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Synergy Conference

Strategic Planning Leadership Group

October 2, 2014

John L. Martin, DirectorJo Krippenstapel, Facilitator

Strategic Planning Leadership Group32 MEMBERS TOTAL

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INCLUDING ADVOCATE REPRESENTATIVES:• OSDA• PEOPLE FIRST• ARC OF OHIO• DD COUNCIL• DOWN SYNDROME

ASSOCIATION• ADVOCACY AND PROTECTIVE

SERVICES• OHIO SIBS• AUTISM ASSOCIATION• THE OHIO LEAGUE

Strategic Planning Process

What Big Issues Are

We Facing?

How Can We Listen

and Learn ?

Where Do We Want

To Be in 10 Years?

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Strategic Planning Leadership Group ---Monthly Starting in November, 2013

FOUR OPEN FORUMS1.) CMS RULE2.) WORK3.) COMMUNITY LIVING4.) LISTENING TO PEOPLE

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OPPORTUNITIESTO LEARN FROM EXPERTS AND FROM EACH OTHER

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A FULL LIFE!

EARLY CHILDHOOD --------- SCHOOL YEARS-------- ADULT LIFE ---------------SENIOR YEARS

BENCHMARKS FOR:

EXPERIENCES OF PEOPLE & FAMILIES

SERVICE DELIVERY

INFRASTRUCTURE

10 YEAR BENCHMARKS FOR A POSITIVE LIFE TRAJECTORY

TODAY: SHARE FOUR FINAL BENCHMARKS

Benchmark #1: The number of people with disabilities who are employed is 50%.

Supporting Principles: Hours worked per week range from 1 to 40 with an aggregate average of 20 hours per week. Individuals choose activities for the remainder of the day with as much community involvement as desired.

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Employment: Where we are now

Ohio currently (8/31/14) has 7,614 persons employed which represents about 25% of the persons enrolled in day services.

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http://www.statedata.info/

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Wash

ington

Connecticu

t

New Ham

pshire

Vermont

Louisia

na

South Caro

lina

Massach

usetts

Colorado

OhioIowa

Arizona

South Dak

ota

Indiana

Distric

t of C

olumbia

North Caro

lina

Kansas

Georgi

a

Florid

a

Missouri

Illinois

Texa

s

Hawaii

Delaware

Mississ

ippi

Nebras

ka

Rhode Isla

nd0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Individuals in Integrated Employment as a % of Individuals Receiving Day Services

2012

Ohio #17

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VT CT WANH ORMD RI OH OK IA DC WI NMMA AK SD MN NY SC WVWY MI LA CO IN VA KS NC CA PA GA UT MT AZ IL NV TN FL NE MS KY TX AL MO0

20

40

60

80

100

120

140

160 Individuals Served in Integrated Employment Per Capita

Indi

vidu

als S

erve

d Pe

r 100

K in

Pop

ulati

on

Source: Butterworth, J., Hall, A.C., Smith, F. A., Migliore, A., Winsor, J., Domin, D., & Sulewski, J. (2013). State Data: The national report on employment services and outcomes. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion.

Ohio #8

Benchmark #1: The number of people with disabilities who are employed is 50%

THUMBS UP! I MOSTLY AGREE!

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THUMBS DOWN!I MOSTLY DISAGREE!

Benchmark #1: The number of people with disabilities who are employed is 50%.

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WHAT WORRIES DO YOU HAVEABOUT THIS BENCHMARK?

WHAT HOPES DO YOU HAVE ABOUT THIS BENCHMARK?

Benchmark #2:25% of all DD waiver recipients will live in host homes/shared living

Supporting Principles: Use creative strategies for recruiting, matching, supporting and providing supports for success (including technology).

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Host Homes/ Shared LivingWhere We Are Now

1,163people in shared living/host homes 6.5 % of people on the IO waiver in shared

living/host homes Ohio ranks 16th nationally in the number of

people in host homes adjusted for population. A few states (Vermont, Colorado) have over ½

of their folks on waivers in host home environments.

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VT NH HI TX NE WI

AR AZM

N DE NY NJGA W

Y UT MI AL NV

MD KS

WA

MO LA NM M

AW

V0

50

100

150

200

250 Number of Recipients in Shared Living Settings Per Capita

FY 2011

Indi

vidu

als S

erve

d Pe

r 100

K in

Pop

ulati

on

Ohio #16

Source: Larson, S.A., Ryan, A., Salmi, P., Smith, D., Anderson, L. and Hewitt A.S. (2013). Residential Services for Persons with Developmental Disabilities: Status and trends through 2011. Minneapolis: University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration.

Benchmark #2: 25% of all DD waiver recipients will live in host homes

THUMBS UP! I MOSTLY AGREE!

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THUMBS DOWN!I MOSTLY DISAGREE!

Benchmark #2: 25% of all DD waiver recipients will live in host homes

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WHAT WORRIES DO YOU HAVEABOUT THIS BENCHMARK?

WHAT HOPES DO YOU HAVE ABOUT THIS BENCHMARK?

Benchmark# 3: Nursing services will be available in all waivers.

Supporting Principles: Nursing services will be funded by the State. Addition of nursing services will not impact ODDP range or caps on services. Delegation continues to be used. Smooth intersection between personal care and nursing.

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Over the next 10 years, the number of people with DD in our system over the age of 60 will double

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Current In 10 Years0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

6,302

13,680

*Assumes a 10% drop off in the number of individuals that are currently 51 or older. *Includes all individuals

117% Increase

Over the next 10 years, the number of people over age 60 with a Level 1 Waiver will increase by three times

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0200400600800

1,0001,2001,4001,6001,8002,000

Current - 429 In 10 Years - 1,435

*Assumes a 10% drop off in the number of individuals that are currently 51 or older*Includes only individuals receiving a service

Level 1

234% Increase

Benchmark # 3: Nursing services will be available in all waivers.

THUMBS UP! I MOSTLY AGREE!

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THUMBS DOWN!I MOSTLY DISAGREE!

Benchmark #4: All Direct Support Staff earn a livable wage (200%) of the federal poverty level

Supporting Principles: Will require rate increase for waiver services. Wages should be equitable across service types (waiver/ICF). Will require increase to funding ranges and caps. Assurance that rate increase goes to DSP.

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Direct Service Staff Where We Are Now

46% turnover in Ohio (similar to national data) – OPRA data

2013 Direct Service Professional average wage was $9.54 (OPRA data)

Each 1% increase in the HPC rate costs $3.5 million. To go from current level ($9.54) to 200% of poverty for a family of two ($15.00 hour) would be a 50% increase costing $170 million.

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Benchmark #4: All Direct Support Staff earn a livable wage (200%) of the

federal poverty levelTHUMBS UP! I MOSTLY AGREE!

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THUMBS DOWN!I MOSTLY DISAGREE!

WHAT ARE YOUR HOPES FOR THE NEXT 10 YEARS?

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thank you!

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