Team 4: Profile & Provider Selection Meeting Minutes (4-4-14)

Meeting location: CISA, Lincoln, IL

Members present

  • Michelle Maxwell, DDSME
  • Ann Yaunches, SICCS
  • Lisa Humke, CISA
  • Christine Myers, Livingston Co. MHB
  • Jennifer Elders, DDD
  • Emily Vincent, DDD
  • Vicki Stillman-Toomey, NASDDDS
  • Dawn Imel (phone), MCHSI
  • Wanda Sumlar (phone), CSO

Meeting Notes

How do members want the process to go?

  • Process of consistency; improved process for gathering information and resources; development of a profile document that really gets people's dreams.
  • An initial service plan that the chosen provider can build upon. The plan should drive rates.
  • Action. Not just drafts of everything forever and services available for everyone.
  • Team definitely wants provider representation on Team 4 as well as the other teams.

What do members want/not want?

  • Do not want to go into a "black hole."
  • Do not want roll out the new system without being first thoroughly explained.
  • Do not want to isolate providers.

Comments on the Vision Statement and Identified Outcomes outlined in the PowerPoint

  • Services can't be provided in a bubble. All stakeholders need to redefine their roles to be focused on the person receiving services.
  • Creativity must be utilized to achieve outcomes identified.

Comments on Team 4's Purpose

  • Developing a profile that gets to what the individual wants and needs. Then figure out how to implement that for provider choice.

Overall Service Plan, Personal Profile Comments

  • A current problem in the system is that individuals and families are being told they can have whatever they want regarding service, supports, etc.
  • The group established that they overall agree that the Ligas Transition Plan is a thorough, effective tool. It would be a good foundation. No point in recreating the wheel.

Discussion Point: Reference slide 16

  • "What would a new way of developing a person's own, whole life plan look like?
  • The group asked the question of if there is an expectation from DHS to have one universal transition plan. Right now, there are two versions of the transition plan, a Crisis Transition Plan, and a Ligas Transition Plan, that are only used for specific populations seeking placement. It is not used for DCFS clients that are aging out to adult intellectual disability services, individuals seeking placement into an ICF/DD setting, etc. The group asked that there needed to be clarification sought from DHS on what populations this transition plan applies to, if it will be done across the board for everyone seeking services, and if so, how will this transition plan be managed for crisis cases that are in immediate jeopardy for homeless, abuse, neglect. Would there be a contingency situation with the Crisis placements where that transition plan needed to be expanded and changed to include person centered directions 10 days, 30 days, after a safe place is located and achieved?
  • The group discussed that the transition plan may need to be moved to the initial, face to face PUNS meeting so that their non-negotiables in life are started to be obtained with meeting them.
  • Group members again asked the question of what DHS is expecting from this plan. Is it an initial ISP, person centered style, or just a person centered transition plan? The moderator, Vicky, stated that in other states what has been adopted is that the independent coordinators develop the person centered transition plan, while the service providers have to develop a "response" plan to the transition plan that explains how that service provider will meet the non-negotiables that the person designates once they are in their services.
  • "What could a process include that is designed to select a provider AFTER the plan is written?"
  • How do you locate and establish a provider when the person wants services in a specific area that currently is not populated with service providers?
  • How to train families/individuals in how to select a service provider?
  • How do you let a provider know what each individuals wants out of services as far as location, and house mates? Is there a universal way to get an individual's demographic information as far as basics (age, female, ambulatory, desired geographic location and desired type or house mate, or has already identified house mates they want to reside with) to providers?

    Example: Early intervention, DRS, UIC/MFP uses websites that allow for information to be uploaded on them.  Can something like that be used to upload basic information about a person seeking services to allow a provider to "shop" and see if they are able to meet their life non-negotiables?  ? How do providers become encouraged to look at individuals seeking services as more of a capacity management situation rather than an open bed situation? Right now, if there is an open bed at an agency that needs filled, then individuals are sought to fill it rather than developing a residential arrangement tailored to that individual and what they want out of life.

    Example: A person knows how to use public transportation, and wants to do so to visit with friends/family, yet, they move into a site that doesn't have public transportation accessible.

Discussion Point: Reference slide 17

  • "What do we think is… compelling and really important to figure out?"
  • Liaison Question for DHS: How to standardize the transition plan across all ISP agencies. The group discussed that there needs to be mandatory, in person trainings of all ISC agents that will carry out completing these transition plans to review the plan, how to fill it out, then possibly role play with another person at the training on how to ask more open ended questions to find out what the person wants out of their life. This may be done in the same training, or possibly have the training be two consecutive days to fit it all in. It needs to be included routinely as part of the Q CEU trainings that DHS offers, exclusive to just ISC agencies so that re-training and initial training can occur of ISC staff.

Next Steps

  • Vicki: Would find out who the Team 4 liaison is to the Steering Committee; find out from who/when the Personal Profile and Desired Outcomes document was development.
  • Michelle: Will work on enlisting self-advocates and families (not sure if this is correct)

Next Meeting

  • Dawn will try and get space at Illinois Wesleyan in Bloomington for April 23, 2014.
  • Group sees potentially meeting 2 more times.