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Allegheny Blair Bucks Butler Dauphin Lackawanna/ Susquehanna

This presentation discusses the LEAP Learning Collaborative, which is a systematic approach to process improvement. It aims to implement and test tools for exceptions to the Residential Fee Schedule, pilot communication and training structures, utilize county expertise, and explore opportunities for broader impact.

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Allegheny Blair Bucks Butler Dauphin Lackawanna/ Susquehanna

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  1. LEAPLife Experience Appraisal ProtocolA Learning Collaborative Approach to System ChangePACA MH/DS Spring Conference April 2019 Allegheny Blair Bucks Butler Dauphin Lackawanna/ Susquehanna

  2. Background – PA adopts the SISTM The PA DHS Office of Developmental Programs, together with stakeholders, chose the Supports Intensity ScaleTM(SISTM) to be the standardized needs assessment in Pennsylvania for individuals with intellectual disabilities. The SISTM was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD) in 2004 and is used in several states. The SISTM was chosen so that needs of all individuals aged 16-72 who are entering or enrolled in the PA ID Waivers will be assessed consistently and equitably across the Commonwealth. Beginning in January 2018, ODP implemented a Fee Schedule for Consolidated Residential services utilizing the SISTM and PA Plus (9 additional assessment questions).

  3. LEAP Learning Collaborative See LEAP Process Flow February 4, 2019 ODP Ann. 19-014 Re-issue of Res Rate Exc. Process January 1, 2018 Residential Rates SIS Needs Levels/Groups October 16, 2017 ODP Ann. 115-17 Residential Rate Exception Process

  4. LEAP Timeline – FY 2018/2019

  5. LEAP Tools DESK REVIEW • Preferences • Short Narrative • Personal Relationships • Significant Life Events • Services and Supports • Support Settings • Physical & Mental Health • Legal Involvement • Individual Monitoring & Service Notes • HCSIS Service Authorizations • Incidents • Incidents • Investigations ASSESSMENT REVIEW • SIS • PA Plus • PA Supplemental FINDINGS REPORT • Identifying Details • Provider Justification • Summary of LEAP Findings • Considerations for Team • ODP RPM & AE/County of Registration Recommendation

  6. Objectives of the Learning Collaborative • A Learning Collaborative is a systematic approach to process improvement. • Organizations can test and implement system change and measure the impact. • The Collaborative will share their experiences to accelerate learning and broader implementation of best practices. • Learning occurs through active engagement among peers, to search for understanding, meaning, or solutions. The group can create a product of their learning. LEAP Learning Collaborative: • Implement and test tools that were developed to validate the need for exceptions to the Residential Fee Schedule. • Pilot communication, training and technical assistance structures involving multiple Counties. • Utilize expertise available at the County level to better assist the State with process implementation and improvement. • Plan>Do>Check>Act – continue to redesign and modify • Explore opportunities to apply lessons learned to other areas of system change.

  7. Potential for Broader Impact • Appraisal of specific target populations • 1 bed homes • Frequent inpatient hospitalizations • Appraisal of Community Participation Supports • Best practices for successful community inclusion • Participant Outcomes (ISP and Life Course) • Appraisal of Employment Opportunities • Consistent with PA Employment First Policy • Predictive service needs and budgets for emergency waiting list population

  8. Contacts for Questions or Feedback Allegheny County DHS, OID Dauphin County MH/A/DP Dan Eisenhauer, Administrator deisenhauer@dauphininc.org (717) 780-7049 Bobbi Segin, Deputy Administrator bsegin@dauphininc.org (717) 780-7042 Don Clark, Deputy Director don.clark@alleghenycounty.us (412) 436-2803 Marian Tresky, Manager marian.tresky@alleghenycounty.us (412) 436-2802

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