“Planning Our Future”All Ages

May 9, 2015Wildwood, Florida

Barbara PalmerDirector

Rick Scott Governor

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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 Florida’s 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 Programsarthur.barndt@apdcares.org

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o Legislative o Strategic Plan Goalso Questionnaire Situational

Information (QSI)o iBudget Waivero 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 APD’s 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 Scott’s recommendation and the Legislature’s 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 Scott’s 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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LIVING LEARNING WORKING

20152015Strategic Plan

Agency for Persons with Disabilities“Planning Our Future”

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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 Agency’s 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 person’s 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 Staff65 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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Living SettingFH = Family Home

Live2ILSL = Independent and Supported living

Live2RH1 = Residential Habilitation (Standard)

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Proposed Tentative Algorithm

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Age

Ages: 3 – 21

Ages: 21 – 30

Ages: 31+n)

Proposed Tentative Algorithm

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Bum = Behavior Sum

FHFSum = Family Home Functional Sum

SLFSum = Supported Living/Independent Living Functional Sum

SLBSum = Supported/Independent Living Behavior Sum

Proposed Tentative Algorithm

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Q16 = Functional Status, Eating

Q18 = Functional Status, Transfers

Q20 = Functional Status, Hygiene

Q21 = Functional Status, Dressing

Q23 = Functional Status, Self-protection

Proposed Tentative Algorithm

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Q28 = Behavior Status, Inappropriate Sexual Behavior

Q33 = Physical Status, Injury to the Person Caused by Aggression

toward Others or Property

Proposed Tentative Algorithm

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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

Proposed Tentative Algorithm

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Arthur Barndt PMP®

iBudget Manager with the Office of Programs

arthur.barndt@apdcares.org

Thank You