Greg Fenton, Deputy Director for the Bureau of State Operated Developmental Centers (SODC) and Project Manager for the Case Management Redesign initiative, introduced himself and welcomed all who participated on the call. He thanked everyone for making themselves available, given the recent weather conditions, and explained the need to not lose momentum for this very important initiative. Greg expressed the need for future meetings to start and end on time, and stated what he wished to accomplish during this meeting.
Greg introduced Mary Lou Bourne as the meeting's Facilitator. Additionally, he introduced Sandy Ryan, Director of Programming/Planning Unit for the Illinois Council on Developmental Disabilities (ICDD), and recognized and thanked Sheila Romano, Director of ICDD (who was not on the conference call), for her support of this project.
The following Division of Developmental Disabilities (DDD) staff introduced themselves:
Mary Lou provided the group with some background information about herself, citing that she had recently worked with Support Development Associates, most recently in Ohio and Georgia, and assisted in the complete redesign of their Case Management System from start to finish. Mary Lou explained how we would approach the call. First step was to provide a high level review from DD Senior Staff for each work group.
Members of the Senior Leadership staff described each of the six teams, and what is expected of each team:
Reta Hoskin explained that this Team will review the current assessment process and find ways to streamline it. For families and self-advocates, make materials more user friendly and self-explanatory. Reta announced four proposed changes to the current PAS manual and processes. Reta is working with HFS to make these changes and hopes to launch them in the next couple of weeks. They are as follows:
Reta added that we have a lot of volume underway because of Ligas and transition. We hope this will help with the volume; however, we do not want to shortcut the work group --- we hope they will have additional information, ideas and suggestions.
Mary asked the question: does this mean anyone who is working on a level 2 right now for a person in an ICF/DD should stop this activity immediately? Reta responded, yes, they can stop that now, but we need to still make sure the choice is offered and documented. Later in the meeting, Reta clarified that if you have already pursued a Psych eval and are underway with a Level 2, go ahead and finish it, as we still need to document the changes to the process. The manual will change, but we need to make sure we are documenting that the person requires the ICF/MR level of care. There might be multiple ways to accomplish this. Reta's staff is looking into how the ICF's document the need for ICF level of care with Greg's staff. The bottom line is documenting the Level of care will be required.
Reta Hoskin explained that the PUNS listening tours have been completed by Celia Feinstein, and she is drafting the report. Once we have the report in hand, we hope to have a work group formed regarding implementation and alignment with other work teams.
Michael Hurt made reference to the document that was distributed during our Dec. 2nd meeting. We have made an effort to put a first version in front of this workgroup, but we are excited about the prospects of the workgroups to give this additional thought. The primary purpose is to give more emphasis to the person who receives services and to emphasize the person centeredness of the service system. We solicited input from staff who are involved in the Ligas activities, as we believe this document will work in any location or any environment - no matter where the person will live, or what the funding is.
Michael Hurt reported that the Division currently conducts review activities with all 18 of the ISSA agencies annually. What we would like to do with the leadership along with this work team is agree upon and identify service measures for the whole service system. We start with the profile, but providers will still develop and implement SERVICE PLANS. One of our responsibilities is indeed to monitor. As such, we must identify how the choices and preferences in the PROFILE align with the service plan.
Reta Hoskin (on behalf of Dan Blair) indicated that we realize some of the changes being discussed may not be able to take place without additional resources. We'll need to determine what is currently underfunded, what needs to be realigned, etc. Some of this activity will need to be staggered with some of the progress of the other work groups, as we need to know what they will recommend first. But to start with, we want to collect data on current case load ratios. It is difficult to identify these because each agency organizes and manages a little bit differently. We will try to come up with a way to compare and effectively collect meaningful data on case loads.
Each of the 18 PAS agencies provided their feedback and posed questions, concerns and suggestions regarding the Work Group Proposal:
It was stated that the original document projected that all objectives would be accomplished by March 31, 2014, but we recognize that date needs to change.
Discuss Workgroup Composition
Summary submitted respectfully by,
Mary Lou Bourne
Rose Ann M. Kohrt
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2020 Illinois Department of Human Services