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Money follows the person

Stakeholder Meeting October 1, 2013. Money follows the person. Where We Started. A Mission 32 Nursing Facilities A Plan. What We Found. Characteristics Of Good Peer Outreach & Support Staff. Peer Facilitators will have multiple roles including

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Money follows the person

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  1. Stakeholder Meeting October 1, 2013 Money follows the person

  2. Where We Started • A Mission • 32 Nursing Facilities • A Plan Public Service Consultants (410)929-7258

  3. What We Found Public Service Consultants (410)929-7258

  4. Characteristics Of Good Peer Outreach & Support Staff • Peer Facilitators will have multiple roles including • Being an effective peer outreach & support staff member • Sharing personal experiences about institutional living and transition process; • Being an effective peer by building relationships with residents and NF staff • Being knowledgeable of community resources and supports • Being an active listener Public Service Consultants (410)929-7258

  5. OutreachTo Professional Stakeholders • Options Counselors and Options Counseling Organizations, Social Workers, Nursing Facility Staff, Health Care Coordinators, Baltimore City Ombudsman's Office • Contact nursing facilities stakeholders and: • Held 1st one-on-one meeting with Image Center (Living At Home Waivers) in Fall 2012 • Held 1st information session with Ombudsman Program Spring 2013 • Held informational session Maryland Disabilities Law Center in Winter 2012-2013 Public Service Consultants (410)929-7258

  6. Peer Outreach Workflow LTSS Tracking System Public Service Consultants (410)929-7258

  7. Peer Support Work Flow LTSS Tracking System Public Service Consultants (410)929-7258

  8. Outreach to Individuals • Key Elements of Outreach to Residents • Verify informal referral sources; • Identify and prioritize facilities with regard to scheduling; • Make referrals for Options Counseling and /or provide peer support; Public Service Consultants (410)929-7258

  9. Tools We Use In & Out Peer Network Flyer Local & State Literature Door Hangars MFP Maryland PSC Internal Database Public Service Consultants (410)929-7258

  10. Outreach Opportunities • Outreach in group settings; strength in numbers; • Don’t underestimate “word of mouth”; • Baltimore City citywide presentation opportunities; • Mass marketing of MFP • Peer networking among residents and staff; • Some NF’s and stakeholders seem threatened; • Confusion among residents and professional stakeholders; Outreach Challenges Public Service Consultants (410)929-7258

  11. Support Opportunities • Coordinated support to multiple NF residents with same or similar barriers; • Coordinated, scheduled support to nursing facilities; • Increased participation among stakeholders to address principal barriers to transition; • Residents ambivalent about role of Peer; • Residents may not see support from Peer as tangible; • Decentralized support / Information overload; • Verifying results (outcomes and placement); Support Challenges Public Service Consultants (410)929-7258

  12. Lessons Learned • Cultivate relationships; • Clarify misinformation in writing when possible; • Capture everything in LTSS system; • Over communicate; • Ask case managers, counselors, stakeholders about residents already willing and waiting to transition from NF’s. Residents are waiting on us. (Smile) Cooperation Coordination Communication Collaboration Chaos

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