People with DisabilitiesLiving in the Community:

The Efficiency StoryThe Efficiency Story

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?

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

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?

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:

Community services

allow more people to live in the community

Community services allow more people to live in the community

Group homes add savings and quality of life

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

Through time, forced efficiencies save $, but add no increases in

quality of lifeCommunity agencies have absorbed:•Cuts in funding two years in a row

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

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

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

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

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

As efficiency goes up, costs come down.

As efficiency goes up, costs come down.

Until we reach a certain point

Diminishing ReturnsDiminishing Returns

Low wages = high turnover

State pays at least 4 months late = high interest cost on loans

waiting for state $

Diminishing ReturnsDiminishing Returns

Low wages = high turnover

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 $

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

As efficiency goes up, costs come down.

Diminishing ReturnsDiminishing Returns

Diminishing ReturnsDiminishing Returns

As efficiency goes up, costs come down.

Until we reach a certain point

Diminishing ReturnsDiminishing Returns

As efficiency goes up, costs come down.

Until we reach a certain point

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

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

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!

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.

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.

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.”

“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:

“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:

“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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