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Developmental Disabilities Administration Strategic Plan Process Update. November 2009. The need for a plan…. Alice : Oh, no, no. I was just wondering if you could help me find my way. Cheshire Cat : Well that depends on where you want to get to.
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Developmental Disabilities Administration Strategic Plan Process Update November 2009
The need for a plan… Alice: Oh, no, no. I was just wondering if you could help me find my way. Cheshire Cat: Well that depends on where you want to get to. Alice: Oh, it really doesn't matter, as long as... Cheshire Cat: Then it really doesn't matter which way you go. Alice in Wonderland
Today’s Agenda • What we heard • What we propose • What does it mean • Next Steps • Question & Feedback • Did we get it right from your perspective? • Your thoughts about implementation
Stakeholder Involvement & Information • Focus Groups • 7 regional groups across the state: • Discussions • CMS • 4 other states • People on the Go • Maryland Disability Law Center • Maryland Developmental Disabilities Council • Arc of Maryland • NASDDDS • Web-based Questionnaire (1159 hits, 492 responses) • Trend data (demographics, employment, labor, federal spending, long-term care, etc.)
What people said … • Input and feedback …. • People want : • jobs, real jobs with real money • friends • meaningful relationships outside of where they work and live • to be contributing members of their community • Agencies want: • to support people to live a life of their choosing • flexibility
What we propose … Person Directed Services • Individualized • Supports personal development • Foster independence • Flexible • Timely • Fluid Systems in support of people • Flexible funding • Flexible regulations • Creative options Note: Compliance and within established guidelines from Federal and State Statutes and Regulations and prudent use of State funding.
What does it mean… People decide • What services/supports • Who provides services/supports • How long they are provided • Who helps you • If they are happy or not • When to change
What needs to be done…. Next steps • Revise/realign/develop • Policies and procedures • Accessing funding • Accountability • Viable Support Options • Natural and generic community services • Resource coordination • New directions/Community Pathways
What needs to be done…. continued • Resource allocation • Fair and equitable • Standardize • Meet changing needs (i.e. employment, medical, aging) • Quality framework • Proactive • Individually defined • Outcome based
What needs to be done…. continued • Information • User friendly • Easy to access • Clear • Transparent • Ongoing • Ensures accountability • Valid and reliable data
Questions … Discussion • Did we get this right? What should we change?
Questions … Discussion • What additional information about the plan do you need?
Questions … Discussion • What do you see as the challenges as we move forward?
Current EffortsStrengthening DDA's Foundation … All DDA business practices are being reviewed/changed including: • Application for services • Plan development and resource allocations (Supports Intensity Scale) • Services • Natural and generic community services • Medicaid state plan services (substantiated need) • Low Intensity Support Services • New Directions/supports waiver/Community Pathways • Request for additional services
Current Efforts – continue • Resource Coordination • Choice • Agent of the State/Agent of the Person • DDA Policies and Procedures • Waiting list management • Regulations • Personal responsibility
Current Efforts – continue • Employment First • Community learning (to what end – integration/circle of support • Outcomes to employment • Employment Discovery and Customization (3 months) • Data management system • QA Framework
Anticipated New Outcomes … • Real choice and control in the hands of people – personal outcome driven • Fundamental service shift to person directed system • Employment first • Fair and equitable distribution of resources • Customer sensitive innovations • System transparency and consistency • Fiscal and programmatic accountability • Data management system to drive decision making process • Overarching DDA Quality Framework
Proposed Vision/Mission/Goals Vision • All Marylander’s lead fulfilling lives enjoying the abundance of the state’s economic, cultural and natural resources. Mission • DDA partners with people with developmental disabilities to provide leadership and resources to live fulfilling lives. Goals • People with developmental disabilities… • direct their lives; • have viable support options; and, • have information to make decisions.
Contact Information Developmental Disabilities Administration 201 West Preston Street, 4th Floor Baltimore, MD 21201 410-767-5600 ddaweb@dhmh.state.md.us