2018 Reinventing Quality Conference: Building an Infrastructure that Promotes Equity and Diversity


2010 Reinventing Quality Conference
Conference Materials

Conference Program

PDF Icon View/Download the Conference Program (2.56 MB)

Index of Available Presentations
(Addtional Presentations will be added as we receive them)


To view/download these files, you will need Adobe Acrobat Reader
To download the Reader, click on the icon below
Get Acrobat Reader

View Presentations from previous Reinventing Quality Conferences
   •  2008
   •  2007
   •  2006
   •  2004
   •  2003
   •  2002
   •  2001

Opening Plenary Session

The Moving Mountains Awards
The Moving Mountains Awards are presented to organizations that have demonstrated best practice in direct support workforce development. They are awarded by the Research and Training Center on Community Living at the University of Minnesota in partnership with the National Alliance for Direct Support Professionals (NADSP). Jerry Smith, award winning film Director, premiered a new advocacy film about the importance of Direct Support Professionals in our communities and their vital involvement in promoting inclusive communities.
PDF Icon View/Download This Presentation Hewitt (810 KB)
Moderator:
Amy Hewitt; The RTC on Community Living, Univ. of MN
Presenters:
Christie Johnson; South Dakota Association of Community Based Services
Arden Kleffmann; Adirondack Arc
Sue Henning Mitchell; Catholic Community Services of Southern Arizona
Lester Parker; Adirondack Arc
Barbara Rothenberg; The Arc of Delaware County
Eileen VanSoest; SD College of Direct Support, Center for Disabilities

Breakout Session 1


Making the Shift to Individual Supports: What Works and Reflections on Lessons Learned
Attendees heard from people from across the country who are making the change to individual supports a reality! A discussion of how opportunities for sharing the learning have been created in Maryland, New York and North Carolina. We shared ways that commitment and investments have been built and the distinguishing features of each of the three initiatives including U theory, Lives of Distinction, Innovation Generator Design Teams, Leadership Learning Logs, Partnership, Circles, Community of Practice, and Community Focus.
PDF Icon View/Download This Presentation Mount (5.61 MB)
Moderator/Presenter:
Patti Scott; Neighbours, Inc
Presenters:
Michael Chapman; Maryland Developmental Disabilities Administration
Derrick Dufresne; Community Resource Alliance
Michael Mayer; Community Resource Alliance
Beth Mount; Graphic Futures and Capacity Works
Pam Walker; Center on Human Policy, School of Education

Keeping People Healthy and Safe: Data Driven Risk Management
This session looked at new approaches to aggregating health and safety data and what we can learn from these data to improve quality. The session featured state quality management staff and consultants from around the country who are working to improve the application of health, incident, and other data to improve the well-being of people with intellectual and developmental disabilities.
PDF Icon View/Download This Presentation Bonardi (243 KB)
PDF Icon View/Download This Presentation Cabral (166 KB)
PDF Icon View/Download This Presentation Zigman (1.28 MB)
Moderator:
Sarah Taub; Human Services Research Institute
Presenters:
Bill Allen; Allen, Shea and Associates
Alexandra Bonardi; Center for Developmental Disabilities Research, UMASS Medical Center
Ken Cabral; DC Developmental Disabilities Administration
Laura Nuss; Department on Disability Services
Eric Zigman; Zigma Consulting

Investing Wisely in the Future-- Strategic Investments and Resource Allocation
Service systems for citizens with developmental disabilities must be re-designed to make the most efficient use of state resources and assure that the needs of individuals are addressed. Attendees learned about practices being applied across several states to redesign systems. Three presentations were offered. The first illustrated what State Planning Councils are doing to promote innovative change and respond strategically to the current funding crisis. The second described use of a “gap analysis” to examine state performance, coupled with development of a series of strategic action steps in response. Third, an extensive process was described for establishing “individualized service budgets” for individuals. The process involves assessing individual support needs and reforming service reimbursement rates. This
process literally is changing service systems.
PDF Icon View/Download This Presentation Mulholland (561 KB)
PDF Icon View/Download This Presentation Agosta (1.25 MB)
Moderator/Presenter:
John Agosta; Human Services Research Institute
Presenters:
Jon Fortune; HSRI
Graham Mulholland; Pennsylvania DD Council

Creative and Customized Employment Options
This session focused on customized employment strategies that lead to creative wage jobs including the use of job negotiation, resource ownership, and self-employment. Topics included the discovery process and using an array of traditional and non-traditional funding sources including economic development options to support job outcomes.
PDF Icon View/Download This Presentation Smith (3.54 MB)
PDF Icon View/Download This Presentation Weller (22.6 MB)
Moderator:
John Butterworth; University of Massachusetts Boston, Institute for Community Inclusion/UCEDD
Presenters:
Mike Menio; Polka Mike, DJ Service
Corey Smith; VIA of the Lehigh Valley
Paul Weller; Glass Expressions by Paul

Individualized Budgeting: Making Good Lives Work… and CMS Perspectives
Often we hear – “if only I could use my money in the way that makes sense for me, I would be able to…”. In this session, attendees heard personal experiences, agency operatives and federal perspectives about how individualized budgeting is enabling people to design and implement services their way. Converting from program to individualized budgets is being done successfully. With continued innovation and use of assistive technology at the individual, government and provider level, more people can access full community and lead self-determined lives! The presenters discussed how The Centers for Medicare and Medicaid Services’ expectations regarding choice of provider and the use of individualized budget allocations are enabling people to design and implement services their way.
PDF Icon View/Download This Presentation Capone (212 KB)
Moderator:
Marian Frattarola-Saulino; Values Into Action
Presenters:
Ken Capone; People on the Go of Maryland
Pat Carver; Community Drive, Inc.
Kathryn Poisal; Centers for Medicare & Medicaid Services
Paul Saulino ; Values Into Action

State-Level Comprehensive Approaches for Emergency Response and Crisis Support Services
The START program is a systems linkage approach to the provision of services and supports in the community for individuals with intellectual disabilities/mental illness and other developmental and behavioral health needs. The focus is on collaboration and enhancement of the service system while developing services to fill in service gaps including crisis intervention and family respite. Findings indicate that the model is cost effective and reduces the need for crisis services over time, while improving experiences and the ability to provide more effective services to those in need. Outcomes from Massachusetts and other states were presented and Lisa Wolfe presented the outcomes associated with the first year of operation in North Carolina. In the second part of this session, Dianne Turner presented Growing Resources (GRO) highlighting strategies and resources developed in Oregon related to crisis services, prevention and creating system capacity to support individuals with complex needs.
PDF Icon View/Download This Presentation Beasley (409 KB)
PDF Icon View/Download This Presentation Turner (805 KB)
PDF Icon View/Download This Presentation Wolfe (129 KB)
Other Workshop Materials
PDF IconBuilding Oregon’s Capacity to Serve Individuals with Complex Support Needs: Recommendations for Action Turner (431 KB)
PDF IconTHE GRO TREE: A Decision Guide to Enhancing Supports for People at Risk Turner (972 KB)
PDF IconGRO Project: Final Evaluation Report Turner (127 KB)
Moderator:
Charlie Lakin; The RTC on Community Living, Univ. of MN
Presenters:
Joan Beasley; Center for START Services, UNH Institute on Disability
Dianne Turner; Oregon Technical Assistance Corporation
Lisa Wolfe; NC START East

Addressing Health Care and End-of-Life
This lively panel discussion focused on ethics, decision making, and using person centered practices for age-related health and behavioral support needs, end-of-life care and other issues. The discussion addressed family and caregiver dynamics and strategies for supporting people’s health care needs and wants by tapping community resources.
PDF Icon View/Download This Presentation Levy (398 KB)
PDF Icon View/Download This Presentation Morrell (109 KB)
Moderator/Presenter:
Leigh Ann Kingsbury; Innovations in Leadership and Supports (InLeadS), Inc.
Presenters:
Judy Levy; Kennedy Krieger Institute
Mindy Morrell; The Arc of Frederick County

National Perspectives and Activities Related to the Direct Support Workforce
One of the greatest challenges facing states is figuring out how to serve more people with less money and an ever-shrinking pool of potential workers. This panel gave participants an overview of resources, promising practices and initiatives that are occurring at the national level through the Direct ServiceWorkforce Resource Center, Department of Labor (DOL) and Centers for Medicare and Medicaid Services (CMS). Opportunities for discussion with federal and national panelists were provided.
PDF Icon View/Download This Presentation Ginsburg (2.61 MB)
PDF Icon View/Download This Presentation MacBeth (544 KB)
PDF Icon View/Download This Presentation Sowers (635 KB)
PDF Icon View/Download This Presentation Pietrangelo (1.25 MB)
PDF Icon View/Download This Presentation Blakeway (230 KB)
PDF Icon View/Download This Presentation Ginsburg (249 KB)
Moderator:
Amy Hewitt; The RTC on Community Living, Univ. of MN
Presenters:
Carrie Blakeway; The Lewin Group - National DSW Resource Center
Laura Ginsburg; DOL - ETA
Renee Pietrangelo; ANCOR
Mary Sowers; Centers for Medicare & Medicaid Services

Toward the Elimination of Restraint: How Positive Behavior Supports Have Paved the Roads Ahead and One State's Experience with a Statewide Effort
Positive Behavior Support is more than the application of behavioral interventions in a "positive" way. It is a set of beliefs and principles that focuses on empowering people affected by disabilities to direct their own journey away from coercion and toward the time when there is no longer a need for the use of restraint. The presenters shared how organizations have incorporated a wide variety of approaches to support people, not just their behavior. We discussed the statewide efforts of the Maryland Developmental Disabilities Administration (DDA) in partnership with the Maryland Association for Community Services (MACS) toward eliminating the need for restraint.
PDF Icon View/Download This Presentation Dressler (1.82 MB)
PDF Icon View/Download This Presentation Bowen (423 KB)
Moderator:
Nancy Thaler; NASDDDS
Presenters:
Bob Bowen; The Mandt System
Arnie Dordick; Langton Green, Inc.
Diane Dressler; Developmental Disabilities Administration

Breakout Session 2


Quality Improvement: Connecting the Data Dots
This panel included individuals at the state level involved in the collection, review and analysis of performance data. States shared how they have developed external quality councils that include a range of stakeholders and how they have used data aggregation and analysis for quality improvement.
PDF Icon View/Download This Presentation Luke (162 KB)
PDF Icon View/Download This Presentation Towson (459 KB)
PDF Icon View/Download This Presentation Moseley (864 KB)
Moderator:
Chas Moseley; NASDDDS
Presenters:
Elyse Luke; Texas Department of Aging and Developmental Disabilities Services
Marion Olivier; Delmarva Foundation
Ray Pierce; New York Office of Mental Retardation
Eddie Towson; GA Division of Developmental Disabilities

Taking Our Place as Full Participants in our Faith Communities
Not being able to participate in important milestones in your faith often makes people with disabilities feel like second-class members of their churches and synagogues. Presenters talked about the dream they had for completing their bar/bat mitzvah and how Jewish synagogues are supporting the full participation of people with disabilities.
PDF Icon View/Download This Presentation Christensen (974 KB)
PDF Icon View/Download This Presentation Weintraub (44 KB)
Other Workshop Materials
PDF IconShelly’s Top Ten Favorite Quotes About Inclusion of People with Disabilities Christensen (81 KB)
Moderator/Presenter:
Shelley Christensen; Jewish Community Inclusion Program for People with Disabilities
Presenters:
Danny Gordon; Jewish foundation for Group Homes
Andy Gordon; Jewish foundation for Group Homes
Danny Gordon; Jewish foundation for Group Homes
Andy Gordon; Jewish foundation for Group Homes
Liz Weintraub; The Council on Quality and Leadership

Taking Stock of Where We Are: Current Trends in Services and Spending
Demand is steadily increasing for developmental disability services. Meanwhile, states are working through funding cuts and having trouble finding resources to address growing wait lists. Before considering what we may do in response to these challenges, take a moment to take stock of our current circumstances. Two presentations were offered. The first utilized a national data base to describe trends in services and expenditures. Next, information was provided pertaining to wait lists nationally and their implications. Finally, two directors of state Councils on Developmental Disabilities reacted to the presentations, inviting audience participation.
PDF Icon View/Download This Presentation Lakin (640 KB)
PDF Icon View/Download This Presentation Feinstein (2.07 MB)
Moderator/Presenter:
Holly Riddle; NC Council on Developmental Disabilities
Presenters:
Celia Feinstein; Institute on Disabilities, Temple University
Charlie Lakin; The RTC on Community Living, Univ. of MN
Sheila Romano; Illinois Council on Developmental Disabilities

Building a Business: Em and Jerri's Coffee Shop
Emilea and members of her support network including her mom, sister, and support professionals will discuss the planning and development of Em and Jerri’s Coffee Shop, a local business in Independence, Iowa. The Coffee Shop was designed to fill a community need and also provides space for community functions and gatherings. The team discussed the decision to take this path, financing and equipping the business, and day-to-day management.
PDF Icon View/Download This Presentation Hillman (2.52 MB)
Moderator:
Rie Kennedy-Lizotte; NASDDDS
Presenters:
Tammy Fenner; DC Developmental Disabilities Administration
Emilea Hillman; Em and Jerri’s Coffee Company
Ashlea Lantz; Em and Jerri’s Coffee Company
Jerri Reisner; Em and Jerri's Coffee Company
Sheila Stoeckel; Iowa Work Incentive Planning and Assistance

The Cost of Freedom…Keeping Your Eyes on the Prize
People living in developmental centers in New Jersey have created their own support group, aptly named the GO (Get Out!) Team. This group has transformed itself from being a forum for listening to an organized body of elected officers who are now working on incorporating as a non-profit organization. Attendees met these inspirational people and those who have advised and supported them and learned what is possible when the people have the power.

Friends & Family TIES of Maryland discussed the family experience of transition from institution to community supports and
services. We discussed ways that planning can occur so that families and individuals are supported as they transition from institution to real lives in the community. Presenters discussed lessons learned from families through the closure process and family members discussed their own challenges and successes.
PDF Icon View/Download This Presentation Saulino (155 KB)
Other Workshop Materials
Excel IconSample Budget Spreadsheet Saulino (160 KB)
Moderator:
Marian Frattarola-Saulino; Values Into Action
Presenters:
Judy Durand; Friends & Family TIES of Maryland
Mark Friedman; Blue Fire Consulting, LLC
Rosalind Gregory; Friends & Family TIES of Maryland
Robert Jones; GO Team
Beth Munro; Friends & Family TIES of Maryland
Bruce Myhaver; GO Team
Dorothy Ports; GO Team
Melvyn Robinson; GO Team
Paul Saulino ; Values Into Action
Anthony Williams; GO Team

People Who Are Aging: Supporting Them Well in Multiple Conexts
This session focused on issues of aging and end-of-life in the context of family dynamics, aging caregivers, spirituality, and cultural perspectives. The discussion addressed person centered practices, multicultural perspectives on aging, perceptions on spiritual expression and fulfillment, and changing family dynamics as parents and siblings age. Strategies for supporting people who are aging by tapping aging networks, hospice services, cultural resources, faith-based communities, as well as DD service systems, were discussed.
PDF Icon View/Download This Presentation Goode (319 KB)
Moderator:
Maggie Nygren; AAIDD
Presenters:
Tawara Goode; Georgetown UCEDD

Excellence in Direct Support: Innovative Strategies to Support the Direct Support Workforce-- 2009
The 2009 Moving Mountains winners shared information about, and outcomes of, their innovative approaches to training and retaining direct support professionals. They provided specific strategies that other states and initiatives can replicate. The Direct SupportWorkforce: Building a Collaborative Strategy for Recruitment, Retention, Training, and Utilization initiative through the South Dakota Association of Community Based Services (SDACBS) has been transformative in the improvement of direct support workforce outcomes and practices statewide. The Starfish Program through the Community Living Program, Catholic Community Services of Southern Arizona provides an innovative example of how Direct Support Professionals become empowered when they are given the tools for understanding the business of providing community supports and when offered recognition for their role in creating a fiscally sound, consumer-centered community services organization.
PDF Icon View/Download This Presentation Johnson (731 KB)
PDF Icon View/Download This Presentation Mitchell (5.59 MB)
Moderator:
Joe MacBeth; NYSACRA
Presenters:
Michele Betanco; Catholic Community Services of Southern Arizona
Christie Johnson; South Dakota Association of Community Based Services
Sue Henning Mitchell; Catholic Community Services of Southern Arizona
Eileen VanSoest; SD College of Direct Support, Center for Disabilities

Supporting People with Challenging Behavior: The Role of Person-Centered Thinking Skills and Practices
The basic principles of Person-Centered Planning and Person-Centered Thinking, when implemented with honesty, make a powerful and effective difference for those individuals who are the most challenging and complex. Michael Smull, one of the developers of Essential Lifestyle Planning and a world-wide consultant, reviewed what we are learning about using person-centered planning to support some of the most challenging individuals to have good lives. Examples of the application of person-centered supports were presented regarding individuals such as sex offenders, criminals, people with significant and dangerous behavioral issues, and people with complex medical issues.
PDF Icon View/Download This Presentation Smull (2.33 MB)
Moderator:
Charlie Lakin; The RTC on Community Living, Univ. of MN
Presenters:
Mary Lou Bourne; Support Development Associates
Michael Smull ; The Learning Community for Person Centered Practices

Breakout Session 3


The Provider Challenge: Managing Quality Across Multiple and Complex Systems
This panel included presentations by Renee Pietrangelo, ANCOR; Gerry Morrissey, MENTOR Network; and Anne Starr, Mosaic. All three leaders offered insights and perspectives on the provision of services and support in multiple locations, through different affiliates and diverse agencies, and across different geographical and political boundaries. The session enabled participants to learn from large intrastate systems the key elements in measuring and improving quality. The provider panelists discussed different quality assurance strategies and described their particular systems and approaches for dealing with complexity in multiple locations.
PDF Icon View/Download This Presentation Morrissey (158 KB)
PDF Icon View/Download This Presentation Starr (1.04 MB)
PDF Icon View/Download This Presentation Pietrangelo (1.09 MB)
Moderator:
Jim Gardner; The Council on Quality and Leadership
Presenters:
Gerry Morrissey; Mentor Network
Renee Pietrangelo; ANCOR
Ann Starr; Mosaic

Quality According to Whom? People Designing and Carrying Out Their Own Evaluation of Their Services
Values into Action in Media, PA wanted to know how satisfied people who use their services are with the quality of their supports. The individuals who use the agency’s services didn’t want to fill out yet another satisfaction survey, so they designed their own innovative tool! Presenters described how they developed their own agency report card and the difference it made in providing real input into the way Values into Action can improve supports in the ways people who receive supports want them. People who participated in this session thought through what questions they would want on their report card questionnaire.
PDF Icon View/Download This Presentation Saulino (779 KB)
Other Workshop Materials
PDF IconImprovement Team Report Card Searle (28 KB)
Moderator/Presenter:
Marian Frattarola-Saulino; Values Into Action
Presenters:
Alycia Burroughs; VIA-PA
Jim Conroy; The Center for Outcome Analysis
Mark Friedman; Blue Fire Consulting, LLC
Gino Scalzitti; Values Into Action
Jean Searle; Pennhurst Memorial and Preservation Alliance

Creative and Successful Approaches in the Face of the Economic Downturn-- Part One
The old saying “What you don’t know can’t hurt you” is absolutely wrong when it comes to supporting youth with intellectual/developmental disabilities and problem behaviors. In the first part of this session, Dan Baker presented simple, team-driven strategies for identifying the reasons for problem behaviors and subsequently designing interventions. In the second part of the session, an effective program for persons who have experienced trauma was presented. Treatment of trauma with EMDR (Eye Movement Desensitization and Reprocessing) is an effective approach for people with intellectual and developmental disabilities. Often, these individuals are overlooked in the identification of trauma symptoms, yet this population is more vulnerable to experiencing and living with symptoms of trauma. Often problems of behavior will abate when trauma is directly addressed and alleviated.
PDF Icon View/Download This Presentation Bohling (749 KB)
PDF Icon View/Download This Presentation Bohling (1.49 MB)
Moderator:
John Agosta; Human Services Research Institute
Presenters:
Holly Bohling ; Federated HSC
Jaime Daignault; Human Services Research Institute
Vicki Niswander; Illinois Microboard and Co-op Association
Sheila Romano; Illinois Council on Developmental Disabilities

Living My Life, My Way!
People and their supporters discussed how they designed the services they want and need and were supported by their circle, team and/or organization to realize success in everyday living. Whether it’s with a broker, team, agency department, microboard or the creation of a new organization, everyone’s needs and dreams can be accommodated. Attendees heard from people who are making it happen for themselves! This session focused on the day-to-day actions of the person’s team, circle, organization and system to support a uniquely designed support structure for someone. Questions to be considered are: to use an organization or not? If not, how is support given and by whom? How are decisions made? When decisions an individual makes are in conflict with policies, procedures and/or regulations— what’s the process for resolution? What vital part does an organization’s Board of Directors play? Attendees left with a list of straight forward ways to create a flexible environment so that unique support is a reality.
PDF Icon View/Download This Presentation Belnavis (1.13 MB)
Moderator:
Gail Godwin; Shared Support Maryland, Inc.
Presenters:
Diane Belnavis;
Oscar Drummond; Self Advocates United as 1
Jennifer Howell; United Disabilities Services
Jean Searle; Pennhurst Memorial and Preservation Alliance
Brent Sullivan; Blankets by Brent

Two Approaches to Problem Behavior: Using Positive Behavior Supports for Youth in the Community and EMDR Treatment for People Who Have Experienced Trauma
The old saying “What you don’t know can’t hurt you” is absolutely wrong when it comes to supporting youth with intellectual/developmental disabilities and problem behaviors. In the first part of this session, Dan Baker presented simple, team-driven strategies for identifying the reasons for problem behaviors and subsequently designing interventions. In the second part of the session, an effective program for persons who have experienced trauma was presented. Treatment of trauma with EMDR (Eye Movement Desensitization and Reprocessing) is an effective approach for people with intellectual and developmental disabilities. Often, these individuals are overlooked in the identification of trauma symptoms, yet this population is more vulnerable to experiencing and living with symptoms of trauma. Often problems of behavior will abate when trauma is directly addressed and alleviated.
PDF Icon View/Download This Presentation Ford (364 KB)
PDF Icon View/Download This Presentation Baker (3.01 MB)
Moderator:
Chas Moseley; NASDDDS
Presenters:
Dan Baker; Elizabeth M. Boggs Center on Developmental Disabilities
Gail Ford; EMDR Humanitarian Assistance Program
Jan Schaad; EMDR Humanitarian Assistance Programs

Excellence in Direct Support: Moving Mountains Award Winners, 2010
Adirondack Arc received the Moving Mountains award to recognize their exemplary practice of creating a career ladder for Direct Support Professionals (DSPs). This session provided an opportunity for you to learn how this organization uses a multitude of training, including a MasterWorker curriculum that is completed collaboratively by DSPs and the individuals they support. Adirondack Arc has developed a more skilled and person-centered workforce. DSPs who complete the MasterWorker program may receive credentials from NADSP, a monetary raise, and college credit, while the organization has observed higher quality service and reduced turnover rates among participating DSPs.

The Arc of Delaware County received the Moving Mountains award in honor of their work to develop the Life and Career Model. This presentation provided an overview of their innovative model which includes a dozen tiers of DSPs, called Life Coaches, each with specific levels of competence, job duties, and compensation. The development of a highly specified career path helps DSPs to envision their long-term professional development, and integrates strong workforce development principles in the organization's human resources and training policies and procedures.
PDF Icon View/Download This Presentation Rothenberg (1.22 MB)
Moderator:
Sheryl Larson; RTC On Community Living, University of Minnesota
Presenters:
Angela Edwards; The Arc of Delaware County
Arden Kleffmann; Adirondack Arc
Walter LeRoy; The Arc of Delaware County
Molly Little; The Arc of Delaware County
Lester Parker; Adirondack Arc
Barbara Rothenberg; The Arc of Delaware County

Medicaid Options: Promoting Home and Community-Based Services
Everything States, advocates and providers need to know about what’s new at the Centers for Medicare and Medicaid Services. Attendees heard about CMS’s expectations and new directions, how states are now allocating resources, and changes in state-reporting requirements that may affect us all. This session covered options for funding HCBS services including 1915(c), (i) and ( j ) along with information on other approaches including managed care options under 1915(a) and 1915(b) © combinations. CMS provided information on how states are using these options to provide for home and community-based services, including options for participant-directed services.
PDF Icon View/Download This Presentation Bosstick (191 KB)
PDF Icon View/Download This Presentation Cooper (524 KB)
Moderator:
Robin Cooper; NASDDDS
Presenters:
Suzanne Bosstick; Centers for Medicare & Medicaid Services
Kathryn Poisal; Centers for Medicare & Medicaid Services
Mary Sowers; Centers for Medicare & Medicaid Services
Anita Yuskauskas; Centers for Medicare & Medicaid Services

Plenary 2


CMS Trends and Directions
Barbara Coulter Edwards is the Director of the Disabled and Elderly Health Programs Group in the Center for Medicaid and State Operations at the Centers for Medicare and Medicaid Services (CMS). She is a nationally recognized expert in Medicaid policy, including managed care, cost containment, long-term care, and State and federal health care reform. Ms. Edwards spoke about CMS’s current trends and directions.
PDF Icon View/Download This Presentation Edwards (656 KB)
Presenters:
Barbara Edwards; Centers for Medicare & Medicaid Services

Making Integrated Employment the First Option: A State of the States Report
Pat Rogan, the Executive Associate Dean, Indiana University School of Education helped us to understand our accomplishments and challenges when it comes to employment. What is the current ‘state of the state’ in employment? How are some states moving forward with an Employment First agenda? What ‘best practices’ are resulting in positive employment outcomes? And, where do we go from here?
PDF Icon View/Download This Presentation Rogan (2.14 MB)
Presenters:
Pat Rogan; Indiana University School of Education

Breakout Session 4


Innovation in Individualized Supports: Providers Decribe Their Journeys Toward Change
Three state teams (MD, NY and NC) told their stories about the changes within their state through both personal presentations and via video story. Pam Walker reflected on shared themes and lessons learned.
PDF Icon View/Download This Presentation Walker (71 KB)
PDF Icon View/Download This Presentation Scott (2.34 MB)
Moderator:
Patti Scott; Neighbours, Inc
Presenters:
Carol Beatty; ARC of Howard County
Carole Gothelf; AHRC - New York City
Cindy Kauffman; Developmental Disabilities Administration
Sue Rattman; ARC Northern Chesapeake Region
Pam Walker; Center on Human Policy, School of Education

Quality Improvement Systems for Home and Community-Based Waivers: What CMS Expects
Anita Yuskauskas from the Centers for Medicare and Medicaid Services (CMS) was the featured speaker for this session. Ms. Yuskauskas discussed CMS expectations for the production of data and remediation and improvement as part of quality improvement systems in Home and Community Based Waivers. Audience members were encouraged to ask questions about the quality improvement strategies for home and community-based waivers and to participate in a discussion on these issues.
PDF Icon View/Download This Presentation Yuskauskas (3.7 MB)
Moderator:
Valerie Bradley; Human Services Research Institute
Presenters:
Anita Yuskauskas; Centers for Medicare & Medicaid Services

All About Co-ops! Ways to Get Something Different Than What Exists
When a group of people in Tennessee were dissatisfied with the services they were receiving they decided to get together and form their own organization to provide services! Owner members of the Achiever’s Co-op, Inc. shared their experiences and the steps that were required in forming their own service providing agency. They described how they started their co-op board in partnership with local community leaders and completed the government paperwork to become a Medicaid waiver service-providing agency.
PDF Icon View/Download This Presentation Corson (1.16 MB)
Moderator:
Ruthie-Marie Beckwith; Tennessee Microboards Association, Inc.
Presenters:
Elizabeth Corson; The Achiever's Co-op, Inc.
Jeannette Gray; The Achiever's Co-op, Inc.
David Lankford; The Achiever's Co-op, Inc.
Jill Rodgers; Tennessee Microboards Association, Inc.

Creative and Successful Approaches in the Face of the Economic Downturn-- Part Two
Speakers discussed innovative practice that utilizes Medicaid within a “self-directed” HCBS waiver inWisconsin. In addition, means were described for helping people with disabilities build assets or wealth, including through the use of “Individual Development Accounts.” Opportunities for individuals to contribute to their communities through service in Americorps, VISTA or Learn to Serve were also discussed.
PDF Icon View/Download This Presentation Sotnik (508 KB)
PDF Icon View/Download This Presentation Harkins (604 KB)
Moderator:
Steven Eidelman; Nat'l. Leadership Consortium on DD, Univ. of DE
Presenters:
Dennis Harkins; A Simpler Way
Michael Morris; National Disability Institute
Paula Sotnik; Institute for Community Inclusion, Training & TA

Vision for Employment 2010: The City of Philadelphia's Employment Initiative
Vision for Employment 2010 is a four year long systems change effort, guided by a PATH, initiated by a committed group of stakeholders in Philadelphia, who developed strategies for promoting employment. Strategies are to create a culture in which all people who want to work have that opportunity, improve employment practices, assure better outcomes and ultimately, increase the number of people with disabilities who are working. We discussed transition planning and the development of a data system that allows us to measure and manage outcomes. Capacity building activities have included training with supports coordinators, a provider practice survey, mini-grants to encourage creativity and promote employment, and technical assistance with providers.We have a video that we developed to market our workforce to employers, along with success booklets to promote employment.
PDF Icon View/Download This Presentation Sykes (4.92 MB)
Moderator:
John Butterworth; University of Massachusetts Boston, Institute for Community Inclusion/UCEDD
Presenters:
Anne Marie Campbell; MRS, Philadelphia
Diane Kehoe; Networks for Training & Development
Leonard Kravitz; MRS, Philadelphia
Shauna Roman; Networks for Training & Development
Susan Schonfield; Community Integrated Services
Kathy Sykes; MRS, Philadelphia

Making a Difference
Attendess learned about how one state’s use of Beth Mount’s and John O’Brien’s curriculum for developing and supporting staff has impacted direct support service work, the people supported, and the agencies that support them. Make a Difference is a collaboration of people with developmental disabilities, their families, their direct support workers and managers. The Make a Difference approach to positive change supports action-learning about relationship building, planning with people in a person-centered way, supporting choice, and building community inclusion. This flexible curriculum and learning approach promotes discovery of meaning in the work of offering direct support; encourages inquiry into the effects of beliefs and values on quality; promotes reflection on day-to-day practice to guide improvement; and fosters the use of imagery, music and art as aids to reflection and action planning. We discussed ways this work can be used attendee's organizations and the ways in which it honors the accomplishments of people with developmental disabilities and their direct support workers by presenting their stories & reflections.
PDF Icon View/Download This Presentation Bell (1.1 MB)
Moderator/Presenter:
Gail Godwin; Shared Support Maryland, Inc.
Presenters:
Stephanie Bell; The Arc of Carrol County
Beth Mount; Graphic Futures and Capacity Works

Comprehensive State Strategies for Supporting Individuals with Challenging Behavioral and Psychiatric Needs: Treatment and Emergency Response
Attendees heard about Ohio’s inter-disciplinary approach to supporting persons with dual diagnosis, in collaboration with the state Developmental Disabilities Council and the Nisonger Center. The Coordinating Center of Excellence for Mental Illness and Developmental Disabilities offers a coordinated approach for bringing together the dual diagnosis system and effective approaches for persons with challenging behavior. Representatives described the center’s three components (assessment, education and community development) and discussed the use of intensive treatment teams, deinstitutionalization and other county based collaborations.

In the second part of the session, the Vermont Crisis Intervention Network presented on its two decades of success. VCIN is a state-wide program providing an array of services to individuals with developmental disabilities and the agencies that support them, including training in a variety of clinical topics, psychological and psychiatric consultation and residential crisis services.
PDF Icon View/Download This Presentation Aldridge (125 KB)
PDF Icon View/Download This Presentation Frawley (2.26 MB)
Moderator:
Chas Moseley; NASDDDS
Presenters:
Kevin Aldridge; Ohio Department of Developmental Disabilities
Patrick Frawley; Vermont Crisis Intervention Network
Lara Palay; Ohio Department of Developmental Disabilities

Special Sessions


Innovation, Hope and Thinking in Possibility…Leadership Implications
Innovative leadership sees conversation as a core process for effecting positive, meaningful change. How as leaders do we contribute to, or take away from this process? In this session we explored the power of thinking together and intentional conversation in response to powerful questions, including frameworks for creating engagement and commitment. How are we creating space to do more of the things we care about; space for co-creation and innovation; for creating the futures we want? What are we learning about change and the capacities, skills and qualities of leadership?
PDF Icon View/Download This Presentation Pearpoint (7.03 MB)
Moderator:
Patti Scott; Neighbours, Inc
Presenters:
Lynda Kahn; Inclusion Press international
Jack Pearpoint; Inclusion Press international

Think College: Postsecondary Education Options for Students with Intellectual Disabilities
This was an interactive workshop that provided participants with what the key benefits students with intellectual disabilities, and of a postsecondary education are, a national perspective of postsecondary education options for potential funding sources. The Higher Education Opportunity Act (2008) and related activities was also discussed. Additionally, the Think College DVD which highlights a statewide dual enrollment initiative was shown. Following the DVD, strategies for ‘getting started’ was reviewed and additional resources were provided.
PDF Icon View/Download This Presentation Grigal (2.77 MB)
Moderator:
Steven Eidelman; Nat'l. Leadership Consortium on DD, Univ. of DE
Presenters:
Meg Grigal; TransCen Inc.
Debra Hart; Institute for Community Inclusion