Heart of Central Texas Real Choice

1. Heart of Central Texas Real Choice

2. Heart of Central Texas Real Choice:A System Transformation • Change: to put or place (a thing) in place of something else; to exchange; make different; alter • Transform: to change the form or appearance; to change the condition, character or function • A System Transformation: Full Access and Freedom to Choose for all persons with disabilities

3. Heart of Central Texas Real Choice:Overview • Project Scope & Funding • Aging & Disability Resource Centers • Leadership Team • Tools and Technology • Navigators/Legal Advocacy • Super Community Resource Coordination Groups (CRCGs) • Project Model • Outcome Measures • Partnership and Commitments

4. Heart of Central Texas Real Choice:Service Area • 13 Counties: Bell, Bosque, Coryell, Falls, Freestone, Hamilton, Hill, Lampasas, Limestone, McLennan, Milam, Mills and San Saba • Major Cities: Waco, Belton/Temple, Killeen and Hillsboro • Population: 696,054 • Persons with Disabilities: 119,689 • I-35 Corridor (40% of Texas population)

5. Heart of Central Texas Real Choice:Funding • Texas Real Choice Funding: $294,000 for 3 years ($882,000) • Older American’s Act, State General Revenue Funding, local revenue

6. Heart of Central Texas Real Choice:Aging and Disability Resource Centers (ADRC) • Central Texas ADRC: Co-Location of Area Agency on Aging (AAA) & Area Information Center (AIC), 2-3 Navigators, 2-3 Aging and Disability Resource Specialist (ADRS) and linkage to Heart of Central Texas Independent Living Center. • Heart of Texas ADRC: Co-Location of ILC , AAA, AIC, 2-3 Navigators and 2 ½ ADRS. • One Stop Shopping for Persons with Disabilities and LTSS Agencies (2-1-1 /1-800/Internet/ walk-in) • Personalized Service, Easy Access and Quick Response to Consumers

7. Heart of Central Texas Real Choice:2-1-1 Implementation • Central Texas – initiated December 2002 • Heart of Texas – Fall 2003?

8. Heart of Central Texas Real Choice:Leadership Team (4) • Executive Director, Heart of Central Texas Independent Living Center • Executive Director, CareLinc Network (AIC) • Director, Central Texas AAA (AIC) • Director, Heart of Texas AAA • Hire and Supervise Project Director • Advisory Committee • Integrated Management and Leadership • Navigators/ADRSs in 4 Agencies

9. Heart of Central Texas Real Choice:Common Tools • Prototypes: HHSC Summit (April 2001) • Intake and Referral Form • Release of Information • Withdrawal of Permission to Share Information • Referral Protocols • Operational in 6 Counties (May 2002) • Risk Screening • Person/Family Centered Assessment and Planning • Reduces Fragmentation, Duplication, Barriers and Confusion

10. Heart of Central Texas Real Choice:Regional Management Information System (ServicePoint ™) • Hardware Infrastructure Complete • 150 User Licenses • Automation of Tools and Protocols • Web-Based Community Intranet System • Detailed Report Generation • Secure Data Entry • Tracks Changes in Consumer Status • Real-Time Data Sharing with Other Agencies • Consumer Confidentiality and Privacy (Enhanced) • Aggregate Unmet Need Data

11. Heart of Central Texas Real Choice:Navigators (Barrier Busters) • Comprehensive Consumer/Caregiver Interviewing • Person/Family Centered Assessment, Planning and Implementation • Liaison to Key Partner Agency Staff (Super Community Resource Coordination Groups) • Brokering/Coordination of Traditional and Non-Traditional Community Services and Supports • Consulting with Legal Advocacy Staff, Attending County CRCG’s, Interface with ADRC Staff • Assisting with Paperwork, Accompanying Consumer to Agency Appointments and Hearings • Assuring Follow-up, Cultural Sensitivity and Compliance with Americans with Disabilities Act • Information Provision for Informed Choice

12. Heart of Central Texas Real Choice:Legal Advocacy • Lone Star Legal Aid Contract • Legal Back Up for Navigators • Consultation, Research and Advocacy • Recommend Legal Remedies • Americans with Disabilities Act Compliance

13. Heart of Central Texas Real Choice:Super Community Resource Coordination Groups • Partner Agencies Commit Key Personnel • Key Staff Assign Staff/Authorize Expedited Services • Ongoing Access to Navigators • On-line Staffing Using Community Intranet • Real-time Coordination and Resource Allocation • Referral to County CRCG s (Indigenous Resources)

14. Heart of Central Texas Real Choice:System Model Agency Partners/ Public Oversight/Leadership AIC/ADRC (Linking & Screening) Project Director Navigators County CRCG s Super CRCG

15. Heart of Central Texas Real Choice:Outcome Measurement • Consumer Outcomes: relocations, diversions, community/family participation, person/family centered plans, health and safety, freedom from abuse and neglect, independence, futures planning, and consumer satisfaction. • System Outcomes: aggregate met and unmet need, consumers linked with resources, barriers overcome, service duration and intensity, institutional diversions/relocations, services from multiple agencies, ServicePoint™ usage, meeting participation and Super CRCG Participation.

16. Heart of Central Texas Real Choice:Training Curriculum • Real Choice Overview • Person First Language • System of Access and Assistance • ABCs of Information and Referral • Person/Family Centered Training • Cultural Diversity • Service Point™ Software • Benefits Counseling • Agency Partners • HIPAA

17. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Serve on Advisory Committee:

18. Heart of Central Texas Real Choice:Advisory Committee Members • Central Texas • Mr. Nick Serna, Lone Star Legal Aid • Dr. Lucinda Harmon, Combridge, Inc. • Mr. Barry Fredrickson, TX Dept. of Human Services • Mr. Ray Helmcamp, CCCMHMR • Mr. Mike Mathis, TDPRS-APS • Ms. Rita Kelly, Killeen Help Center • Honorable John Hull, Coryell County Judge • Ms. Gloria Holle, Early Childhood Intervention • Honorable Jack Calvert, Mayor, City of Lampasas • Ms. Tama Shaw, Hill Country Community Action • Mr. John Kirchoff, HUD, Belton • Mr. Aaron Montemayor, United Way GFHA, Killeen • Mr. Steve Wick, Central Tx Youth Services, Belton • Ms. Mary H. Klentzman, Family Advocacy • Heart of Texas • Mr. Brian Dodd, Regis-St. Elizabeth Centers • Mr. Harvey Fredriksson, Aging Consumer Advocate • Ms. Barbara Tate, HOT Regional MHMR • Ms. Marietta Diehl, TDPRS-APS • Ms. Dixie Skeen, TX Dept. of Health • Ms. Greta Brown, TX Dept. of Human Services • Mr. Budge Kimble, TX Commission For Blind • Ms. Judy Hicks, Region 12 Education Center • Mr. Doug Young, Central TX Veterans Health Care • Ms. Camilla Bare, Association of Retarded Citizens • Ms. Melody McDermitt, Central TX Senior Ministry • Ms. Stacie York, Providence DePaul Center • Ms. Gaylen Lange, TX Workforce Development • Ms. Barbara Brewer, Salvation Army • Ms. Ana Salinas, Waco Housing Authority

19. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Help Develop and to Provide Personnel Support to CRCGs for Adults and Families

20. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Designate Key Staff to Represent Agency, Interface with Project Staff and Consumers:

21. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Use Common Intake:

22. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Adhere to Standardized Referral and Follow-Up Protocols:

23. Heart of Central Texas Real Choice:Unprecedented Partnership Commitments to Use of Common Information Management System for Sharing Consumer Information, Consumer Tracking and Adherence to HHSC Consumer Confidentiality Guidelines:

24. Heart of Central Texas Real Choice:Summary • 13 Counties • Aging and Disability Resource Centers • Area Information Center (AIC) Integration • Integrated Management and Leadership • Regional Web-Based Intranet • Navigators and Legal Advocacy • Super CRCG • Outcome Measurement