Supports Intensity...

62
Page 1 SIS ® Supports Intensity Scale® Supports Intensity Scale® for Individuals Receiving DD Waivers and Their Families DBHDS Vision: A life of possibilities for all Virginians

Transcript of Supports Intensity...

Page 1: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 1

SISregSupports Intensity Scalereg

Supports Intensity Scalereg

for Individuals Receiving DD Waivers and Their Families

DBHDS Vision A life of possibilities for all Virginians

Page 2

SISregSupports Intensity Scalereg

What is SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 3

SISregSupports Intensity Scalereg What is SISreg

The Supports Intensity Scalereg (SISreg) was developed by the AmericanAssociation on Intellectual and Developmental Disabilities (AAIDD) over a five-year period in response to changes in how society views and relates to people with disabilities

The SISreg is a standardized assessment tool specifically designed to measure the pattern and intensity of supports needed by individuals to be successful

Page 4

SISregSupports Intensity Scalereg SISreg Development

Normed with over 1300 people with intellectual and developmental disabilities who had a variety of support needs in 33 states and 2 Canadian provinces

Individuals ranged in age from 16 to 72 and were culturally diverse

Determined to be reliable and valid for individuals with intellectual and developmental disabilities

Page 5

SISregSupports Intensity Scalereg Developmental Disabilities

Is the SISreg valid for people with developmental disabilities like autism

Hmmmhellip

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 2: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 2

SISregSupports Intensity Scalereg

What is SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 3

SISregSupports Intensity Scalereg What is SISreg

The Supports Intensity Scalereg (SISreg) was developed by the AmericanAssociation on Intellectual and Developmental Disabilities (AAIDD) over a five-year period in response to changes in how society views and relates to people with disabilities

The SISreg is a standardized assessment tool specifically designed to measure the pattern and intensity of supports needed by individuals to be successful

Page 4

SISregSupports Intensity Scalereg SISreg Development

Normed with over 1300 people with intellectual and developmental disabilities who had a variety of support needs in 33 states and 2 Canadian provinces

Individuals ranged in age from 16 to 72 and were culturally diverse

Determined to be reliable and valid for individuals with intellectual and developmental disabilities

Page 5

SISregSupports Intensity Scalereg Developmental Disabilities

Is the SISreg valid for people with developmental disabilities like autism

Hmmmhellip

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 3: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 3

SISregSupports Intensity Scalereg What is SISreg

The Supports Intensity Scalereg (SISreg) was developed by the AmericanAssociation on Intellectual and Developmental Disabilities (AAIDD) over a five-year period in response to changes in how society views and relates to people with disabilities

The SISreg is a standardized assessment tool specifically designed to measure the pattern and intensity of supports needed by individuals to be successful

Page 4

SISregSupports Intensity Scalereg SISreg Development

Normed with over 1300 people with intellectual and developmental disabilities who had a variety of support needs in 33 states and 2 Canadian provinces

Individuals ranged in age from 16 to 72 and were culturally diverse

Determined to be reliable and valid for individuals with intellectual and developmental disabilities

Page 5

SISregSupports Intensity Scalereg Developmental Disabilities

Is the SISreg valid for people with developmental disabilities like autism

Hmmmhellip

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 4: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 4

SISregSupports Intensity Scalereg SISreg Development

Normed with over 1300 people with intellectual and developmental disabilities who had a variety of support needs in 33 states and 2 Canadian provinces

Individuals ranged in age from 16 to 72 and were culturally diverse

Determined to be reliable and valid for individuals with intellectual and developmental disabilities

Page 5

SISregSupports Intensity Scalereg Developmental Disabilities

Is the SISreg valid for people with developmental disabilities like autism

Hmmmhellip

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 5: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 5

SISregSupports Intensity Scalereg Developmental Disabilities

Is the SISreg valid for people with developmental disabilities like autism

Hmmmhellip

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 6: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 6

SISregSupports Intensity Scalereg How was this Determined

When the SISreg was statistically validated people with a diagnosis of autism as well as other developmental disabilities were part of the validation group

Since initial publication the SISreg has been investigated with a range of people with different disabilities and verified as statistically reliable

The SISreg focuses on the supports a person needs to meet their goals not on a diagnosis

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 7: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 7

SISregSupports Intensity Scalereg The SISreg Today

Currently in use by 22 states and 17 countries

The Supports Intensity Scale-Adult Versionreg (SIS-Areg) and the Supports Intensity Scale-Childrenrsquos Versionreg (SIS-Creg) have been used for interviews in Virginia since March 2016

SIS-Creg is used for children 5-15 years of age

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 8: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 8

SISregSupports Intensity Scalereg Summary

The SISreg was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD)

Is a standardized reliable and valid assessment to measure the supports needed by an individual to be successful

Is valid for individuals with intellectual and developmental disabilities

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 9: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 9

SISregSupports Intensity Scalereg

SISreg in Virginia

DBHDS Vision A life of possibilities for all Virginians

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 10: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 10

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

The Centers for Medicaid amp Medicare Services (CMS) requires a comprehensive assessment be completed for individuals receiving a DD Waiver

To involve the individual as a vital source of information

Direct reliable and valid measure of supports needed across life areas

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 11: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 11

SISregSupports Intensity Scalereg

Reasons for Using the SISreg in Virginia

SISreg reflects a positive way of thinking it looks at the supports needed for the individual to be successful versus focusing on his or her deficits

Is useful in planning for individual supports and services

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 12: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 12

SISregSupports Intensity Scalereg

Who Conducts SISreg Interviews

AAIDD performed previous SISreg assessments

DBHDS contracts with Ascend Management Innovations Inc(rdquoAscendrdquo) to conduct SISreg assessments in VA

The Ascend website address is wwwascendamicom

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 13: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 13

SISregSupports Intensity Scalereg

SISreg Interviewers are Professionals Who

Have experience and a degree in the field of Developmental Disabilities

Have participated in Ascendrsquos rigorous training schedule

Have passed AAIDDrsquos Interviewer Reliability and Quality Review sessions

Have been endorsed by AAIDD as a SISreg interviewer

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 14: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 14

SISregSupports Intensity Scalereg Summary

CMS requires an assessment for all individuals receiving a DD Waiver in Virginia

SISreg assessments are conducted by Ascend Management Innovations Incrsquos (Ascend) highly-trained interviewers who have experience in the field of Developmental Disabilities

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 15: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 15

SISregSupports Intensity Scalereg

Supports Intensity Scale

DBHDS Vision A life of possibilities for all Virginians

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 16: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 16

SISregSupports Intensity Scalereg

What is Meant by ldquoSupportsrdquo in the SISreg

The things we do with or for someone to help the person do something successfully

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 17: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 17

SISregSupports Intensity Scalereg Supports May Occur

At Home

With Friends and Relationships

While Making Choices

At Work or Other Meaningful Day Activity

While Participating in Activities of Interest to the Individual

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 18: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 18

SISregSupports Intensity Scalereg

What is Meant by ldquoIntensityrdquo in the SISreg

Intensity is the level of support an individual needs

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 19: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 19

SISregSupports Intensity Scalereg Intensity is

The level of support an individual needs

Lots of Support

Some Support

Little Support

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 20: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 20

SISregSupports Intensity Scalereg

What is Meant by ldquoScalerdquo in the SISreg

A standardized way of measuring support needs

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 21: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 21

SISregSupports Intensity Scalereg Scale Means

Everyone is measured on the same basis

RATING =

0

1

2

3

X

4

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 22: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 22

SISregSupports Intensity Scalereg Summary

Supports are the things we do with or for someone to help them do something successfully

Intensity is the level of support a person needs to be successful

Scale is a standardized way of measuring support needs

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 23: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 23

SISregSupports Intensity Scalereg

Components of SISreg

DBHDS Vision A life of possibilities for all Virginians

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 24: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 24

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Exceptional Medical Support Needs (Section 1A)

Exceptional Behavioral Support Needs(Section 1B)

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 25: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 25

SISregSupports Intensity Scalereg Sections of SIS-Adultreg

Support Needs (Section 2)ndash Home Livingndash Community Livingndash Lifelong Learningndash Employmentndash Health and Safetyndash Social

Protection and Advocacy (Section 3)ndash Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 26: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 26

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Exceptional Medical Support Needs(Section 1A)

Exceptional Behavioral Support Needs (Section 1B)

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 27: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 27

SISregSupports Intensity Scalereg Sections of SIS-Childreg

Support Needs (Section 2)ndash Home Lifendash Community and Neighborhoodndash School Participationndash School Learningndash Health and Safetyndash Socialndash Advocacy

Supplemental Questionsndash May be asked to clarify support needs

bull including risk of falls

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 28: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 28

SISregSupports Intensity Scalereg SISreg Measures

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 29: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 29

SISregSupports Intensity Scalereg Two Rating Keys

Exceptional MedicalBehavioral Supports Needs (Section 1)

ndash No Support Needed ndash Some Support Needed ndash Extensive Support Needed

Activity Domains (Sections 2 amp 3)

ndash Type of Support ndash Frequency of Support ndash Daily Support Time

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 30: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 30

SISregSupports Intensity Scalereg SISreg Format

The SISreg usually takes about 2 hours

In order to obtain the information needed the SISreg asks for information in a semi-structured format

To complete the SISreg in a thorough but timely way provide information as requested by the interviewer

Some questions may appear to be similar but actually capture different information

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 31: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 31

SISregSupports Intensity Scalereg SISreg Format

Medical and behavioral sections are completed first to help the interviewer become more familiar with the person

Rated to reflect the support needs the individual has at the time of the assessment

The SISreg is a snapshot in time

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 32: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 32

SISregSupports Intensity Scalereg

The Interview

DBHDS Vision A life of possibilities for all Virginians

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 33: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 33

SISregSupports Intensity Scalereg What Will the Interviewer Do

Explain the interview process

Ask the interview questions

Record your answers

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 34: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 34

SISregSupports Intensity Scalereg What Will the Interviewer Do

Assist the team to develop a clear picture of the individualrsquos support needs because

A there may be differences in the way the person and others see the personrsquos supports needs

B individuals sometimes need different supports in different settings

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 35: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 35

SISregSupports Intensity Scalereg What Will the Interviewer Do

Gather the information provided by the respondents and record the most accurate rating based on this report

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 36: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 36

SISregSupports Intensity Scalereg

What is a SISreg Interview Respondent

A respondent is a person designated to answer questions about the support needs of the individual

This includes the person themselves

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 37: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 37

SISregSupports Intensity Scalereg SISreg Interview Respondents

The right respondents can make all the difference

An interview typically includes

The Individual

A guardian or family member

One or several waiver services provider(s)

The Support Coordinator

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 38: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 38

SISregSupports Intensity Scalereg The Interview

ldquoThe interview is about the

individualrsquos life

It is not the familys or providerrsquos

interviewrdquo

~AAIDD 2008

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 39: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 39

SISregSupports Intensity Scalereg Scheduling the Interview

Ascend is provided with the names and contact information for potential respondents by the Support Coordinator

When it is time to schedule the interview Ascend contacts the Support Coordinator to identify hisher availability

After the Support Coordinatorrsquos availability is confirmed Ascend contacts the individual and other respondents to schedule the interview

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 40: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 40

SISregSupports Intensity Scalereg Scheduling the Interview

The person being interviewed is encouraged to participate as much as possible At a minimum the interviewer must meet the individual

Primary respondents must stay for the duration of the interview

If a person uses Assistive Technology he or she is rated with the technology in place at the interview

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 41: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 41

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

A SISreg assessment is required every three years for adults and every two years for children 5-15 years of age

If you are 16 years or older your next SISreg interview should occur no more than 3 years since your last SISreg

If you are 5-15 years of age your next SISreg interview should occur no more than 2 years since your last SISreg

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 42: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 42

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Canceled the interview coordinate scheduling of the meeting

when Ascend contacts you

Been contacted by Ascend but not responded return the call and coordinate

scheduling of an interview

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 43: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 43

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

If you have not had a SISreg completed by AAIDD or Ascend and you have

Not been contacted by Ascend contact your Support Coordinator to

confirm your respondent information was provided to Ascend

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 44: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 44

SISregSupports Intensity Scalereg

When Will My Next SISreg be Scheduled

Once scheduled SISreg assessments should not be cancelled except for an emergency

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 45: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 45

SISregSupports Intensity Scalereg Before the Interview

Think about each of the sections listed previously what parts of these tasks are you able to complete for yourself

If you provide support to the individual being interviewed consider what supports you provide for each of the areas listed

Then think about all of the ways the person CAN participate in completion of the task

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 46: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 46

SISregSupports Intensity Scalereg During the Interview

Answer all the questions even if they donrsquot seem to apply to

the individual now or in the futureDescribe supports This is what makes the picture

complete and person-centeredBe specific when describing the support needs

of the individualAsk the interviewer to slow down or repeat the

question if needed

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 47: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 47

SISregSupports Intensity Scalereg Things To Remember

The SISreg is not a test It is a guided conversation with participants

As a respondent provide accurate and specific information to the interviewer

Be patient if the interviewer asks more questions This is part of the process for assigning an accurate rating

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 48: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 48

SISregSupports Intensity Scalereg Torsquos and Forrsquos

Torsquos and Forrsquos are important components in developing a person centered plan and life

Important ldquoTorsquosrdquo and ldquoForrsquosrdquo are listed only for the next plan year

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 49: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 49

SISregSupports Intensity Scalereg Important ldquoTordquo the Person

What individuals say ldquoin their own wordsrdquo

What individuals say with their own behaviorrdquo

What you hear depends on what you are listening for

~ ELP Learning Community 2005

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 50: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 50

SISregSupports Intensity Scalereg Important ldquoForrdquo the Person

Health

Safety

Being a valued member of his or her community

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 51: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 51

SISregSupports Intensity Scalereg

SISreg and the Person Centered Plan

The SISreg creates a picture of supports the person needs to have a life of his or her choosing

Areas of focus for the plan are prioritized by the person and his or her team of support

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 52: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 52

SISregSupports Intensity Scalereg

Common Questions

DBHDS Vision A life of possibilities for all Virginians

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 53: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 53

SISregSupports Intensity Scalereg Distribution of the SISreg

The Support Coordinator sends SISreg results to the individual guardianfamily member and providers between 8 ndash 15 business days after the interview

Everyone including the individual Support Coordinator provider and guardianfamily member receives the same version of the SISreg Report

After scoring of the SISreg by DBHDS a level and tier are assigned and entered in the Waiver Management System (WaMS)

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 54: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 54

SISregSupports Intensity Scalereg A New SISreg Is Needed When

An individual is new to DD Waiver

There has been a significant and sustained increasedecrease in medical or behavioral support needs (Sections 1A1B) for 6 months or more

There has been a sustained and significant change in any 2 LifeActivity Domains for 6 months or more

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 55: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 55

SISregSupports Intensity Scalereg

Review

DBHDS Vision A life of possibilities for all Virginians

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 56: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 56

SISregSupports Intensity Scalereg Review Process

What can I do if I believe my SISreg was not conducted within the VA Standard Operating Procedures for the SISreg

The individual and hisher legal guardian authorized representative may submit a VA SISreg Review form within 30 business days of receiving the report

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 57: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 57

SISregSupports Intensity Scalereg Review Process

Where can I get a copy of the VA Standard Operating Procedures

A copy will be shared at the interview or it can be printed online at

httpwwwdbhdsvirginiagov

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 58: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 58

SISregSupports Intensity Scalereg Review Process

Can I request a review of the ratings or scores

Only the Standard Operating Procedures may be reviewed The ratings and scores are not reviewable

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 59: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 59

SISregSupports Intensity Scalereg Review Process

I heard there might be change in scoring of the SISreg Is this true

No The original version of SISreg and current versions are formatted differently SIS-Areg and SIS-Creg are scored to be consistent with the original version of SISreg

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 60: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 60

SISregSupports Intensity Scalereg Review Process

Who assigns the level and tier Can I calculate it myself

DBHDS assigns the level and tier The scoring formula is very precise and is computerized to eliminate human error

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 61: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 61

SISregSupports Intensity Scalereg Contact Information

Western Region Kenneth Haines - 804-337-5709 kennethhainesdbhdsvirginiagov

Northern RegionStephanie Mote - 804-205-6767stephaniemotedbhdsvirginiagov

Northern Region Melissa Sullivan - 804-221-9442melissasullivandbhdsvirginiagov

Southwestern RegionJason Perkins - 804-221-2454jasonperkinsdbhdsvirginiagov

Central Region Maureen Kennedy - 804-774-2276maureenkennedydbhdsvirginiagov

Southeastern Region Brandy Martin - 804-221-2749brandymartindbhdsvirginiagov

Regional Supports Supervisor Joan Bender - 804-774-4469joanbenderdbhdsvirginiagov

State SISreg Coordinator Cheri Stierer - 804-786-0803cheristiererdbhdsvirginiagov

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62
Page 62: Supports Intensity Scale®dbhds.virginia.gov/.../waiver/rsu/sis-for-individuals-and-families-4-30-18.pdfin a semi-structured format. To complete the SIS® in a thorough but timely

Page 62

SISregSupports Intensity Scalereg

Thank You

ldquoA life of possibilities for all Virginiansrdquo

wwwdbhdsvirginiagov

  • Slide Number 1
  • Slide Number 2
  • What is SISreg
  • SISreg Development
  • Developmental Disabilities
  • How was this Determined
  • The SISreg Today
  • Summary
  • Slide Number 9
  • Reasons for Using the SISreg in Virginia
  • Reasons for Using the SISreg in Virginia
  • Who Conducts SISreg Interviews
  • SISreg Interviewers are Professionals Who
  • Summary
  • Slide Number 15
  • What is Meant by ldquoSupportsrdquo in the SISreg
  • Supports May Occur
  • What is Meant by ldquoIntensityrdquo in the SISreg
  • Intensity is
  • What is Meant by ldquoScalerdquo in the SISreg
  • Scale Means
  • Summary
  • Slide Number 23
  • Sections of SIS-Adultreg
  • Sections of SIS-Adultreg
  • Sections of SIS-Childreg
  • Sections of SIS-Childreg
  • SISreg Measures
  • Two Rating Keys
  • SISreg Format
  • SISreg Format
  • Slide Number 32
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What Will the Interviewer Do
  • What is a SISreg Interview Respondent
  • SISreg Interview Respondents
  • The Interview
  • Scheduling the Interview
  • Scheduling the Interview
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • When Will My Next SISreg be Scheduled
  • Before the Interview
  • During the Interview
  • Things To Remember
  • Torsquos and Forrsquos
  • Important ldquoTordquo the Person
  • Important ldquoForrdquo the Person
  • SISreg and the Person Centered Plan
  • Slide Number 52
  • Distribution of the SISreg
  • A New SISreg Is Needed When
  • Slide Number 55
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Review Process
  • Contact Information
  • Slide Number 62