statewide outcomes

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Statewide Outcomes Week of 10/26/15 IACP Meetings

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Page 1: Statewide Outcomes

Statewide Outcomes

Week of 10/26/15 IACP Meetings

Page 2: Statewide Outcomes

Agenda • Welcome & Introductions • Housekeeping ~ Logging into CSN • Why – Why - Why • Outcomes Data Entry • Next Steps •  Parting Thoughts/Comments

Page 3: Statewide Outcomes

Welcome & Introductions

Page 4: Statewide Outcomes

~ Housekeeping ~

Logging into CSN

Page 5: Statewide Outcomes

Creating a New Account

•  https://providerportaldemo.iacsn.org

Page 6: Statewide Outcomes

Register

Your request will be sent

to an administrator for approval.

Page 7: Statewide Outcomes
Page 8: Statewide Outcomes
Page 9: Statewide Outcomes

Why 5 Star Quality?

Why Track Outcomes?

Why Now?

WHY – WHY – WHY???

Page 10: Statewide Outcomes

Casting the Vision ~ Full Citizenship

• Empathic • Wholistic • Integrated • Stage-Matched • Skill-Based

Multi-

Occurring ***

Trauma-Informed

*** Evidenced

Based Supports

Page 11: Statewide Outcomes
Page 12: Statewide Outcomes

Integration Frameworks

COM

MUN

ITY

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005)

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VERY

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MO

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n/Ag

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ed P

artic

ipat

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>

>

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Com

mun

ity-B

ased

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ticip

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n St

aff-

Dire

cted

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ticip

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>

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>

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Pe

rson

-Dire

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para

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Asso

ciat

ion

Four & five star quality only exist when we as the

disability community become invisible

supports.

barriers

opportunities

Page 13: Statewide Outcomes

Wellness Dimensions (SAMHSA)

Page 14: Statewide Outcomes

Disability Agency – Led Roles

Consumer

Case

Service Recipient

Client

Sufferer

Patient

Victim

Roles are centered around the individual’s disability.

Page 15: Statewide Outcomes

Community – Led Roles

Student

Sister/Brother

Co-Worker

Neighbor

Friend

Voter

Runner

Roles are centered around the individual’s values.

Page 16: Statewide Outcomes

The Baldrige Model of Performance Excellence

Person Served/

Stakeholder & Market Focus

Strategic Planning

Human Resource

Focus

Leadership

Process Management

Strategic Performance

Results

Process

Performance Results

Core Values

Information & Analysis Operational (Below the

Line)

Strategic (Above the

Line)

Adapted from BiE IN Baldrige Model

Page 17: Statewide Outcomes

Outcome Data Entry

Page 18: Statewide Outcomes

Client Listing

After adding a new client, the request will go

to your CSN Representative.

You will be notified once

approved.

Page 19: Statewide Outcomes

Client Outcomes Overview

Page 20: Statewide Outcomes

ROI Outcome: Community Inclusion

• Dancer • Church

Member • Library

Patron • Volunteer • Racing

Fan

Roles

Page 21: Statewide Outcomes

Community Inclusion Criteria (1)

•  Community Activity Types –  Spiritual (i.e. church) –  Civic (i.e. local politics & volunteerism) –  Cultural (i.e. community events, clubs, classes)

•  Community-Based –  Is the activity community-based and not sponsored by a

provider agency? –  Is the activity person-directed? –  Is the activity integrated?

•  Measurement (captured annually in June) –  Community Related Activity (3 times in the same activity

type/year) –  Exempt May/June Enrollment

Page 22: Statewide Outcomes

Community Inclusion Criteria (2)

• Community Inclusion Activity Types –  Spiritual (i.e. church) –  Civic (i.e. local politics & volunteerism) –  Cultural (i.e. community events, clubs, classes)

• Checklist Sample –  Is the activity

Page 23: Statewide Outcomes

Community Integration Data Entry

Page 24: Statewide Outcomes

ROI Outcome: Community Living

• Tenant • Renter • Neighbor • Tax

Payer • Voter

Roles

Page 25: Statewide Outcomes

Community Living Criteria (1) •  Safe

–  Has safety equipment (i.e. smoke detectors) –  No evidence of illegal activity (i.e. selling/using

drugs) –  Individual knows what to do in case of an emergency

(or has 24-hour support/equivalent) –  Free of health risks & Free of neglect & abuse (i.e.

emotional, physical, verbal) • Affordable

–  No more than 40% of the individual’s income is spent on total housing needs

–  >40%, then clarifying questions –  ICFs & RCFs are exempt

Page 26: Statewide Outcomes

Community Living Criteria (2) •  Accessible

–  Allows for freedom of movement (i.e. no narrow doorways)

–  Supports communication (i.e. TDD) –  Supports community involvement (i.e. able to reach job &

community without use of paratransit/cabs if not supported by level of support)

•  Acceptable –  Individual (not guardian) chooses where to live & with

whom, if the individual has a guardian, should have input to the greatest extent possible

–  Past choices may limit choices, but should be acceptable at the point in time when choices are presented

Page 27: Statewide Outcomes

Community Living Criteria (3)

• Measurement (change-based) –  Meets Criteria (safe, affordable, accessible,

acceptable) –  Doesn’t Meet Criteria (not safe, affordable,

accessible, or acceptable) –  Unstable Housing (individual moves frequently,

document is exempt & is considered not meeting criteria)

–  Homeless (nights spent on the street or in a homeless shelter)

Page 28: Statewide Outcomes

Community Living Criteria (4)

• Checklist Sample

Page 29: Statewide Outcomes

Community Living Criteria (5)

• Checklist Sample (cont.)

Page 30: Statewide Outcomes

Community Living Data Entry

Current CSN information brought in if

available!

Page 31: Statewide Outcomes

ROI Outcome: Community Employment

• Employee • Co-

Worker • Tax Payer • Staff • Team

Member • Business

Owner

Roles

Page 32: Statewide Outcomes

Community Employment Criteria (1)

•  Employable –  People 18 – 64

•  Reporting Week –  4 specific weeks are identified –  Actual hourly wage & hours are reported

• Measurement (captured quarterly) –  Not in Labor Force –  Employed 5+ hours per week & earning at least

minimum wage –  Employed Doesn’t Meet Criteria (works <5 hours/

week or doesn’t earn minimum wage) –  Unemployed

Page 33: Statewide Outcomes

Community Employment Criteria (2)

• Checklist Sample

Page 34: Statewide Outcomes

Community Employment Criteria (3)

• Checklist Sample

Page 35: Statewide Outcomes

FY16 Reporting Weeks

• Q1 (7/1/15 -9/30/15) –  Week of 8/2/15-not tracking

• Q2 (10/01/15-12/31/15) –  Week of 10/18/15

• Q3 (1/1/16-3/31/16) –  Week of 1/24/16

• Q4 (4/1/16-6/30/16) –  Week of 4/24/16

Page 36: Statewide Outcomes

Community Employment Data Entry

Current CSN information brought in if

available!

Page 37: Statewide Outcomes

ROI Outcome: Somatic Care

• Walker • Runner • Swimmer • Weight

Lifter • Ironman

Roles

Page 38: Statewide Outcomes

Somatic Care Criteria

•  Types –  Annual Physical –  Somatic Care (visit to primary care physician or a

walk-in clinic or ongoing appointments with physical health care physicians)

• Measurement (captured annually in June) –  Physical –  Somatic Care –  Exempt (May/June Enrollment)

• Checklist Sample

Page 39: Statewide Outcomes

Somatic Care Data Entry

Page 40: Statewide Outcomes

Administrative Outcome: Staff Stability

•  Purpose – –  establish adult clients per region –  Develop a standardized method to implement

pay for performance (P4P) incentives. •  Staff Turnover Measure

–  Direct Support Staff turnover –  Number of Clients Served (regardless of funder)

Page 41: Statewide Outcomes

Administrative Outcome – Staff Stability Data Entry

Page 42: Statewide Outcomes

ROI Outcomes: Putting it All Together

•  Participant Outcomes –  Annual – (date occurred – 6/30)

• Somatic Care • Community Integration

–  Quarterly – (Sunday – Saturday) • Employment

–  Ongoing/Changed-Based (date started – date ended)

• Community Living • Administrative Outcomes

–  People in Ongoing Services by Region –  Direct Support Staff Turnover

Page 43: Statewide Outcomes

Next Steps

Page 44: Statewide Outcomes

Next Steps

•  Provider Training (Week of October 26th) –  Independence –  Coralville –  Des Moines –  Storm Lake

• Develop CSN User Manual •  Fix “Bugs” •  Enter FY16 Q2 Data •  Extract Data from CSN to Review/Verify

Page 45: Statewide Outcomes

Parting Thoughts/Comments?