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 Organizations Person Centered Practice  Co-sponsored and hosted by three (3) state  DDD will be launching Person Centered systems (DD Division, No Wrong Door, Med- Organizations training this fall QUEST)  DDD will be participating with DD service  Multiple sessions held over several days to providers in this endeavor reach statewide audience across 5 islands  Commitment to lead by example; walk the  Over 300 staff representing 40+ organizations walk, not just talk the talk from the various systems attended live training  Cross systems participation is being sessions explored

Aligning the LifeCourse framework with the various service system initiatives `Ohana Possibilities Nui Now! No Wrong Door My Choice, My Way

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

Integrating the LifeCourse framework into DDD’s Possibilities Now! Initiatives Person Supporting Centered Families Planning Improving supports HCBS Waiver to families F ULL L IFE IN THE Services National CoP resource C OMMUNITY New waiver Role of families Person Centered services to support Across the life span Practices community access Life domains Community Learning Improving flexibility Service & choice Integrated supports HCBS Final Rule Individual Supports Intensity Federal expectations Employment Supports Scale (SIS) for inclusion Career Planning Person Centered Most integrated settings Thinking Person Centered LifeCourse tools Planning National Core My Choice, My Way Indicators (NCI) transition plan

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

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