Strengthening Services and Supports to Individuals with Developmental Disabilities and Their Families in Georgia

April 8, 2005

 

“Quality is determined by responsiveness to the person served rather than compliance with organizational process or regulations and standards.” - James F. Gardner and Sylvia Nudler

 

Introduction

 

Over the past 15 years, several commissions and reports concerning the needs of people with developmental disabilities and their families have identified a series of recommendations, many of which have never been implemented.   Renewed efforts must assure that people with developmental disabilities and their families receive quality services.  This document proposes action steps to guide the development of community services.  State services must be safe, efficient, accessible, and tailored to individual needs and choice.  Service provision and quality assurance must be integrated.  Families should expect that services be obtained within a reasonable timeframe. 

 

 The Governor should create a Freedom Initiative that would result in a conceptually coherent policy for integrated life in the community for people with disabilities and the people who support them. 

 

The system redesign must begin with a vision that is founded upon beliefs of what is possible for people and their families.  The vision of services and supports for people with developmental disabilities begins with Community First and holds that individuals have access to real homes, real jobs, real learning experiences, and real choice in their lives.  The system should reflect and promote consumer values of dignity, independence, individual responsibility, choice and self-direction.  This means that the focus of funding and service planning is on the individuals who use those funds and services, and not on the services themselves or providers.  It also means that while the State may not directly fund natural or community-based supports that are outside the formal service system, they can provide resources for infrastructure (such as transportation), information dissemination (such as a comprehensive resource database) and training (such as for peer support, support brokers and direct support workers). 

 

The initiative should be both comprehensive, and organized in incremental stages so that particular elements are introduced in the system each budget cycle, and each element is structurally related to previous developments.  

 

Gwen Skinner, Director of the Division of Mental Health, Developmental Disabilities, Addictive Diseases outlined the following values in a presentation to the Aging and Disability Symposium on November 18, 2004:

 

·        We believe that dependence on government is not good enough for our consumers.  We value independence and self-determination.

·        We believe that working people and their families are always better off than non-working people.  We value self-sufficiency.

·        We believe that institutions are not the best places for people to live and grow in.  We value community.

·        We believe that government has to be a resource to families; not a substitute for them.  We value helping families support their loved ones.

·        We believe that people – with the support of family – should make the important decisions that affect their lives.  We value individual dignity and personal freedom.

 

The State of Georgia policy and budget decisions involving services for people with developmental disabilities and their families are based on the following vision included in the Olmstead Report.

 

“The State of Georgia will foster the statewide development and implementation of comprehensive long-term care and support system of services that maximize the independent living philosophy and quality of life while recognizing the need for interdependence and support.  The system will provide individuals across the lifespan and families (when applicable) with meaningful, informed choices of support services, providers, and residential settings, when such care or support is necessary, meets an adequate level of quality, accountability, is cost-effective, and is consistent with the individual’s values and preferences.”

 

Recommendations

 

The Governor’s Council on Developmental Disabilities recommends the following thirteen components toward developing this coherent, comprehensive system, all of which are based on the past work of advocates and providers.

 

1.                   Enable Active Participation

·        People with developmental disabilities and their families must consult for and actively participate in any discussions on revising the system of financing, services, providers, quality assurance, long-term care, support professionals and in the discussions on managed care.   They should be a part of the development discussion, not be presented with policy after the fact.

 

2.              Embed a Person-Centered Foundation

 

3.            Enable Control over Resources

·        The state must develop key aspects of consumer directed services such as mechanisms for individuals to control the financial resources (fiscal intermediary, or consumer control of a formal bidding mechanism) and consumer choice of resources (state authorized vendors only, or any vendor, any source - - including family, friends or generic community resources). 

·        The state must implement the self-determination project funded through the Independence Plus grant it received from the Centers for Medicaid and Medicare Services.  According to CMS, promising practices in this arena include

o       developing flexible home and community based service funding           

o       providing assistance to consumers in purchasing services through support brokerage and similar methods

o       expanding the supply of accessible housing

o       creating emergency back-up systems for personal assistance or other services

o       assigning consumers the responsibility for developing their own services and budget plan

o       allowing individuals and families to hire, train, and supervise their own personal assistant workers using a fiscal intermediary

Surveys across the country have found that individuals who have more control over the services and supports they receive are more satisfied with the services and have a better quality of life. 

 

4.            Revise the Quality Assurance, Quality Improvement System

Develop a comprehensive system that effectively and appropriately assesses risk and strives to enhance safety, health, and quality of life for people in the community.   The components of this system should include:

·        The use of individualized service/support plans to assure that all prescribed services and supports are delivered in a timely, effective manner, and that each individual’s rights, freedoms, choice, responsibility and ability to bear risk are incorporated in their plan

·        Clear channels and procedures for individuals and families to file complaints and have their grievances fully, promptly and respectfully considered

·        Assurance that individual’s due process rights are protected

·        Assurance that all providers meet the qualifications and operating standards established by the state

·        Procedures to make timely corrections in the system

·        A total quality management effort throughout the system that continuously examines leadership, strategic planning, customer and market focus, information data and analysis, process management, and systemic outcomes.

 

5.                    Enhance Resources to the Natural, Community-Based Support Infrastructure

·        Develop opportunities in each community for all types of services and supports, public and private funding, businesses, civic and other community resources to meet and find ways to leverage non-traditional community resources to support individuals and families. 

·        Work with Family Connection to extend the model of family support initiated by the DD Council and Family Connection that works within the collaborative to identify and leverage local resources for all families.  Consider support for funding a family support facilitator in each of the 159 collaboratives.

·        Work more extensively with school systems to integrate community resources into the transition plans for high school students to move to the community.

·        Continue to expand, and support at the end of the grant period, the Gateway Resource Database that is being developed through the Aging and Disability Resource Center grant that will eventually be accessible through the AAA’s and the Family Connection sites, and will contain information on providers, other services and direct support staff.

 

6.              Develop the provider market

Individuals and families need more choice in the provider arena.  Quality services come from a competitive market where a provider knows that they will be out of business if they provide bad services.   

·        Require providers to undertake an ongoing total quality management initiative that results in organizational improvements. 

·        Undertake a provider reimbursement rate study to adjust rates to incentivize best practices and phase out less progressive services.  Develop a fiscal plan that keeps rates current with the cost of service provision.  The state should build in a minimum cost of living increase annually, and an incentive increase that rewards providers whose services meet the optimal standards determined in the quality improvement effort.  Providers that earn the incentive rate increase should be recognized in literature that informs families about the services in their areas. (Like Gateway, agency websites and publications, annual reports, etc.)

·        Develop and maintain the small local provider model market vs. contracting with the large multi-region agencies that cannot seem to keep their services or staff stable.

 

7.            Develop the support profession

 

 

One hurdle to expanding home and community-based services is the shortage of direct care professionals who provide day-to-day support to people with developmental disabilities and their families.  Several factors impact the direct support profession:

·        They are not viewed as professionals with a valuable information base

·        They are not compensated adequately enough to support a family on one job

·        They do not have access to benefits, generally speaking

·        They are not additionally compensated for advanced training; in fact the state now requires only minimal training

·        They are not seen as a valuable part of the management team for how services are delivered to people with developmental disabilities although they know them the best

The solution to this crisis must be a multi-pronged approach. 

·       The state must recognize and support the expansion of the Direct Support Professional’s curriculum developed by the DD Council with the collaboration of the Division of MHDDAD that has completed the roll-out of two courses in 3 DTAE campuses as the official training for DSP certification.

·       The state must install fair wages for the quality and quantity of the work accomplished, or consider incentives for training such as $400 for completion of the certificate program, $750 for the completion of a DTAE program, $1,500 for an Associate Degree, and $2,000 for a BA, BS, etc….

·       The state should recognize providers whose staff has been trained in the certificate program.

·       The state should consider allowing DSP’s into the state health plan after a certain level of tenure has been attained

These steps will encourage the development of a stable, professional, quality workforce and direct care professionals feeling that they are valued by both their employers and by individuals receiving support.

 

8.              Commit to a multi-year funding plan

There are currently over 5,000 people living in the community who are on the waiting list for home and community-based services.  HR 1307 required the Department of Human Resources and Department of Community Health to submit a multi-year funding plan to address the waiting list.  The Multi-Year Funding Plan accounts for

·        Annually increasing the number of individuals living in the community who will receive supports through the Medicaid Waiver program;

·        A provider rate increase of 4%

·        Annually increasing the number of individuals transitioning from institutions to the community with the necessary supports.  Additional revenue for Medicaid match will be required to implement the Plan.

 

9.              Adjust waiver services and waiver rates to incentivize best practice

·        The Department needs to change policy and create incentives for people to have real jobs.  Employment opportunities can be provided through supported employment or through initiatives such as customized employment currently being implemented through the Jobs for All and Cobb Works.  Both projects have received strong support and commendation from the U.S. Department of Labor, Office of Disability Policy. 

·       The Division should add Peer Support as a Medicaid billable service.  Continue to develop and improve the Peer Support Training that was funded through the Real Choices Systems Change Grant.  Peer support will be especially important for individuals who move from nursing homes and institutions into the community.

·       Include behavioral supports as a billable service in the MRWP waiver.  In order for individuals with behavioral challenges to be served successfully and safely, providers must be reimbursed for work on a behavioral support plan that will prevent individuals from going into crisis and ending up in the ER, or back in the institution.

·       The State should consider establishing a risk pool fund that can be used to address unexpected or emergency cost overruns for individuals in the system.  The State should be allowed to carry over any unused funds.

 

10.              Consider new models

·        Explore using the SOURCE model of Enhanced Primary Care Case Management as way to better coordinate and assure quality of services that people receive, and to provide some interim services to individuals with developmental disabilities on the waiting list.  Current SOURCE case managers assist individuals to gain access to the support and services.  Plan reviews and utilization review take place to determine the appropriateness and adequacy of the services and to ensure that the services furnished meet the needs and choices of the person.  In addition, case managers are authorized through utilization review to approve substantial increases in services in a timely manner.

·        Invest in creating learning opportunities from service providers who provide quality services and supports, through mentoring, interning, site visitation, or other methods.

·        Begin each person’s entry to service with person-centered planning and individual budgeting.

·        Support the presence of fiscal agency providers with adequate reimbursement rate structures.

·        Adequately train and reimburse support brokers.  Support coordinators, which are currently in the system, cannot move to support brokerage practices without extensive training.  The Real Choice Grant contains money for training. 

·        Leave the Regional Offices as the place where eligibility determination, complaint investigation and allocation of funding occur.  From there, the planning and coordination of services should occur through the support brokers who live and work in local communities, have the local contacts and can network on the individual’s behalf.

·        Develop and maintain system transparency so people can find out how things work, who to call, and who is responsible.

 

11.              Move money

No changes in state law are required to implement this plan; however, the long term care and supports system could be improved if funding were more flexible and followed a person to a preferred setting.   Sometimes, individual choice is limited because department budgets are fixed and inflexible. 

 

There are barriers, however, to achieving the full intent of the “money follows the person” concept.  

·        Money does not follow from the nursing home budget to the community services budget.

·        Individuals do not have the option to “pool” all of their community services dollars from various state agencies and spend it all on the service of their choice.

The possible solutions to this barrier have been tried in other states, such as Texas and Michigan.

 

·        Create linkages between budget categories so that as a person moves from one service/setting to another, the money actually moves from one budget to another.

·         Combine funding from different Medicaid services into one flexible funding source that people can access regardless of which setting/service they choose.

·         Conduct a comprehensive review of all regulations that impact services to people with developmental disabilities with the idea of eliminating the many regulatory barriers that exist to allowing people to have more control over their own lives. 

 

 

 

12.       Foster Interagency Collaboration

Effective services for people with developmental disabilities cannot take place in  a system of silos.  Multi-agency teams must work on the systemic issues together.  Multi-agency collaboration is particularly important when transition individuals from institutions to the community, and from high school to work and adult life in the community. 

 

13.       Fund and Implement the Children’s Initiative

HB 633 urges the DHR, DCH, DOE, DOL and DJJ to identify, assess and plan comprehensive services to move children under the age of 22 from nursing homes, institutions, private ICF-MRs and hospitals to the community.  To be carried out successfully, the state needs to apply many of the recommendations in this paper to the children’s population—conduct person centered planning, develop provider capacity, enhance quality improvement, foster interagency collaboration, encourage full participation, etc.  In addition, the DHR needs to create and send to the Governor a budget package that is dedicated to the children’s movement and does not compete with the needs of the adult population.