Christine from ID has a great orientation handbook that we are replicating...

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From: Jaime Daignault
Sent: ‎12/‎16/‎2015 7:31 PM
To: xxxxxx@nacdd.simplelists.com
Subject: Re: DD Councils Orientation Materials request

Whomever does, please share.

Thanks.

Hello Fellow Councils;

I have attached the orientation manual we use in Idaho that Jaime mentioned yesterday.  You will see additional documents and forms noted and I have those too if anyone is interested.  We also provide a copy of all our Council by-laws and policies, the DD Act, and our state law.  Our orientation usually takes about 4-5 hours depending on questions and we do a few interactive activities as well.  Council staff explain specific things depending on their area of expertise:  financial staff goes through the current budget and how members are expected to review it; our ED explains policy governance; I go through the current plan and explain the goals and projects and cover our reporting requirements, laws, etc.  We invite seasoned Council members to take part in orientation and mentor the new folks – usually at least 2or 3 choose to participate.

Something that new members (and experienced ones) really appreciate is a “Meet the Council” booklet that has photos and short biographies of all members so folks can get to know a little about each other before going to their first meeting.  I see some people using it as a reference sheet during the meeting as well.

Happy Holidays Everyone!

Thank you

I think mine is pretty good, but you tell me!  I stole this from Texas, BTW

I’ll forward information we have on Medicaid costs reduced when people employed.  B

Hi all,

WI is moving to a for-profit managed care model that integrates LTSS, acute, primary and behavioral health under one plan. We are meeting with our State health services as they write the waivers/develop RFPs. They have had these questions. Does anyone have good resources to share:

n  Any specific measures that cross LTSS and medical. (social determinants and how they affect medical). Ari alluded to employment showing better health. Any data on that would be good.

n   data on ways to keep more expensive people in the community. (cost outliers). They didn't' particularly know the percent in WI that are true cost outliers…kept referring to 10-percent but said they didn't know actual percentage. I think you know what percent in TN equate with what percent of costs.

n  evidence/data on factors that could show that over time, amount of resources to high utilizers/outliers/more complex folks could be diminished/reduced using certain strategies, supports, etc.

n  They wanted to know, too, of data showing over time that “scattered site” could lead to lower cost than congregant

n  They wanted sample score cards/report cards that other states use that you think are good.

n  what quality measures can be used to help people be informed for selecting plans.

n  any other data  on whether “any willing provider” was a good thing or if there were other ways to ensure good relationships between providers and IHAs. I think the paper you sent below is good enough for this one.

Thanks!

Beth Swedeen

 ​​

Hi Beth,       This is not exactly on point, but may be of some help.  Regarding the question about the cost efficiency of scattered sites versus congregate sites,  attached is an article that compares costs of supported employment (a “scattered” delivery of service method) with shelter workshops (a congregate setting).

Debra

Hi all,

WI is moving to a for-profit managed care model that integrates LTSS, acute, primary and behavioral health under one plan. We are meeting with our State health services as they write the waivers/develop RFPs. They have had these questions. Does anyone have good resources to share:

n  Any specific measures that cross LTSS and medical. (social determinants and how they affect medical). Ari alluded to employment showing better health. Any data on that would be good.

n   data on ways to keep more expensive people in the community. (cost outliers). They didn't' particularly know the percent in WI that are true cost outliers…kept referring to 10-percent but said they didn't know actual percentage. I think you know what percent in TN equate with what percent of costs.

n  evidence/data on factors that could show that over time, amount of resources to high utilizers/outliers/more complex folks could be diminished/reduced using certain strategies, supports, etc.

n  They wanted to know, too, of data showing over time that “scattered site” could lead to lower cost than congregant

n  They wanted sample score cards/report cards that other states use that you think are good.

n  what quality measures can be used to help people be informed for selecting plans.

n  any other data  on whether “any willing provider” was a good thing or if there were other ways to ensure good relationships between providers and IHAs. I think the paper you sent below is good enough for this one.

Thanks!

Beth Swedeen

 ​​

In Colorado we have legislatively "banned" managed care. we do however have several "care coordination" demonstration projects here that center around "integrated care and high cost utilizers". We have had a fairly thoughtful development and stakeholder input process, but we are just now in the implementation phase, so we will see how things actually turn out. There was a Community Living Advisory Council that was part of the creation of the Office of Community Living, mirroring the Federal LTSS restructuring, it was a three year process and there were several other grants and demonstration projects that dovetailed nicely with LTSS re-design. Here are some links to some of the projects: https://www.colorado.gov/pacific/hcpf/community-living-advisory-group

the Colorado Council is looking at training materials, as well. We have a lot of people who have gone through our Local Leadership trainings and other "Advocacy 101" trainings, who want to be more involved. Since we are all going "person-centered thinking" here, as well, there are some unique opportunities to collaborate with state Medicaid and other departments. 

       Costs: we run the program at about $45,000 for 30 participants over 6 weekends. Weekends start at noon Friday and go to about 8 p.m., then Saturday 9-3 for a total of 84 hours of training.   

       We also set up a Facebook page the first weekend for the class and ensure all are on FB, and we have a FB group across all classes for quick action on policy items. 

We don't do a JR Partners, but we do support Youth Leadership Forum and sometimes recruit later on from that list for Partners. Our self-advocates in partners tend to be younger: in their 20s and 30s.

Hey Mat and all:

Here's the info from WI.

Happy holidays to all!!

Oklahoma’s response in purple