LIFECOURSE FOR CONNECTING INITIATIVES AND SYSTEMS SUPPORTING - - PowerPoint PPT Presentation

LIFECOURSE FOR CONNECTING INITIATIVES AND SYSTEMS

SUPPORTING FAMILIES THROUGHOUT THE LIFECOURSE IN HAWAII MAY 17, 2017 10:45 AM – 12:00 PM

Hawaii’s Process

PHASE I: Defining the Hawaii CoP Leadership T eam PHASE II: Laying the contextual framework for HCBS initiatives PHASE III: Building a foundation of person centeredness PHASE IV: Aligning the LifeCourse framework with the various service system initiatives

Defining the Hawaii CoP Leadership T eam

 Primary CoP Partners

 Hawaii State Department of Health, Developmental Disabilities Division  Hawaii State Council on Developmental Disabilities (DD Council)

 Identified other stakeholders with similar priorities where existing partnerships

could be built upon

 Department of Human Services, Med-QUEST Division (state Medicaid agency)  No Wrong Door (under Department of Health, Executive Office on Aging)  Hilopa`a (Family to Family Health Information Center)  Center on Disabilities Studies (Hawaii’s UCEDD)

Defining the Hawaii CoP Leadership T eam

 Initial focus on alignment around Home and Community Based Services  Created the Training Hui

 Multi-systems collaborative partnership  Address community awareness and staff development needs around HCBS initiatives statewide

 Leadership team membership and representation has evolved throughout the

process

Laying the contextual framework for HCBS initiatives

• Needed to secure legislative support for funding to shift HCBS services in new

directions

• Systems had shared goal to generate community buy in around HCBS initiatives
• HCBS Summit held in December 2016
• Created awareness amongst stakeholders of the CMS Final Rule community integration

requirements

• Provided an overview of the transformative changes and new frameworks occurring

within HCBS programs for person-centered thinking and supports to family

• Highlighted the overlap of the HCBS requirements across the different service systems

Building a Foundation of Person Centeredness

• Contracted with Support Development Associates to provide training

in Person Centered Thinking to stakeholders statewide Foundations of Person Centered Practice Person Centered Organizations

• Co-sponsored and hosted by three (3) state

systems (DD Division, No Wrong Door, Med- QUEST)

• Multiple sessions held over several days to

reach statewide audience across 5 islands

• Over 300 staff representing 40+ organizations

from the various systems attended live training sessions

• DDD will be launching Person Centered

Organizations training this fall

• DDD will be participating with DD service

providers in this endeavor

• Commitment to lead by example; walk the

walk, not just talk the talk

• Cross systems participation is being

explored

Aligning the LifeCourse framework with the various service system initiatives

My Choice, My Way No Wrong Door Possibilities Now! `Ohana Nui

Aligning the LifeCourse framework with the various service system initiatives



Possibilities Now!: DDD’s overall systems development initiatives to support people with I/DD to have full lives in the community



My Choice, My Way: Hawaii’s Transition Plan to address CMS Final Rule compliance



E Komo Mai: Hawaii’s welcoming approach to the No Wrong Door initiative to make it easier to access long term services and supports for individuals with disabilities and chronic conditions

 `Ohana Nui: DHS’s initiative based on a multigenerational philosophy of service

delivery to improve the well-being of Hawaii’s families

Person Centered Planning

FULL LIFE IN THE COMMUNITY

Person Centered Practices

Improving flexibility & choice Supports Intensity Scale (SIS) Person Centered Thinking LifeCourse tools National Core Indicators (NCI) New waiver services to support community access Community Learning Service Individual Employment Supports Career Planning

HCBS Waiver Services

Federal expectations for inclusion Most integrated settings Person Centered Planning My Choice, My Way transition plan

HCBS Final Rule Supporting Families

Improving supports to families National CoP resource Role of families Across the life span Life domains Integrated supports

Integrating the LifeCourse framework into DDD’s Possibilities Now! Initiatives

Moving Forward

 Reframing service delivery to eliminate silos  New approach to service coordination across systems  Creating new frameworks for person centered service planning consistent across

service systems

 Building system capacity through the development of Person Centered Organizations  Addressing needs of families who interact with multiple systems to support

multigenerational households

 Integrating the LifeCourse framework into DDD’s Possibilities Now! initiatives

Challenges Ahead

• Generating buy-in from staff and stakeholders who are already feeling overwhelmed

by other HCBS initiatives

• Incorporating the unique cultural context of families in Hawaii
• Getting all state partners to the table; getting agreement around next steps
• Determining how the LifeCourse framework fits into initiatives outside of the DDD

and aligns with other State priorities and projects

• Coordinating the Hawaii CoP initiatives to coincide with multiple and competing

timeframes for implementation across the state systems

• Ensuring alignment of all initiatives involving Hawaii CoP teams

Redefining the Hawaii CoP Leadership T eam

 Expanding discussions re: Supporting Families to bring more players to the table

 Center on Disabilities Studies (Hawaii’s UCEDD)  Children with Special Health Needs Branch  Division of

Vocational Rehabilitation

 Systems are in agreement that service system silos need to be replaced with

integrated supports; however, the specifics of the process are still being defined

 Redefining leadership roles have changed based on which initiatives are involved  Ongoing discussions continue to address how to achieve new levels of integration

and how the LifeCourse Framework can be used across various state initiatives

QUESTIONS??