NCI in 2017 What’s 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 • Staff Stability National Core Indicators (NCI)
New to the NCI team • Laura Vegas - NASDDDS • Henan Li – HSRI • State teams? WELCOME! National Core Indicators (NCI)
Selected Highlights from the 2015-16 ACS National Report What’s New National Core Indicators (NCI)
2015-2016 NCI Adult Survey Has a Job (n=16,375) Yes 19% Would like a Job (n=6,550) Employment goal in Plan (n=2,808) Yes No 53% 81% No Yes 47% No 4% 59% 24% took classes, training, or did something to get a job or get a better job National Core Indicators (NCI)
Community Participation and Leisure 100% 85% 82% 76% 80% 60% 40% 20% 0% Able to go out and do things likes Able to go out and do things likes Has enough things to do when at to do in the community to do in the community as often home as wants National Core Indicators (NCI)
Service Planning 75% Chose services as part of 99% Took part in the plan last planning meeting 83% In 6 states 100% of Knew what was talked about at last service people reported they took planning meeting part in the planning meeting 92% Last service planning meeting included people person wanted to be there National Core Indicators (NCI)
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)
Privacy and Rights Has Ever Voted in a Local, State, or Federal Privacy Election 100% (or Chose Not to) 81% 80% 62% 60% 50% 46% 46% 46% 43% 40% 28% 20% 20% 13% 0% Has a key to the home Can lock the bedroom 0% 20% 40% 60% 80% 100% Overall ICF/IID and other institutional settings Community-based residential setting Own home State Range= 61% - 14% NCI Average = 39% Parent or relative's home National Core Indicators (NCI)
92% Services and supports help person live a good life National Core Indicators (NCI)
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)
ODESA update • State options: ▪ Open Pre-survey ▪ Upload survey codes • Problem reports go to NCIsupport@hsri.org National Core Indicators (NCI)
2016-2017 Events and presentations National Core Indicators (NCI)
2016-2017 was a big year • Val will insert: • NCI at 20 • HSRI at 40 National Core Indicators (NCI)
2016-2017 presentation highlights • Val will insert: National Core Indicators (NCI)
Update on NCI for Aging and Disability (NCI-AD) National Core Indicators (NCI)
Placeholder Slide - update from JULIE National Core Indicators (NCI)
NCI Staff Stability Survey National Core Indicators (NCI)
The National Core Indicators Staff Stability Survey Dorothy Hiersteiner ™ Project Coordinator National Core Indicators
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 of tenure ▪ turnover ▪ wage/benefit packages National Core Indicators (NCI)
What can the NCI Staff Stability Survey tell us?
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)
2015 17 States For this data cycle, we OH AL worked with OH to set up system to separately OR AZ examine DSPs within HCBS PA DC Waiver Supports and those SC GA from ICF/IID supports . SD IN Therefore, throughout this TN KY report, the two groups are TX MN treated as separate entities UT MO (OH_ICF and OH_HCBS) VT National Core Indicators (NCI)
Types of supports: 1) Residential • Living accommodations, services, and supports provided to a person outside of the family home • Residential supports: 75% of responding agencies National Core Indicators (NCI)
Types of supports: 2) In-home • Supports provided to a person in the family home • In-home supports: 50% of responding agencies *We have refined the definition of each in-home support for the 2016 survey. National Core Indicators (NCI)
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)
Numbers of Adults with IDD Served: Residential Supports Total number served by responding providers per state Total 1-10 11-20 21-50 51-99 100+ Adults Adults Adults Adults Adults Adults Served N State A 24.1% 17.0% 37.5% 16.1% 5.4% 4,004 112 NCI 28.1% 12.0% 25.5% 16.1% 18.2% 73,415 1,521 Average (0.0-53.0%) (0.0-20.2%) (11.9-42.6%) (4.3-26.7%) (4.2-33.3%) Number of providers who responded to this question National Core Indicators (NCI)
Tenure (as of Dec. 31, 2015) Employed DSPs STATE A: Total DSPs NCI AVERAGE: Total DSPs employed employed 7,754 187,635 < 6 < 6 Range 11.3% - 33.2% months, months, 17.0% 17.5% 6-12 Range 9.2% - 19.2% 6-12 12+ 12+ months, months, months, months, 16.2% 14.6% 56.7% 56.9% Range 43.4% - 69.7% National Core Indicators (NCI)
Tenure Separated DSPs STATE A: Total DSPs separated NCI AVERAGE: Total DSPs separated between 1/1/15 and 12/31/15 between 1/1/15 and 12/31/15 3,496 85,004 Range 23.5% - 55.7% 12+ < 6 12+ months, months, months, < 6 31.1% 34.7% 35.5% months, 41.0% 6-12 6-12 months, months, 21.6% 20.1% Range 23.8% - 45.8% Range 16.0% - 51.8% National Core Indicators (NCI)
Turnover Rate Number of DSPs separated in last 12 months ÷ Number of DSPs on payroll as of December 31, 2015. Range: STATE A NCI Average 17.7-75.6% 45.1% (N=172) 44.8% (N=2425) National Core Indicators (NCI)
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) Range: Full Time STATE A NCI Average 5.9-26.6% Vacancy Rate 7.8% (N=144) 9.4% (N=2027) Range: 6.0-14.6% Part Time STATE A NCI Average Vacancy Rate 13.2% (N=144) 14.6% (N=2027) National Core Indicators (NCI)
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)
Wages Across Settings Avg. Median Starting Starting Hourly Std. Hourly Wage Dev. Wage N State A $9.81 2.587 $9.00 80 $10.23 $9.96 NCI Average 2015 Minimum 1100 (range: $8.57- (range: $8.50- Hourly Wage $13.67) $13.80) State A: $7.25 Avg. Median Hourly Std. Hourly Federal: $7.25 Wage Dev. Wage N State A $10.67 3.103 $10.00 93 $11.11 $10.72 NCI Average 1262 (range $9.10- (range $9.06- $13.08) $13.82) National Core Indicators (NCI)
Benefits ▪ Paid time off: ▪ Paid sick, vacation and personal time ▪ Health insurance • Covers family members/dependents? ▪ Dental/vision ▪ Other benefits: Post-secondary education support Employer-sponsored • • • Unpaid time off disability insurance Employer paid job-related training Flexible spending accounts • • Employer sponsored retirement Health incentive programs • • plan Life insurance • National Core Indicators (NCI)
Appendices Appendix C: Comparable Appendix B: Sampling Wage Charts from BLS • Details how each state’s • Residential Advisors sample was constructed • Personal Care Aides • Important for making • Home Health Aides comparisons. • Psychiatric Aides • Also important when assessing your own state’s • Nursing Assistants data National Core Indicators (NCI)
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)
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