Included. Supported.Empowered ! Facilitated Workforce Discussion

1. Included. Supported.Empowered! Facilitated Workforce Discussion

2. The urgency of the DSP crisis informs ANCOR’s position on virtually every issue and all of our work • We lead with the WORKFORCE message: quality services require a stable, quality workforce

3. So, how do we do that?

4. Educating, Advocating, Sharing Best Practices • Recognizing excellence! • Educating broadly about: • The value of the profession • The scope of the crisis

5. Educating, Advocating, Sharing Best Practices • Putting a human face on the issue: sharing stories • Using data: presenting evidence

6. Educating, Advocating, Sharing Best Practices • Sharing Innovative State Initiatives • Examples I’ll share today • Ohio: • Ohio Competency Wage Add On • Ohio Community Connections Career Partnership (Moving Mountain Award winner 2018) • Pennsylvania NADD Certification

7. Educating, Advocating, Sharing Best Practices • Protecting Medicaid – ensuring states receive the maximum amount possible to match state expenditures • Advocating for a BLS SOC

8. Educating, Advocating, Sharing Best Practices • Expanding the Workforce: advocating for a Foreign Worker Guest Worker Visa – 60K-80K slots • Pushing CMS to promote Greater Flexibility for use of Technology

9. Allow me to Repeat Myself! • Recognizing Excellence • Putting a human face on the DSP workforce crisis • sharing stories about real people • Using data – presenting evidence

10. ANCOR’s National Advocacy Campaign: National DSP Week • Federal Recognition • Unanimous, bipartisan Senate Resolution enacted 8 consecutive years! • Week of September 8, 2019

11. ANCOR’s DSP Of the Year Awards • Fabulous award ceremony each year at our Annual Conference in May 2019 in Portland, Oregon • Notification to Governors and Members of Congress • Promote to Media This is about recognition and celebration, but it is also a chance to educate our leaders about the challenges in our field. ….And propose solutions.

12. Leroy Bryant Dungarvin New Mexico 2018 DSP of the Year

13. 2018 ANCOR Direct Support Professional Recognition Award Alaska Tammy Porter • Direct Support Professional • ResCare • Fairbanks • 7 Years of Service 2018 Direct Support Professional Recognition Awards are being underwritten by

16. NCI Staff Stability Report • Only 17 States so far… • Alabama , Arizona, Connecticut, Washington DC, Georgia, Illinois, Indiana, Kentucky, Maryland, Missouri, Nebraska, New York, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Utah, Vermont • Coming next to a state you call home?

17. NCI 2017 Staff Stability

18. NCI 2017 Staff Stability

22. ANCOR SOC Administration and Congressional Advocacy • Secured letter to BLS from members of Congress • Reps. Roskam (R-IL) & Courtney (D-CT) • Last week met with BLS Assistant Commissioner

23. Promoting Quality • Promoting and Providing Competency-Based Training Opportunities • Sharing Best Practices • Showcasing Innovative Programs Across the Country

24. Tools to Improve Turnover • ANCOR DSP Toolkit • Realistic Job Preview • DSP turnover calculator • Webinar series • Found at ANCOR.Org

25. Training Opportunities/State Innovations • ANCOR Certificates of Achievement • Online Relias Courses • Ohio Competency Add On • NADD Credential – PA has adopted it, and is paying providers to put DSPs through it • NADSP E-Badges

26. NADD Certifications Recognized in Pennsylvania HCBS Waivers • National Association of Dual Diagnosis (NADD) • Offers competency based credentialling for professionals working with individuals that have a dual diagnosis • It’s estimated that 30-35% of all persons with intellectual or developmental disabilities have a psychiatric disorder.

27. NADD Certifications Recognized in Pennsylvania HCBS Waivers • Effective 1/1/18, at least one staff person must be certified or have a degree to to provide enhanced levels of service to participants who do not require a nurse. • Enhanced level of care: provides 1:1 or 2:1 (staff to participant) staffing for a participant.  Enhanced level of care is based on a participant’s behavioral or medical support needs.

28. NADD Certifications Recognized in Pennsylvania HCBS Waivers • NADD Competency Based Clinical Certification. • NADD Competency-Based Dual Diagnosis Certification. • NADD Competency-Based Direct-Support Professional Certification. • Registered Behavior Technician. • Certified Nursing Assistant. • Board Certified Assistant Behavior Analyst. • Bachelor’s Degree in Psychology, Education, Special Education, Counseling, Social Work or Gerontology.

29. Ohio Competency Add On to Wages • Effective July 2018, DSPs who complete specific NADSP accredited competency training get a $1.00 increase to their wage, the agency gets paid $1.67 • Good for homemaker or personal care DSPs – DSPs working in Ohio’s waiver programs (not for day programs, ICF DSPs) • In order to qualify, must have 2 years of experience. Full time, not necessarily as an employee, students are ½ there, does not have to be consecutive

30. Ohio Compentecy Add On to Wages • 60 hours of competency training • Training has to be accredited by NADSP, includes a competency demonstration • Portfolio counts as a competency demonstration

31. Ohio Compentency Add On to Wages • More questions? Contact Bethany Toledo at OADSP btoledo@oadsp.org

32. ACA Repeal and Replace Block Grants/Per Capita Caps

34. For the 1st time since the inception of the Medicaid Program Americans across the country began to finally understand what the Medicaid Program is, and what it does for people with disabilities

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