DDRS Advisory Council - July 21, 2021 - IN.gov
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DDRS Advisory Council
July 21, 2021
Agenda Item Time Discussion Leader
Welcome and Introductions 5 minutes Kim Opsahl
DDRS Advisory Council Meeting Structure and Focus – Discussion and 30 minutes Shawn Fulton
Brainstorming Megan Burger
Kim Opsahl
BDDS Updates 25 minutes Cathy Robinson
• Case Management Innovation
• COVID-19 Data and Activities
• Enhanced FMAP Initial Spend Plan
Culture Change & Systems Transformation through the CtLC 60 minutes Jenny Turner
Framework
Next Meeting: August 18, 2021
DDRS Advisory Council Meeting
Structure and Focus – Discussion and
Brainstorming
Megan Burger
Shawn Fulton
Kim Opsahl
• How It’s Going
Vision of a
Good Life
Quality and Service
Monitoring Models and
Systems Structure
• Where We Are Heading
Comprehensive
Community
Build Monitoring and
Independence Oversight
Through Key • Supporting
Supports Providers and
Case Case Managers
Management and • Defined Service
Outcomes
System
Navigation
• System Education LifeCourse Nexus Culture of Quality
Team on Achieving a Good / CoP
Dynamics and Life
Shared
Outcomes Waiver Redesign Living Well
• Quality Metrics
• So, What Does this Mean for the DDRS Advisory Council. . . • How can we support everyone to participate in meeting discussion? • How can we make sure everyone feels included in the conversation? • How can we continue to focus discussions in a way that supports the Council in their advisory role?
BDDS Updates
Cathy Robinson, M.S. Ed, Director, Bureau of Developmental
Disabilities Services
COVID-19 Data:
Total Number of BDDS COVID Positive Cases
CIH FSW
1462 1076
SGL
846
Total Cases: 3384
Total COVID-Related Deaths: 56
COVID-19 Data: Age Among Unique COVID Positive Cases
COVID Positive Cases
by County
3384 Total Cases
Data as of 7/11/2021
Total COVID-related deaths- 56COVID Priority FSW Placement
COVID-19 Priority FSW Slots by Month
Data as of 7/11/21
4
4
3.5
3
3
2.5
2
2
1.5
1 1
1
0.5
0 0 0 0
0
Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21COVID-19 Data:
Total Number of Staff COVID Positive Cases
Waiver
1399
SGL
640
Total Cases: 2039
Total COVID-Related Deaths: 5COVID Positive Cases
by County - Staff
Total COVID-related deaths- 5COVID-19 Data: Vaccine Status
Data as of 7/1/2021
25,279 eligible (16 or older)
Note: Due to the every-changing number of individuals in BDDS services, the vaccine counts should not be compared
to previous reports.Applications for Emergency Placement - Priority Waivers*
Source: BDDS DART Data System
*All counts are unduplicatedNumber of Individuals on BDDS Waivers – One-Day Count:
• Community Integration and Habilitation*:
Source: BDDS Portal
*All counts are unduplicated• Number of Individuals on BDDS Waivers – One-Day Count:
• Family Support Waiver*:
Source: BDDS Portal
*All counts are unduplicated• Number of Individual on Family Supports Waiver Waiting List: Source: BDDS DART Data System
• FSW Wait List by Age Range Source: BDDS DART Data System
Case Management
Innovation Timeline
RFS submissions RFS awards Start date for
deadline published new contracts
MAY 4th JUL 6th AUG 1st OCT 1st DEC 30th JAN 1st
Waiver amendments
RFS Contracts
submitted to CMS
released signedBackground: Enhanced FMAP Through
the American Rescue Plan Act
Provides a temporary
Enhanced funds can
10% enhanced FMAP
be used through States are required to
on state Home and
March 31, 2024 to submit an initial
Community Based
enhance, expand, or plan for these funds
Services
strengthen Home and provide
expenditures from
and Community quarterly updates
April 1, 2021 through
Based Services
March 31, 2022FSSA’s Approach to Enhanced FMAP
650 Alignment
Stakeholder with
Survey Priorities and
Responses Initiatives
Stakeholder
Meetings**Examples are provided for illustrative purposes and are not an exhaustive list of potential activities and strategies
backhome.indiana@fssa.in.govExploring Charting the LifeCourse Integration Indiana DDRS Advisory Council May 19, 2021
What We Hope to Achieve Today • Review the System Change Priorities • Identify Actions and Opportunities • Identifying and finalize “action steps” and priority strategies • Explore resources and opportunities to support taking action
Productive, Solution Focused Innovations/ Applications Shared Outcomes System Navigation Building Community Independence Monitoring
Touchpoints of Person Centered System
Human Needs of Person and their Family
Touchpoints between Person/Family and LTSS
Front Door Person Centered Accessing Delivering Check-In & Annual
Intake &
Interaction Plan Process Supports Services Monitoring Meeting
Assessment
System Requirements (Federal, State, Organizational)Logic Models
Short-Term Mid-Term Long-Term
Inputs Activities Outputs Outcomes Outcomes Outcomes
What What What happens What are What are How will
immediately
resources specific and are the changes the results people and
do we actions will “tangible” to practice, of the families
have/need? we take? changes – processes, practice, lives be
resources, or policies? policy, or improved?
trainings, etc.?
procedure
changes?Short-Term Outcomes Mid-Term Outcomes Long-Term Outcome
Individuals and families will
“Front Door” practices that Improved access and
know more about the
are discovery and exploration navigation
possibilities, have higher
based, and focus on how
expectations, and will access
services supplement what’s
services as part of how to
working Individuals and families will
reach the envisioned good
start discovery and
life
exploration soonerOutputs Short-Term Outcomes Mid-Term Outcomes Long-Term Outcome
Orientation (or other
training/capacity building) for
people/families about the Individuals and families
culture and what to expect “Front Door” practices
Improved access and will know more about
(including what’s required and that are discovery and
navigation the possibilities, have
the choices a person will need to exploration based, and
higher expectations,
make at each step of the focus on how services
and will access services
process) supplement what’s
Individuals and families as part of how to reach
working
will start discovery and the envisioned good
exploration sooner life
Transparent process for tracking
progress of application, with
ongoing connection and updatesInputs Activities Outputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcome
Self-Advocate and Family Groups Developing messages and tools to
develop and design a common communicate clearly and
message that can be shared and succinctly what the waiver is
universally used intended to do for people
Orientation (or
Update the website to be more other
family friendly, and include training/capacity Individuals
guidance/tools for discovery and building) for and families
people/families
“Front Door”
exploration will know
about the culture practices that Improved
more about
and what to expect are discovery access and
Update Indiana Community the
Connect to include “if you’re
(including what’s and navigation
required and the possibilities,
applying, you’ll need to know this exploration
choices a person have higher
information – your vision of a based, and
will need to make at expectations,
good life for you/your loved one” each step of the
focus on how Individuals
and will
process) services and families
access
supplement will start
services as
Revamp the first eligibility letter – what’s discovery and
part of how
giving families a roadmap/visual working exploration
Transparent process to reach the
of how the process works, where sooner
for tracking envisioned
you are in the process, next steps
progress of good life
application, with
ongoing connection
Cross- system education (taking and updates
the message to others)
What are additional activities – things we can do – to reach the outcomes?
What can YOU/YOUR ORGANIZATION contribute as an input?Short-Term Outcomes Mid-Term Outcomes Long-Term Outcome
Ongoing discovery and exploration
that drives ongoing planning and
provision of supports
Improved process for people to
Quality is defined by the person and
choose their provider
their vision for a good life, and who
Measure quality outcomes according
supports are helping them achieve
Rewards for providers are based on to the individual
that vision
quality of supports (not quantity)
Qualifications and processes
recognize and align with values and
principlesOutputs Short-Term Mid-Term Outcomes Long-Term Outcome
Outcomes
Restructured timelines for
“rolling” assessment and Ongoing discovery
planning and exploration that
drives ongoing
Flexibilities in waiver planning and
Improved process for
authorizations and provision of supports
people to choose Quality is defined by
approvals
their provider the person and their
vision for a good life,
Updated incident Measure quality
Rewards for providers and who supports are
monitoring system outcomes according
are based on quality helping them achieve
and practices to ensure to the individual
of supports (not that vision
dignity of risk
quantity)
Provider rating process Qualifications and
based on quality with processes recognize
identified outcomes and and align with values
indicators that are shared and principles
transparentlyInputs Activities Outputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcome
Develop an assessment that
Restructured
aligns with the PCISP
timelines for
“rolling”
assessment
Ongoing
and planning discovery and
Develop methodologies to get exploration Quality is
feedback from the individual Flexibilities in that drives defined by
Improved
re: their services waiver ongoing
the person
process for planning and
authorizations
and approvals
people to provision of and their
choose their supports vision for
Change the quarterly reporting provider a good
Updated
Provider to provider from providers to be aligned
with the PCISP
incident Measure life, and
Rewards for
peer mentor monitoring
providers
quality who
system outcomes
program are based according to
supports
and practices are
on quality the individual
to ensure
dignity of risk
of supports helping
Clarify the role of provider and (not
Qualifications
them
establish aligned quantity)
expectations/accountability Provider rating and processes achieve
process based recognize that vision
on quality with and align with
values and
identified principles
What are additional activities – things we outcomes and
can do – to reach the outcomes? indicators that
What can YOU/YOUR ORGANIZATION are shared
transparently
contribute as an input?Short-Term Outcomes Mid-Term Outcomes Long-Term Outcome
Quality is defined by the person
People choose what they talk
People know their rights and and their vision for a good life,
about at, and who is part of,
speak up when they feel their and who supports are helping
their planning meeting
rights are being violated them achieve that visionOutputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcome
Quality is
defined by the
What are immediate, People choose person and
People know
“tangible” changes – what they talk their vision for
their rights
resources, trainings, about at, and
and speak up
a good life,
etc.? who is part of, and who
when they feel
their planning supports are
their rights are
meeting helping them
being violated
achieve that
visionInputs Activities Outputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcome
Capacity building for
self-advocates for
leading Quality is
People defined by
People know the
choose person
their
what and their
rights vision for
they talk and a good
about at, speak up life, and
and who when the who
is part of, y feel supports
their their are
planning rights are helping
meeting them
being achieve
violated that vision
What are additional activities – things we can do – to reach the outcomes?
What can YOU/YOUR ORGANIZATION contribute as an input?Outputs Short-Term Outcomes Mid-Term Outcomes Long-Term Outcome
Quality is defined by
Core competencies the person and their
and related Incorporation of core
Consistency across vision for a good
competencies in
expectations for life, and who
training, contract case management
case managers requirements, reviews,
supports are helping
companies them achieve that
(across all etc.
touchpoints) visionInputs Activities Outputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcome
Quality is
Core defined by the
competencies person and
and related Consistency their vision for
expectations across case a good life,
and who
for case management supports are
managers companies helping them
(across all achieve that
touchpoints) vision
What are additional activities – things we can do – to reach the outcomes?
What can YOU/YOUR ORGANIZATION contribute as an input?• Tools and guidance for
families to think about
where they are, where
they want to go and
start future planning
Shared Themes now – then think
about how services fit
across Outputs into that
• Peer to peer support
and connections
• Clear expectations and
regulations that are
aligned with the
values/cultureNext Steps
Between now and our next At our next meeting:
meeting:
Brainstorm ideas of “inputs”: Sharing inputs and activities
with each other and develop an
What can you/your organization contribute to action plan
the activities and outputs?DDRS Advisory Council Next Meeting • Next Meeting: • Wednesday, August 18 • 10 am – Noon • Location: In-Person
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