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Planning Our FutureAll AgesMay 9,
2015Wildwood, Florida
Rick Scott Governor

• Barbara Palmer
• Director

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Arthur Barndt has more than 10 years
working directly with people with
Intellectual Disabilities and children in
crisis and an additional 10 years with
Floridas Agency for Persons with
Disabilities. Barndt is dedicated to
seeing people with disabilities living,
working and learning in their communities.
A graduate of Kutztown University of
Pennsylvania with a Bachelor of Arts degree
in Speech Communications, Barndt is also a
certified Project Management Professional, a
certified Community Work Incentive
Coordinator and a certified supported
employment trainer
Arthur Barndt PMP iBudget Manager
with the Office of Programs arthur.barndt_at_apdcares
.org
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• Legislative
• Strategic Plan Goals
• Questionnaire Situational Information (QSI)
• iBudget Waiver
• Person-Centered Planning

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• Legislative
• Director Barbara Palmer was reappointed May 2015
  by Governor Rick Scott

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• Legislative
• Director Barbara Palmer met with the Chair of
  House Appropriations, Chairs of both Senate and
  House Health Care Appropriations

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• Legislative
• And many other key leaders, totaling 52
  legislative members during the 2015 Legislative
  Session, sharing APDs goals and vision for the
  future

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• Legislative
• Governor Scott and the Legislature have provided
  56 million to enroll new people from the waiting
  list

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• Legislative
• Because of Governor Scotts recommendation and
  the Legislatures approval, our agency has been
  able to offer waiver enrollment to more than
  2,800 people with critical needs during the past
  two years

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• Legislative
• We are hopeful the Legislature will support
  Governor Scotts budget recommendation for 8
  million to move more than 400 people with
  critical needs from the waiting list to the
  Medicaid waiver next fiscal year

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Agency for Persons with Disabilities
Planning Our Future
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Strategic Plan
LIVING
WORKING
LEARNING
Your own footer
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• Strategic Plan Goals
• Manage Agency Budget within Fiscal Allocation
• Deploy a client-data-management system (CDMS)
• Develop strategies to access program services for
  children through the Children and Youth Cabinet

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• Strategic Plan Goals
• Improve Management and Oversight of Agency and
  Provider Services
• People with developmental disabilities live in
  the most integrated setting that is safe and
  appropriate for their level of care
• Adhere to the new Home and Community-Based
  Services transition plan requirement established
  by the Center for Medicaid and Medicare Services
  (CMS)

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• Strategic Plan Goals
• Improve Access to Community-Based Services,
  Treatment and Residential Options
• Develop a service model and rate for individuals
  with dual mental health diagnoses and intensive
  behaviors
• Improve service delivery to individuals whose
  family caregivers are aging and have dementia

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• Strategic Plan Goals
• Increase the Number of Individuals with
  Developmental Disabilities in the Workforce
• Develop a systematic approach for job placement,
  customized employment, or a career path
• Expand the Employment Enhancement program to
  serve people on the waiting list annually

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• Questionnaire on Situational information(QSI)
• What is a QSI?
• The QSI is the Agencys approved functional needs
  assessment
• The assessment tool was determined valid and
  reliable by the University of South Florida and
  the Human Services Research Institute

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• Questionnaire on Situational information(QSI)
• Purpose of the QSI
• Gather key information about a persons life
  situation over the last 12 months
• Plan for supports and services to meet the needs
  of the individual for the next 12 months

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• Questionnaire on Situational information(QSI)
• Frequency of the QSI
• Conducted every three years for all consumers,
  and
• Upon request from consumer, parent, or legal
  guardian

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• Questionnaire on Situational information(QSI)
• Frequency of the QSI
• Re-administered to identify any possible changes
  in levels of support in the event that an
  individual experiences a major life change (such
  as moving from one residential setting to
  another, major changes in caregivers or major
  health changes)

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• Questionnaire on Situational information(QSI)
• QSI Staff
• 65 certified APD staff administer the QSI full
  time
• 46 additional APD staff certified to administer
  the QSI as adjunct duty
• Requires annual recertification

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• Questionnaire on Situational information(QSI)
• Face-to-Face Interview
• Must include the person being assessed
• Encouraged to invite anyone familiar with
  capabilities and life situation

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• Questionnaire on Situational information(QSI)
• Face-to-Face Interview
• Must include the person being assessed
• Encouraged to invite anyone familiar with
  capabilities and life situation

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• Questionnaire on Situational information(QSI)
• Face-to-Face Interview
• WSC must attend if the individual being assessed
  requests
• Legal representative must be contacted for
  consent, but participation is not mandatory

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• Questionnaire on Situational information(QSI)
• QSI Information
• APD website www.apdcares.org/waiver/qsi/
• View, print, or download the QSI Version 4.0

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• Questionnaire on Situational information(QSI)
• QSI Information
• Review frequently asked questions about the QSI
• View, print, or download the QSI and You brochure
  in English or Spanish

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• iBudget
• Handbook
• How services are to be administered
• Qualifications for providers
• Requirements
• Public Meetings held during past 2 years

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• iBudget
• Algorithm
• How money is allocated to each consumer for their
  individual budget
• Currently under revision
• Public meetings held since December, 2014

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• iBudget Current Algorithm
• Age (under 21, over 21)
• Living setting (family home, supported
  living/independent living, group home,
  residential habilitation center)
• QSI Functional and Behavioral Sum of Scores of
  all questions
• Additional QSI questions
• Question 18 transferring
• Question 20 maintain hygiene
• Question 23 self-protect

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Proposed Tentative Algorithm
Living Setting FH Family Home Live2ILSL
Independent and Supported living Live2RH1
Residential Habilitation (Standard) and
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Proposed Tentative Algorithm
Age Ages 3 21 Ages 21 30 Ages 31n)
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Proposed Tentative Algorithm
Bum Behavior Sum FHFSum Family Home
Functional Sum SLFSum Supported
Living/Independent Living Functional Sum
SLBSum Supported/Independent Living
Behavior Sum
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Proposed Tentative Algorithm
Q16 Functional Status, Eating Q18 Functional
Status, Transfers Q20 Functional Status,
Hygiene Q21 Functional Status,
Dressing Q23 Functional Status,
Self-protection
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Proposed Tentative Algorithm
Q28 Behavior Status, Inappropriate Sexual
Behavior Q33 Physical Status, Injury to the
Person Caused by Aggression toward Others
or Property
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Proposed Tentative Algorithm
Q34 Physical Status, Use of Mechanical
Restraints or Protective Equipment for
Maladaptive Behavior Q36 Physical Status, Use
of Psychotropic Medications Q43 Physical
Status, Treatments including Nursing
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Proposed Tentative Algorithm
Multiple R Squared for proposed tentative
model after removing 9.40 outliers (2,410
consumers) R-square 0.7998
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Person-Centered Planning

• Person-Centered Planning is a planning approach
  based on the individuals perspective rather than
  that of a program or resource to identify
  supports and services to meet needs
• Person-Centered Planning involves the individuals
  receiving services and the significant people in
  their lives

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Person Centered Planning

• Goals and outcomes that are important to the
  individual are identified, along with the
  supports needed to achieve them
• Currently, WSCs are required to use a
  person-centered planning approach in the support
  plan and cost plan development process. Providers
  are required to implement person-centered
  supports and services

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Person-Centered Planning

• New federal HCBS Rules layout specific
  requirements of a person-centered planning
  process.  These include items related to who
  participates in the process ensuring no
  conflicts of interest cultural considerations
  goal and risk factor identification choices in
  where to live activities and services etc.
• Stakeholders recommend training for individuals,
  families, and providers regarding person-centered
  planning requirements

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Thank You
Arthur Barndt PMP iBudget Manager with
the Office of Programs arthur.barndt_at_apdcares.org
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