DODD INNOVATIVE BUSINESS STRATEGIES

KATHY SCOTT, COMMUNITY ENGAGEMENT & OPERATIONS DIRECTOR

ASHLEY BROCIOUS, CEO

TIMELINE OFBE THE SHIFT 2018

• RT Industries privatized 1/1/18

• Review of VH Rule Requirements, 14C Certificate/Subminimum Wage, VH & ADS Service Delivery

• Employee Position Descriptions changed 7/13/18

• Production Solutions 11/1/18

• Remodel back half of building to transition from Production 12/31/18

• Moved ADS from County Board 1/1/19

• New mission established: Helping people achieve personal success by developing skills to confidently work, interact and thrive in the community!

• Started Strategic Plan & Phasing out Buses Proposal

VOCATIONAL HABILITATION PRODUCTION FACILITY

• Historically, contract work from local businesses completed in house at RTI during VH Service, paid at piece rate.

• Difficult to be person-centered or employment focused with production.

Vocational Habilitation billing – is not about paying someone to work, it is about training

and preparing for competitive integrated employment. Medicaid will not allow a

provider to bill for this service where the primary purpose is to produce a good.

DODD

WHAT SHOULD VOCATIONAL HABILITATION SERVICES LOOK LIKE?

• They are time limited and provide opportunities to learn and gain new experiences, including volunteering, in order to develop general and transferrable employment-related skills. Not an end point or place a person retires from.

• The outcome of vocational habilitation is the advancement of an individual on his or her path to community employment and the individual's achievement of competitive integrated employment.

OUR PRODUCTION FACILITY (AT THE TIME)

• Subminimum wages also known as piece rate changed to minimum wage eff. 7/10/17

• 14C Certificate expired 10/31/18 with DOL

• As of 6/1/18 DODD - Must be on the path to Community Employment with an Outcome in the ISP to receive Vocational Habilitation.

• NOT JUST OHIO!!!

• https://www.youtube.com/watch?v=ua4-2lsmVc0

• Three take aways:• We ARE a sheltered workshop…• We WILL adapt and change!• RTI is NOT competitive integrated

employment

NEW VOCATIONAL HABILITATION

• Volunteer Opportunities 1:6 or less

• Build knowledge of community resources

• Workplace problem solving, skill development, and skill maintenance

• Self-Determination/Self-Advocacy Training

• Transportation needs

• Career Discovery

• Task Analysis

• Plan Development – review of ISP outcomes monthly

• Personal Care Training and/or needs

There will is no paid work involved with billing this service.

GROUP EMPLOYMENT – ENCLAVES

• Paid employment (minimum wage and above) for work experience that can lead to further career discovery and competitive integrated employment.

• Groups of 2 or more with supervisor off site

• Nitto Denko

• Miami East

• Recycling

• Eurodrive

• And more…

WHAT DOES THIS MEAN?

WHAT IF I DO NOT WANT COMPETITIVE

INTEGRATED EMPLOYMENT?

• “The expected outcome of adult day support is development of skills that lead to greater

independence, community membership, relationship-building, self-direction, and

self-advocacy.”

DODD Rule

ADULT DAY SUPPORTS

• Shift from facility-based to community based services. (community engagement and inclusion)

• What is inclusion? Being accepted, respected and valued in your community, not just physical proximity to people without disabilities

• Goal is NOT to just be in the community but to connect to it in a way that is meaningful and individualized.

• People should not be a tourist in their own town.• Building relationships and natural supports.

• Individualized, person specific = based on interests, hobbies, preferences and values

ADS COMPARISON FROM THEN TO NOW

• Focused on arts/crafts

• Mainly out to eat/movie activities

• Segregated large outings

• Not individualized

• TVs on all day in rooms

• Little time in community

• Not age appropriate

• Nursing Home setting

• School-like appearance

• Offering in house classes Maintaining and Advancing skills• Dental hygiene TVs no longer used unless an event

• Sign Language Classes

• Yoga in the park

• Coffee Clubs – Cool and Color

• Partnering with Piqua Mall

• Volunteer Opportunities• Brukner Nature

• Food Pantry/Soup Kitchen

• Club House

NEW ADULT DAY SERVICES

• Active involvement in planning of services

• Volunteer Opportunities 1:6 or less

• Build and support community membership

• Self-Determination/Self-Advocacy Training

• Recreation and leisure activities

• Personal growth

• Individualized supports

• Smaller group activities

• Meaningful social life

• Personal Care Training and/or needs

Community Driven, Community Minded

PRODUCTION SOLUTIONS

• RT kept the work component – moved to front half of building ONLY.

• We hired 14 Production Specialists Positions in November 2018.

• Opened position to anyone in the community.

• Applications, interviews with time studies and benefits!

• Employees with DD do not have their waivers billed for voc hab.

• Minimal billing of Individual Employment Support for training or employer/employee needs if appropriate.

FAST FORWARD - 2019• Applied for Grant 2/21/19

• Completed SWOT Analysis with SME 4/19 - Regarding each service we provide, Facility Based vs Community Based, and Person-Centered Services

• Surveyed Supervisors, Directors, Board Members, County Board SSA’s, Parents, Guardians, OOD, Business Partnerships and persons receiving services

RESULTS:- People are generally happier receiving services in the community vs piece rate work- Community/Families do not understand who we are, what we do or why we made drastic changes to our service models- Need buy-in from our employees and understanding of new model

• Phasing Out Buses Proposal Approved 8/19• Finished Strategic Plan 9/19

BUSINESS PLAN1. Expand Community-Based Services

2. Staff Development, Training and Communication

3. Expand Revenue/Profit Centers

BOLD STEPS1. Financial Plan

2. Internal Relationships

3. Setting Standard for Quality of Services

4. PR Plan External Partnerships & Market Awareness

5. Business Growth

CHECK US OUT ON:Facebook

Instagram

www.rtindustries.org

Contact Information

Ashley Brocious, CEO

Ashley.Brocious@rtindustries.org

(937) 335-5784 Ext. 101

(937) 552-3900

Kathy Scott, Community Engagement & Operations DirectorKathy.Scott@rtindustries.org(937) 335-5784 Ext. 105(937) 552-5401