Department of Health and Social Services

Division of Developmental Disabilities Services

Joint Finance Committee HearingFiscal Year 2014

Jane J. Gallivan Division DirectorFebruary 21, 2013

Vision

Valuing persons with intellectual and developmental disabilities, honoring abilities, respecting choice, achieving possibilities..... working together to

support healthy, safe and fulfilling lives

Delaware Health and Social Services

• Intellectual Disabilities

• Autism

• Prader Willi Syndrome

• Asperger’s Disorder

Disability Conditions Served by DDDS

Delaware Health and Social Services

Age Distribution ofDDDS Consumers

Delaware Health and Social Services

DDDS Population by Service Settings

70% Living at Home

Delaware Health and Social Services

Growth in Residential Program Placements by Type

Delaware Health and Social Services

Governor’s Employment First Initiative Employment as a primary goal of day services

Delaware Health and Social Services

Best Practices

• DDDS Collaborations with other agenciesDSHA (SRAP)DSAMH (DOJ settlement)DMMA (Medicaid HCBS waiver)DSAAPD (Assisted Living)DLTCRP (improved facility oversight)DVR/DOE (Work First initiative)

Delaware Health and Social Services

Quality Improvement

Current Planned

Regulatory Compliance Regulatory Compliance

Licensing Surveys Licensing Surveys

Performance Measures

Service Outcomes

Data and Trend Analysis

Discovery and Remediation

Quality Indicators

Delaware Health and Social Services

Efficiencies

• Identified 94.6 DDDS FTE positions over the last 5 years for elimination (75.6) or transfer to other state agencies (19.0)

• Redeployed 67 FTE positions for purposes such as increasing case managers to support community clients

• Realigned professional staff across regions

Delaware Health and Social Services

Efficiencies (cont’d)

• Redeployed 4.0 staff to provide increased information & assistance to families about day service options.

• Established the College of Direct Support as the primary source of basic training for DDDS and contract-agency staff and continued collaboration with DelTech on direct support workforce development.

• Continued development of performance measures for continuous quality improvement.

Delaware Health and Social Services

FY 14 Governor’s Recommended Budget

•$472.9 Annualize FY 13 Special School Grads

•$1,396.5 FY 14 Special School Grads

• $2,520.0 Annualize FY 13 Community Placements

• $2,422.5 FY 14 Community Placements

Delaware Health and Social Services

Conclusion