NCI in 2017 Whats new in 2017? Presented by The NCI Team NCI - - PowerPoint PPT Presentation

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NCI in 2017 Whats new in 2017? Presented by The NCI Team NCI - - PowerPoint PPT Presentation

Oct 29, 2023 258 likes •628 views

NCI in 2017 Whats new in 2017? Presented by The NCI Team NCI Annual Meeting | August 1-2, 2017 Agenda New team members Highlights from 2015-2016 NCI reports ODESA update 2016-2017 Events and presentations NCI-AD

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NCI in 2017

What’s new in 2017?

Presented by The NCI Team NCI Annual Meeting | August 1-2, 2017

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Agenda

  • New team members
  • Highlights from 2015-2016 NCI reports
  • ODESA update
  • 2016-2017 Events and presentations
  • NCI-AD
  • Staff Stability

National Core Indicators (NCI)

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New to the NCI team

  • Laura Vegas - NASDDDS
  • Henan Li – HSRI
  • State teams?

National Core Indicators (NCI)

WELCOME!

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What’s New

Selected Highlights from the 2015-16 ACS National Report

National Core Indicators (NCI)

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2015-2016 NCI Adult Survey

Has a Job (n=16,375)

National Core Indicators (NCI)

Would like a Job (n=6,550) Employment goal in Plan (n=2,808)

No 81% No 47% No 59% Yes 19% Yes 53% Yes 4%

24% took classes, training, or did something to get a job or get a better job

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Community Participation and Leisure

85% 76% 82% 0% 20% 40% 60% 80% 100% Able to go out and do things likes to do in the community Able to go out and do things likes to do in the community as often as wants Has enough things to do when at home

National Core Indicators (NCI)

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Service Planning 99% Took part in the

last planning meeting In6 states 100% of people reported they took part in the planning meeting

National Core Indicators (NCI)

75%

Chose services as part of plan

83%

Knew what was talked about at last service planning meeting

92%

Last service planning meeting included people person wanted to be there

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Transportation

93% have a way to

get places they need to go

83% have a way

to get places they want to go

National Core Indicators (NCI)

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Privacy and Rights

46% 46% 13% 20% 28% 46% 81% 62% 50% 43% 0% 20% 40% 60% 80% 100% Has a key to the home Can lock the bedroom

Privacy

Overall ICF/IID and other institutional settings Community-based residential setting Own home Parent or relative's home

0% 20% 40% 60% 80% 100%

Has Ever Voted in a Local, State, or Federal Election (or Chose Not to)

State Range= 61% - 14% NCI Average = 39%

National Core Indicators (NCI)

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National Core Indicators (NCI)

92%

Services and supports help person live a good life

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ODESA update

  • Online Data Entry Survey Application

https://systems.hsri.org/NCI2017

▪ Used to collect all survey responses. ▪ Requires internet connection for data entry ▪ Opened by NCI team after Workplan

reviewed/approved. States identify the ODESA contact

National Core Indicators (NCI)

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ODESA update

  • State options:

▪ Open Pre-survey ▪ Upload survey codes

  • Problem reports go to NCIsupport@hsri.org

National Core Indicators (NCI)

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2016-2017 Events and presentations

National Core Indicators (NCI)

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2016-2017 was a big year

  • Val will insert:
  • NCI at 20
  • HSRI at 40

National Core Indicators (NCI)

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2016-2017 presentation highlights

  • Val will insert:

National Core Indicators (NCI)

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Update on NCI for Aging and Disability (NCI-AD)

National Core Indicators (NCI)

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National Core Indicators (NCI)

Placeholder Slide - update from JULIE

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NCI Staff Stability Survey

National Core Indicators (NCI)

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The National Core Indicators

Staff Stability Survey

Dorothy Hiersteiner Project Coordinator National Core Indicators

™

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NCI Staff Stability Survey

  • Increased demand for HCBS—

cross population

  • Low supply
  • High turnover leads to

increased cost for providers

  • NCI Staff Stability Survey can

help states assess capacity

▪ baseline and annual tracking

  • f tenure

▪ turnover ▪ wage/benefit packages

National Core Indicators (NCI)

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What can the NCI Staff Stability Survey tell us?

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Process

  • State sends HSRI a list of providers in

state providing supports to adults with IDD

  • HSRI uploads list into ODESA State Portal
  • When state is ready, press “send”
  • Email goes to providers with unique link

to survey tool online

▪ Can be re-sent, edited, etc.

  • State is in charge of provider engagement

National Core Indicators (NCI)

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2015

For this data cycle, we worked with OH to set up system to separately examine DSPs within HCBS Waiver Supports and those from ICF/IID supports. Therefore, throughout this report, the two groups are treated as separate entities (OH_ICF and OH_HCBS)

National Core Indicators (NCI)

OH OR PA SC SD TN TX UT VT AL AZ DC GA IN KY MN MO

17 States

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Types of supports: 1) Residential

  • Living accommodations,

services, and supports provided to a person

  • utside of the family

home

  • Residential supports:

75% of responding agencies

National Core Indicators (NCI)

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Types of supports: 2) In-home

  • Supports provided to a

person in the family home

  • In-home supports:

50% of responding agencies

National Core Indicators (NCI)

*We have refined the definition of each in-home support for the 2016 survey.

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Types of supports: 3) Non-residential

  • Supports provided outside an

individual’s home such as:

▪ adult day program services and community supports ▪ supports to help people while at a paid job, or people seeking a job (e.g., work-related support)

  • Non-residential supports:

71% of responding agencies

National Core Indicators (NCI)

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Numbers of Adults with IDD Served: Residential Supports

1-10 Adults 11-20 Adults 21-50 Adults 51-99 Adults 100+ Adults Total Adults Served N

State A 24.1% 17.0% 37.5% 16.1% 5.4% 4,004 112 NCI Average 28.1%

(0.0-53.0%)

12.0%

(0.0-20.2%)

25.5%

(11.9-42.6%)

16.1%

(4.3-26.7%)

18.2%

(4.2-33.3%)

73,415 1,521 Total number served by responding providers per state Number of providers who responded to this question

National Core Indicators (NCI)

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Range 43.4% - 69.7% Range 9.2% - 19.2% Range 11.3% - 33.2%

Tenure (as of Dec. 31, 2015) Employed DSPs

STATE A: Total DSPs employed

7,754

NCI AVERAGE: Total DSPs employed

187,635

< 6 months, 17.0% 6-12 months, 16.2% 12+ months, 56.7% < 6 months, 17.5% 6-12 months, 14.6% 12+ months, 56.9%

National Core Indicators (NCI)

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Range 23.8% - 45.8%

Tenure Separated DSPs

Range 23.5% - 55.7% < 6 months, 41.0% 6-12 months, 20.1% 12+ months, 31.1% < 6 months, 34.7% 6-12 months, 21.6% 12+ months, 35.5%

STATE A: Total DSPs separated between 1/1/15 and 12/31/15

3,496

NCI AVERAGE: Total DSPs separated between 1/1/15 and 12/31/15

85,004

Range 16.0% - 51.8%

National Core Indicators (NCI)

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Turnover Rate

Number of DSPs separated in last 12 months ÷ Number of DSPs on payroll as of December 31, 2015.

STATE A NCI Average 45.1% (N=172) 44.8% (N=2425)

Range: 17.7-75.6%

National Core Indicators (NCI)

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Vacancy Rates

Full-time vacancy rate = Full-time vacant positions ÷ Total number of full-time direct support positions (which is FT employees + FT position vacancies)

Full Time Vacancy Rate STATE A NCI Average 7.8% (N=144) 9.4% (N=2027) Part Time Vacancy Rate STATE A NCI Average 13.2% (N=144) 14.6% (N=2027)

Range: 6.0-14.6%

Range: 5.9-26.6%

National Core Indicators (NCI)

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State Minimum Wages and Cost of Living

  • We took into account state minimum wage

and presented a state minimum wage comparison

▪ Range from $7.25/hour – $10.50/hour

  • Take into consideration the cost of living in

your state

▪ For example, in places such as San Francisco and Seattle, cost of living has a large impact

  • ANCOR report talks about this further

National Core Indicators (NCI)

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Wages Across Settings

Avg. Starting Hourly Wage Std. Dev. Median Starting Hourly Wage N

State A $9.81 2.587 $9.00 80 NCI Average $10.23

(range: $8.57- $13.67)

$9.96

(range: $8.50- $13.80)

1100

Avg. Hourly Wage Std. Dev. Median Hourly Wage N

State A $10.67 3.103 $10.00 93 NCI Average $11.11

(range $9.10- $13.08)

$10.72

(range $9.06- $13.82)

1262

2015 Minimum Hourly Wage State A: $7.25 Federal: $7.25

National Core Indicators (NCI)

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Benefits

▪ Paid time off:

▪ Paid sick, vacation and personal time ▪ Health insurance

  • Covers family members/dependents?

▪ Dental/vision ▪ Other benefits:

  • Post-secondary education support
  • Unpaid time off
  • Employer paid job-related training
  • Employer sponsored retirement

plan

  • Employer-sponsored

disability insurance

  • Flexible spending accounts
  • Health incentive programs
  • Life insurance

National Core Indicators (NCI)

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Appendices

Appendix B: Sampling

  • Details how each state’s

sample was constructed

  • Important for making

comparisons.

  • Also important when

assessing your own state’s data

Appendix C: Comparable Wage Charts from BLS

  • Residential Advisors
  • Personal Care Aides
  • Home Health Aides
  • Psychiatric Aides
  • Nursing Assistants

National Core Indicators (NCI)

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Participation

My state didn’t participate!

  • States that are members of NCI can opt into

participation in the Staff Stability Survey

  • There is no additional cost to states

▪ Email Dorothy at dhiersteiner@hsri.org

National Core Indicators (NCI)