeling Office (LTCCO) and placed (along with its operational component, Project Malama) in the Public Welfare Division (renamed Family and Adult Services Division (FASD) in 1988) of the Department of Human Services (DHS). At the same time, LTCCO began to receive funding under the DHS appropriation in the State budget. Despite this, Project Malama continued as a contractor to EAD through 1990. Throughout these changes in organizational relations and funding sources, up until its disestablishment the office remained responsible for providing case management services to eligible frail and disabled elderly living at home.

The specific functions of LTCCO included:

• Establishing and maintaining relationships with all long term care providers in the community;
• Obtaining service agreements with provider agencies for the provision of services to channeling clients;
• Determining eligibility criteria for channeling services;
• Directing data collection activities for research purposes;
• Identifying persons appropriate for channeling services;
• Preparing care plans for clients which linked needs with services; and
• Monitoring services provided to clients.

Disestablished: The State Legislature declined to fund the project beyond September 30, 1995. Its functions were not explicitly reassigned, but elder care continued to be a responsibility of FASD, EAD and the Executive Office of Aging.

Prepared 2003-02-27 by Allen H. Hoof.

Legislative Reference Bureau, Guide to Government in Hawaii. Call No. JK 9330 .H38 [1984, 1989, 1993];
Department of Human Services [Department of Social Services, Department of Social Services and Housing], Annual Report. Call No. HV 85 .H38 [1981-1993].
Record of the Lieutenant Governor: Series 292, Organization Charts and Functional Statements: [various years], Department of Social Services and Housing [Department of Human Services].

2021-04-26, Carol Kellett: Entered into AtoM.