1 / 14

Reflections on 10 Years of Disability Employment Systems Change:

Reflections on 10 Years of Disability Employment Systems Change: Minnesota’s Medicaid Infrastructure Grant. MaryAlice Mowry, MIG Director September 12, 2011 National Home and Community-Based Services Conference. The Challenge: Move from an “Opt in” to an “Opt out” system.

minor
Download Presentation

Reflections on 10 Years of Disability Employment Systems Change:

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Reflections on 10 Years of Disability Employment Systems Change: Minnesota’s Medicaid Infrastructure Grant MaryAlice Mowry, MIG Director September 12, 2011 National Home and Community-Based Services Conference

  2. The Challenge: Move from an “Opt in” to an “Opt out” system

  3. Systems Change Model: Self-Organizing Systems A collection of individual agents, who have the freedom to act in unpredictable ways, and whose actions are interconnected such that they produce system-wide patterns. • Ensures that all parts of a complex system act together in coherent ways. • Over time participants will generate coherent patterns across the system. Short List of Simple Rules

  4. Pathways to Employment: Short List of Simple Rules • Make connections; act across “silos”. • It’s got to be about infrastructure. • It has to be sustainable. • This is about ALL people with disabilities. • It’s about people, not programs

  5. Pathways to Employment: Changing the Conditions for Self-Organizing • Multi-agency collaborative design • Blending and braiding funding • 5-year Strategic Plan • Grant-making that created new opportunities • Encouraged innovation by imposing only essential constraints • Built upon “exchanges” that already existed

  6. Systems Change Model: Change Maturity Model Unknown Work Ideas and opportunities exist that we don’t know anything about. Learning Work We begin to learn about new ideas. Adaptive Work We begin to adapt the new ideas to fit our systems. Control Work The new idea has been integrated into the system and is part of the expectations. Identify what needs to leave the system…

  7. Pathways to Employment: Control Work within DHS - Disability Services Division • Vision/Core Values MN Department of Human Services Continuing Care Division Vision C ─ Community membership / integration H ─ Health, wellness and safety O ─ Own place to live I ─ Important long-term relationships C ─ Control over supports E ─ Employment earnings and stable income • Changing mindsets

  8. Pathways to Employment: Control Work / Sustainability Planning • Creating a communications framework • Integrated messaging • Tools • Supporting development of external capacity • MN Employment Policy Initiative • MN Training and Technical Assistance Center • MDE grants • Seven-County Metro Group

  9. DB101:A Platform for Transformation • Support at all stages • An expanded benefits planning systems DHS Work Incentives Connection DLL & db101.org Phone & Online Assistance Back-end Support In-depth Phone & 1:1 Assistance Exploration & Planning Tool Data & Information Formal Benefits Planning • What DB101 has to offer • Content • Estimators • Experts

  10. Pathways to Employment: Control Work / Sustainability Planning • Developing and embedding expertise • Training • Policy • Assessment • Creating policy agenda and developing policy capacity • Medicaid Buy-In policy that incents work • Tracking employment-related policy across agency

  11. Sources: State taxes paid from MN Dept. of Revenue; Total annual premiums billed from MN Dept. of Human Services Special Recovery Unit. *reports amount of state taxes paid after tax credits **Represents total return to State, ½ of premiums collected go to federal government per federal medical assistance percentage

  12. Pathways to Employment: Control Work / Sustainability Planning, cont. • Developing collaborative relationships within DHS and externally • “Connecting the dots” – keeping apprised of and supporting various disability employment –related efforts • Health Care Eligibility • Health Care Financing • Minnesota Family Investment Program • “Employment is a key protective factor…” • Seizing opportunities • Money Follows the Person • Medicaid Reform Waiver

  13. An “Opt Out” System Consistent Communications Advocacy Inter- and Intra-agency collaboration Waivered Services Assessment (MN Choices) Make Work Part of the Plan Provider capacity DB101 Tools, resources, training and communications for Professionals State policy DB101 On-line and “live chat” tools and resources for PWD and families

  14. Systems Change Model: Adaptive Action Now what will we do? What? So what does it mean?

More Related