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Office of Developmental Programs

10/09/13 1

Outcome Statements

Transcript

1 Title slide

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Webcast Tips

There are a few things that will assist you in navigating through this webcast. At the bottom of the viewing pane are the play and pause buttons as well as buttons to go back and forward. There are also buttons to adjust the volume, view the closed captioning and close the webcast. There are also times when other buttons may appear on the screen. They will typically appear at the bottom of the screen. The webcast may pause until you click the button. To continue, click the Continue button that appeared in the lower right corner of the slide.

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Welcome

Hello and thank you for viewing this webcast about Outcome Statements.

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Certificate of Achievement

Certificates of Achievement will be available to Administrative Entity staff, Providers, Supports Coordinators, and SC Supervisors after completing all course requirements, including completing a questionnaire for two outcome statements. Please view and then save or print your certificate in order to receive credit for this course.


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Transcript

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Hello, my name is Patty McCool. I’m the Director of the Bureau of Supports for People with Intellectual Disabilities for the Office of Developmental Programs (ODP). During the presentation, you’ll hear about what ODP has done – and plans to do in the future - to improve outcomes. I am introducing this webcast on outcome statements to reaffirm the Office of Developmental Programs’ commitment to improving how we think about outcomes and understanding how outcomes have a positive impact in the lives of people we support.

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You will see that we kept ODP’s Mission and Vision in mind as this webcast was developed. The examples used throughout the webcast in particular illustrate ODP’s commitment to support people’s choices: spending time with people they care about, doing what’s important to them, and being included and valued for their unique contribution. Notice that that ODP’s Mission and Vision statements are written in present tense and represent the ideal that we are always reaching for. The Mission and Vision highlight our commitment to continually improve what we do to support people.

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As part of continuous improvement, ODP has been looking at the outcome development process since the statewide training in 2011. By reading ISPs, talking with you during oversight and monitoring activities, and having ongoing discussions within ODP, we’ve learned a lot about how to think about outcomes and how to improve outcome development and implementation. We also recognize that we’ll always continue to find better ways to think about outcomes – the learning will never end. In your life, you never stop trying to find better ways to get what’s important to you. We make the same commitment to the people we support - to always be working hard toward better ways to understand and support what is important to the person.

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This webcast is the next step in ODP’s continuing effort to improve outcomes. In this webcast, we’ll focus on the outcome statement. This is a way to learn from each other. Think of this as part of a dialog between us – ODP and you.

Our current focus is to support teams in developing person-centered outcomes. This is not only the right thing to do, it is crucial to providing quality supports and services and in line with ODP’s values and direction from the federal Centers for Medicare and Medicaid Services.

The approach this time is a little different than past training.


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We’ll start by reminding you about best practices in developing outcome statements that was discussed and practiced during Outcomes training in 2011. Then, you’ll review two outcome statements from ISPs that you have access to and answer questions about them. After you submit responses online, ODP will look at the responses as a whole to learn what’s going well and where improvement is needed. The summary data will be used to develop next steps and determine the need for additional training.

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It is important for you to know what we’re planning to do with the information you submit. This is not part of an oversight or monitoring activity for individual staff or organizations. Instead, ODP intends to look at responses in aggregate so we can identify trends. Individual responses will remain anonymous.

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This webcast and the review of outcome statements are required for SCs and SC Supervisors to receive required training credit. Both providers and AEs have responsibility in the ISP process; providers as members of the team that develop person-centered outcomes and AEs as reviewers of ISPs. Therefore, your perspective and shared understanding is important and we want to give you the same opportunity to think about outcome statements and contribute to the dialog. After all, strong ISPs reflect the commitment and work of an entire team – and support the individual’s priorities. Now, I’ll turn the presentation over to Robin Levine from the Office of Developmental Programs Consulting System. Thank you for watching this webcast and giving us information to guide the next step in improving outcomes. And, on behalf of all of ODP, thank you for your work in support of individuals and their families.

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Thanks, Patty. My name is Robin Levine. I am a Project Manager with the Office of Developmental Programs Consulting System, OCS. I’ll be narrating the rest of this webcast. The objectives for this webcast are: First, to review what ODP has done in providing guidance and training on outcome development to date. Then, I’ll connect the past to activities that have been occurring over the past six months and are going on now to support person-centered outcomes. Last, I will describe the process and provide examples for how to review the two outcome statements that you have selected.


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This course includes several resources: Joe is a man receiving services in Pennsylvania who has given permission for us to use information from his ISP. The ISP excerpts will illustrate the points in the webcast. We suggest you review Joe’s ISP before watching the webcast. The Review Questions with Annotations is the document you’ll use when you complete the questionnaire about outcome statements. If you haven’t already done so, print a copy before proceeding. People First Language is a resource that helps remind us of the importance of language. If you have never read this short article, do so before completing the review questions.

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Let me take a minute to let you know how this webcast will unfold. I’ll talk about outcome statements and include examples to illustrate the points. The second half of the webcast will explain what you need to do to complete the Review Questions and submit the questionnaire. Completing the Review and submitting the questionnaire is a requirement to receive credit for the course. You’ll need to select two outcome statements to complete the Review.

SCs should choose outcome statements from ISPs you facilitated.

Providers can choose statements from ISPs of people who use your services.

SC Supervisors should use outcome statements from ISPs you reviewed within the past year and

AE staff, choose outcome statements from ISPs that have been authorized.

15 The outcome statements should come from ISPs that have had an Annual Review Update within the past year. Select one outcome statement that you consider to be well-written and a second that you feel could be improved. The two statements could be from the same or different ISPs. We also suggest that you have the entire ISP available to you as you answer the review questions so you can fully complete the review.


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Before proceeding with the webcast, print two copies of Review Questions with Annotations and write down one outcome statement on each document. It’s important you do this before watching the rest of the webcast so that when it’s finished, you’ll be able to complete the review and not have to return to the course later. You can also use the document to take notes during the webcast. If you haven’t selected the two outcome statements for review and written them on the Review document, pause the webcast and do so before proceeding. We strongly recommend proceeding immediately to the review questions when the webcast is over. Be prepared to complete the entire questionnaire in one sitting because you cannot save and resume the questionnaire once you have started. All fields in the questionnaire are required.

17 For this webcast, we are just focusing on the outcome statement, not the entire outcome section of the ISP. We realize that many of you have questions about the outcome section, including how to link services and supports, and the correct way to record frequency and duration of services. Guidance around those questions is being discussed within ODP and will need to be included in future training on outcomes.

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You may be watching this and thinking that this explanation of an outcome statement is not new information. You’re right – saying that the outcome statement is about what’s important TO the person is a message we have talked about in training for years. This training is consistent with face-to-face, instructor-led training sessions that you may have attended in 2011. But it is not always easy to do and teams continue to struggle with writing outcome statements that truly reflect what’s important TO the person. ODP sees this when reading ISPs during AE Oversight Monitoring and SCO Monitoring, and completing reviews for Supplemental Habilitation and Additional Individualized Staffing. We’ve also received requests for clarification and assistance from some of you who have wanted to understand how to write better outcome statements. In order to ensure that the outcome section of the ISP is correctly put together, it must begin with a solid person-centered outcome statement that includes something that person says – or shows through his or actions – is important TO him or her. The sequence of developing outcomes is crucial. If the team moves too quickly to issues of health and safety without first fully understanding what is Important TO the person, there is a greater likelihood that what the person considers important to his or her quality of life will not be prioritized first. Let me emphasize: If the outcome statement doesn’t include what the person considers important TO him or her, then it’s someone else’s outcome statement. If an outcome you wrote for me wasn’t really about what I wanted out of life – I’d be less likely to commit to working on it with you.


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It’s important for us to be clear about language, which has been the cause for some confusion in the past. When we talk about “outcomes” – we’re referring to that entire Outcome Section of the ISP. The outcome statement is one part of the Outcome Summary section of the ISP.

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ODP’s guidance on outcome statements is that they focus on what the person considers important TO him or her and that each statement is unique to the person’s life and circumstances. Information in the outcome section of the ISP draws from information in the rest of the ISP. Information in outcome statements should connect to what’s in the Individual Preferences Sections of the person’s ISP. Outcome statements should be individualized – mine should be different from yours and represent the unique circumstances in each of our lives. Important For information – issues of health and safety – may show up in an outcome statement, but only when what is important TO the person is identified in the same outcome statement. In other words, there has to be a reason – something that matters to me – if I’m also going to work on something that is important to my health, safety, or well-being. Finally, outcome statements should not include, reference, or name paid services. I am going to use examples to illustrate each of these points.


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Outcome statements are about what is important TO the people we support. This includes the same things that all of us consider important in our lives:

Relationships that matter, spending time and doing things we enjoy with people we choose.

Exploring, learning, trying something new.

The comfort of familiar routines – the pace of the way our days unfold, how we celebrate important events and holidays

Where we live and who we live with.

Having a sense that we are valued for what we contribute.

Having control over our lives and making decisions. Important TO is communicated by what we say. But remember that we all communicate choices and preferences through our actions and behavior as well. When our words and action are in conflict (or we’re communicating without using words at all) people who know us well rely on our behavior. We know that Important To information is captured in the Important To section of the ISP but it is also found in Like and Admire, Desired Activities, What Makes Sense/Doesn’t Make Sense, Understanding Communication, and Know and Do. The Individual Preferences sections of the ISP should contain rich information about what’s important TO a person and can be a great place for the team to generate ideas for outcome statements. In fact, there should be a direct connection between information in the Individual Preferences sections of the ISP and the outcome statements that the person wants in his or her ISP. If that clear connection isn’t in the ISP, the team has work to do to more fully understand the person’s Important To and think more deeply about outcome statements that will result in the person achieving his or her desired outcome.

22 Let’s talk about an example of how an outcome statement includes what’s important to someone and that brings in information from other parts of the ISP. Jane and her team started discussing outcome statements and began by talking about the fact that she likes having a job and making money – but learned that the money is a means to an end for her They continued talking and looking at what is written in her ISP.


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Talking with Jane, everyone realized that she considers it important to earn money because she likes having her own apartment. Even though family is close by and she receives a few hours of paid support each month – she really likes her privacy and space and deciding who to invite over and when.

When there’s a wedding or new baby, or a family member has a birthday, people look forward to Jane’s handmade memory books with pictures and sayings. This is something people really value about having Jane in their lives – they’d miss it if she wasn’t able to do it.

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This is the outcome statement that the team came up with with Jane. Note that it starts with reference to making money, but really brings in what’s important to Jane and includes what she likes to do from desired activities. You may also notice that there are Important For elements embedded in this outcome statement – such as paying bills. But really, as it’s written, it’s about what’s important TO Jane and draws from what others know and love about her and what’s written in her ISP.

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Teams should also work to make sure the person’s outcome statements are unique to the person’s life and circumstances. My outcome statement might be similar to Dave’s – we both might want to be more involved with family and friends and meeting new people in our communities. But everyone’s outcome statement should not be exactly the same. In this example, both our teams started by thinking about increasing contact with friends through social activities. These two outcomes were identical, even though they were for different people with different interests. When they are connected with what is important to each of us individually, our outcome statements became unique to our own lifestyle and interests - and that is important because it helps the team determine the supports to help the outcome happen in the way that the person wants.


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Now let’s cover the last two points about ODP’s guidance for outcome statements with another example. Look at the team’s first attempt at developing an outcome statement for Bobbie. This outcome statement centers on the service Unlicensed Home & Community Habilitation. The team realized that there is a lot more to know about how to balance what Bobbie enjoys with what will keep her healthy. The team reworked the outcome statement so that it includes what’s important to Bobbie – spending time with girlfriends doing things they enjoy: talking about fashion, window shopping, and sometimes buying new clothes together. At the same time, the team knows that Bobbie’s doctor wants her to get more exercise because she has diabetes. They also know that she tends to stay at home more than she should – and that when she’s out, she doesn’t always make the best choices about how often or what to eat. The revised outcome statement includes what’s important FOR Bobbie – walking to get exercise - but it is in the context of what Bobbie enjoys and who she likes to spend time with. After the team revises the outcome statement, Unlicensed Home & Community Habilitation service no longer appears in the statement. Instead, the service and how it supports Bobbie’s health and safety concerns while she is walking is outlined in outcome actions.

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Let me emphasize this point: The outcome statement must contain something that is important TO the person. Important FOR information can and must be included in other appropriate sections of the ISP. An outcome statement that only contains information on what is important FOR the person, like issues of health, safety, and medical care, and does not include the person’s important TO – is by definition not the person’s outcome statement. Important To and Important For can co-exist in the outcome statement as long as Important For information is in context with what’s important TO the person. Teams should use all of the sections of the ISP, but particularly the Individual Preferences section, in developing outcome statements. For example, Know & Do is one place in the ISP that may contain both Important TO and Important FOR information.


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Ensuring that Important To is in the outcome statement – and, that when Important For is also in the outcome statement, it is in the context of what is important to the person - has consistently been part of ODP’s training and guidance on outcomes since the early 2000s. It has been something we have been learning more about and improving together over time. In 2011, ODP held statewide training on outcome development. The training was developed by ODP and national experts in person-centered thinking and was available to a broad audience of individuals and families, providers, Administrative Entity staff, and ODP staff. The face-to-face training in 2011 was preceded by a webcast that introduced some fundamental person-centered thinking concepts and was followed by a webcast that included opportunity to practice writing an outcome. Soon after this training series, ODP issued a Frequently Asked Questions document. The webcasts and FAQ document are still available on the ODP Consulting System website and ODP’s Information Centers for Administrative Entities, Providers, Supports Coordination Organizations, and the SC Curriculum website. In addition, ODP has responded to several requests for further training or technical assistance about outcomes since 2011. If you’re interested in reviewing the information I mentioned on the websites or requesting local training or technical assistance, I’ll talk more about those at the end of this webcast.

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This year, ODP has been working statewide to design the next steps in training and guidance for outcomes. One activity has been to clarify how to write outcome statements that focus on what’s important TO the person – this webcast is part of that effort. ODP has also been reviewing written communication about outcomes to ensure that policies and expectations are consistent. A third activity has been to seek input from stakeholders across the state by holding conference calls in May. The themes of the stakeholder feedback from the calls included aligning needs, preferences and services with regulations and requirements; training that includes concrete examples and highlights how to measure progress, frequency and duration; time for developing outcomes when there is so much to be done during ISP meetings; and how to ensure good information is brought forward into rich discussions about outcomes.


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At the same time ODP has been focusing on improving outcome development, it has shown an ongoing commitment to person-centered thinking – which is, after all, the foundation for good outcome development. ODP Central and Regional Offices have attended the Learning Community’s Person-Centered Thinking training and there are plans to offer this training to broader audiences. In addition, ODP recognizes the need for dialog among ODP, DPW licensing and other state departments about aligning expectations around outcomes. ODP is aiming for a better balance of person-centered outcome statements with system needs (for example, requirements for service authorization and payment, licensing requirements and compliance).

31 That brings us up to where we are now and what we’re going to do next. Remember that at the beginning of the webcast, Patty talked about this webcast as a dialog between us - ODP and you. So now, I will describe the questionnaire that you’ll complete about two outcome statements.

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Please don’t close the webcast and proceed to the questionnaire yet. There’s still more information to come, including an example of how to use the questions to review an outcome statement for Joe, a man who receives supports in Pennsylvania. For the rest of this webcast, have the copies of the Review Questions with Annotations document printed and at your side. Make sure you have written an outcome statement on each copy: One that you consider well-written and well-developed and a second that you feel could be improved, either in how it was written or how well it describes the person’s desired outcome.

You’ll also need to refer to the ISP, so keep that handy as well. Notice too that there’s space for you to write notes as you’re listening.

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Next, you will use the outcome statements to complete the questionnaire. For the first outcome statement you chose, enter the person’s name and then the statement as it appears on the ISP – but change other peoples’ names and identifying details (for example - specific names of places or people) to protect confidentiality. Then decide which of the options we discussed earlier describes this outcome statement. Is this an outcome statement that you consider well-written, and well developed? Or is it one that could be improved, either in how it was written or how well it describes the person’s desired outcome?


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34 Then, you’ll answer the questions. The fourth and fifth questions – does the outcome include the person’s name and is it written in the present tense – are directly from the 2011 ODP Outcomes training.

35 Question 6: the outcome statement includes one or more clear, present tense action verbs (e.g. writes, reads, goes, swims, hikes). Anyone who reads the ISP should be able to understand the action that the outcome statement describes so it can be recognized when it is occurring. What is happening? What is the person doing?

36 Question 7 asks if the outcome statement includes what the positive impact will be.

37 Question 8 asks if it includes something the person identifies as important TO him or her.

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When you are thinking about question 9, reflect on how the team determined what was important TO the person. Where did the information come from? How did the team make sure the person agreed? This question requires you to respond in a few sentences.

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Question 10 focuses on whether important FOR information (if it’s in the outcome statement) is in the context of what is important TO the person. Question 11 asks whether paid services are named or referenced in the outcome statement.

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If you are unfamiliar with “people-first language” (question 12) a resource is included in the course. In short, people-first language avoids use of disability labels.

41 Question 13: if the outcome statement is achieved – what will be the result in the person’s life?


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And finally, question 14: After watching this webcast and thinking about the outcome, do you want to talk with the team about it? Does the team need to revisit the outcome and think more deeply about what is important TO the person? After you’ve submitted the answers for the questions for the first outcome, you will answer the questions for the second outcome you selected and submit your responses.

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After you’ve completed the questionnaire for both outcomes, you may be pleased with the outcomes you reviewed. If you feel there is room for improvement, you may decide to talk with the team about looking at the outcome statements together. Keep in mind that there is no requirement to revise outcomes based on what you found during this activity. However, we encourage you to use the questions when the team meets to review or revise the ISP to guide the team in improving outcome statements. Agencies may also want to use these questions for discussion at staff meetings or as part of supervision. SCOs may choose to count discussions using these questions as professional development hours. As we mentioned earlier in the webcast, ODP plans to use the information submitted by SCs, SC Supervisors, Providers, and Administrative Entities as an opportunity to figure out next steps around outcomes. The information will be used in aggregate. In other words, reviews you submit will be compiled with other peoples’ responses and used to identify trends and not as an evaluation of the performance of an individual, team, or agency.

44 It’s important to keep in mind that we are learning together how to improve outcomes. If after reviewing outcomes, you see room for improvement, the team is responsible to take the next step.

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Now we’re going to go through the questions another time using an example so that you can see how to use the review questions with an actual outcome statement with information obtained from an ISP. This time, we’re going to talk about someone who lives in Pennsylvania. Joe has given us permission to use his image and information from his ISP. His name and some details have been changed, but otherwise, we’re going to be talking about what is actually happening in Joe’s life. A copy of Joe’s ISP is one of the resources in the course. We’ve shortened it so you have the information you need to think about one of Joe’s outcome statements in light of the 14 review questions. Before we review Joe’s outcome statement using the questions, pause the webcast and take the time now to read the excerpts from Joe’s ISP. After reading, I want to tell you about Joe.


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As you can see, Joe is someone who has a lot of people in his life. And, if you know Joe, it’s no mystery why. People describe Joe as a true friend – he truly cares about friends and family. He’s the kind of person who remembers your birthday and things that are important in your life. Joe has a big heart – he’s generous and has a good sense of humor and a wonderful laugh. He likes to have friends over to his apartment and is a good cook. People think of Joe as a problem-solver and a resourceful person. He doesn’t give up easily. Joe‘s friend , Mike lives down the block. Mike is in a band and Joe likes going to whatever tavern the band is playing to eat and listen to the music. But, it’s more than that: Joe has learned to use the sound board so well that he is now a member of the band himself – and that is very important to Joe. Being a member of the band works together with Joe’s desire to spend time with family, friends and meet new people. Mike is also a paid support person, but over the years, a genuine friendship has developed between the two men. Joe would say he likes just hanging out with Mike (even though sometimes the guys need a break from each other.) It’s important to Joe to have Mike in his life and for Mike to be available to him. You may be wondering how I know so much about Joe. All of this information was found in the individual preferences section of Joe’s ISP; specifically Like and Admire, Know and Do to Support and Important To.

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This is one of Joe’s outcome statements. You can see that it incorporates a number of things that Joe says are Important To him. In a moment we’ll use the same questions that you’ll use for your review of outcome statements. But before doing that, notice the last phrase – “in order to remain healthy and strong.” These words are very significant in the context of Joe’s life because there’s much more going on than we’ve talked about so far.

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Joe is diagnosed with Bipolar I disorder. He has had verbal and physical outbursts, acted aggressively and damaged property. In 2012, Joe received inpatient mental health treatment. Joe’s team has learned ways to understand and support him. Mike has helped Joe defuse and kept him from feeling lonely. Joe knows how to call for support or ask others to call for him. Staff keep each other informed when Joe is experiencing problems and debrief afterward with him – so that he can maintain important relationships. Joe meets weekly with a behavioral specialist to learn ways to manage anger and moods and the specialist also works with the team. Joe has a crisis plan; his current psychiatric support has improved his stability. Those who know Joe understand how he communicates when he’s experiencing problems and have figured out the best ways to respond.


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Now let’s use the questions to review Joe’s outcome statement. Questions 1 and 2 are about the person’s first name and recording the outcome statement as written in the ISP. The response to question 3 is that Joe’s outcome is well-written. Questions 4 and 5 are easy to answer: the outcome statement includes Joe’s name and is written in the present tense – in line with the 2011 Outcomes training.

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The key to answering this question is whether or not the outcome statement contains one or more clear present-tense action verbs. This is about more than style: an outcome statement is the beginning of an action plan. Anyone who reads the ISP should be able to understand the action that the outcome statement describes so it can be recognized when it’s occurring. The 2011 outcome training emphasized using present-tense actions. Avoiding “will be a member of the band” or “will spend time with family” keeps teams focused on knowing exactly what the desired result of the outcome is and keeps teams moving into action planning. The team needs to avoid jargon and choose common everyday words and actions. Notice that Joe isn’t socializing with friends and family – he’s spending time with them. One way to think about this when writing outcomes is to look at the action verb that you and the team have chosen. Would you feel comfortable using these words to describe what you want to do? If not, suggest a word that you would prefer to use to describe the action if it was your plan.


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Let’s think about how this outcome statement has a positive impact in Joe’s life. The words that jump out when asking if this outcome has a positive impact are “remaining healthy and strong.” Joe and his team know that what works (or makes sense) is for Joe to feel connected to people – being out with the band, meeting new people, celebrating birthdays and holidays, going to church. The positive impact that results from this outcome statement is also connected to other information in Joe’s ISP. Joe says that having people respect him and being successful are important to him. Being “up front” and helping out the band probably help Joe feel successful – people depend on him. This is about something we all want in our lives: having status, contributing to the community and being treated as an equal. Clearly, remaining healthy and strong is about what is important FOR Joe’s mental health. The Know & Do section of his ISP includes a lot of information about listening to Joe and paying attention when staff notice signs he might be headed for difficulty. The connection between Know & Do and the outcome statement is that listening and giving Joe options to stay connected will have the positive impact of keeping Joe healthy and strong. As a result of achieving this outcome, he will be more likely to avoid the challenges he’s faced in the past, such as inpatient mental health treatment.

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To answer this question, the place to look in the ISP is what the person says (or shows through his/her actions) is important TO him or her. For Joe, we already know that hanging out with the band and Mike are important To him. He also tells people that contact with family matters a lot to him, and having holiday and birthday parties. But Joe also says, and shows through his actions, that making his own decisions, having a routine, and knowing what to expect are important to him as well. Joe and his team obviously thought about his control over what he does, with whom and when as they developed this outcome statement. There’s even more information in the Know & Do section of his ISP that gives people clear ideas of how important routine is and how best to support Joe if there are changes.

53 As we’ve already discussed, the process that Joe and his team followed to develop this outcome statement included using information from all of the Individual Preferences Sections of his ISP. You’ve probably already noticed that there are things that are Important For Joe balanced with Important To within this outcome statement. That’s the next question.


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It’s important to say again that outcome statements must include what is important TO the person and may also include what is important FOR a person – but if important FOR information is in the outcome statement, it must be in the context of Important To. Notice the sentence that comes from the What Makes Sense section of Joe’s ISP: the team recognizes it’s important FOR Joe to be in regular contact with family and friends – this is not only something Joe wants; it’s important FOR his mental health. But the way in which it happens – who, where, and when – is something that is important TO Joe to choose. There is other information in Joe’s ISP that helps show how the team thought about what’s important FOR Joe and balanced that with what is important TO him. In the Know & Do section, we read that Joe hanging out with Mike has eased Joe’s loneliness. They know that when he’s having a tough time, it is important FOR him to be given ideas about doing something he enjoys to take his mind off things. The team also recognizes that Joe needs to decide if he wants to go to loud, chaotic places. Sometimes, he chooses not to go out with the band. And, predictability in his life is not only something people need to know and do to support him, it’s also something Joe names as important to him. Joe counts on the schedule happening as planned and needs to know what’s going to happen next. Even more important is to show respect by asking if he already has plans for the day before making plans for him. The team knows that lack of predictability is not a way to keep Joe strong and healthy.

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The answer to question 11 for this outcome statement is no. Joe does receive paid supports for this outcome: Mike - Joe’s friend and also his paid companion – and other staff who plan with him, assist him when he’s having a tough time, and support him to maintain good relationships. However, Joe’s team did not include the service or any reference to the service in the statement. Instead, services and supports are included in outcome actions.

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People First language places the person before the disability, such as a person who uses a wheelchair rather than “wheelchair-bound,” and avoids using labels and language that stigmatize the person. Joe’s outcome statement contains no information that identifies him as a person with a disability. More information on Person-First Language is in the Resources section of this course.

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Question 13 asks the team to think about the intended result of the outcome statement. Remember that outcome statements represent the result the person and team are aiming to achieve. In Joe’s outcome statement, the result is clearly identified: Joe is spending time with people he cares about; doing things he likes. s Joe stays connected with people and does things that he likes, the team knows from experience that the result will be that Joe is more likely to remain healthy and strong, especially in regard to his emotional stability.


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We can’t speak for Joe and his team, but given the answers to the previous questions, it’s clear that they’re interested in learning how to support what’s important to him. The team will continue to talk with Joe about all of his outcomes to know what needs to be maintained and make changes as Joe’s priorities change. That is the same as how we all adjust our outcomes as our lives change. As you think about this question for the two outcomes you selected, keep in mind that you are part of the team that needs to work together if you feel the outcome statement can be improved in light of what you’ve learned today. We encourage you to have those conversations; to look for ways to learn more from people about what’s important to them and take steps toward improving outcome development.

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As we conclude the webcast, remember that the information you provide will help shape future training and guidance on outcomes. I’d also like to remind you that previous training on outcomes is still available on the ODP Consulting System website and Information Centers for Administrative Entities, Providers, Supports Coordination Organizations, and the SC Curriculum website. If your review of outcome statements has led you to consider working with the ISP team to improve the statements, we encourage you to do so. Look for partners on the team who may also have watched this webcast and completed a review of outcome statements. Perhaps you will want to recommend that other team members view the webcast so that they will have the same insights. Some organizations may find it helpful to talk about the review questions during meetings – or in supervision – and think about ways to use them to improve your organization’s approach to outcome development. This is a good time to point out that assistance is available: if your review of outcome statements leads you and your organization to think about training or technical assistance, contact your ODP Regional Office. After you have completed the requirement for this course and submitted a review of two outcome statements, don’t put aside the review questions. We encourage you to use them with the teams in which you are a member. Using the Review questions to guide teams in thinking about outcome statements is part of continuous quality improvement.


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Transcript

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And now it is time for you to review the two outcome statements you have selected. This is a screenshot of the course where you found the webcast. Look for the questionnaire link in the Outcome Statements Questionnaire block. You should have two copies of the Review Questions printed with an outcome statement written at the top of each. We strongly encourage you to return to the course now and complete one review for each outcome statement. Remember that completing and submitting both questionnaires is a requirement to receive credit for this course so it’s important that you reserve enough time to complete both sets of questions for the outcome statements in one sitting – you will not be able to save and resume your work later. All fields in the questionnaire are required. After you complete the review for the first outcome statement, make sure to click the submit button. Then, after completing the second review and submitting it, a training confirmation link will be available in the course. Once you complete the Training Confirmation, you’ll be able to open and print a Certificate of Achievement. In order to receive credit for this course, you must complete all of these steps.

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This webcast has been developed and produced by the Office of Developmental Programs Consulting System on behalf of the Pennsylvania Department of Public Welfare, Office of Developmental Programs.

Thank you for participating in this lesson.

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