IM4Q – The Ingredients for Success

1. IM4Q – The Ingredients for Success Nancy Thaler NASDDDS July 24, 2014

2. Ingredient #1 A Plan The Multi-Year Plan 1997 “All county MR Programs, or local managing entities, must be required to have in place a local monitoring team that is independent of the local service system and that is made up of a majority of individuals/family members. Outcomes for people and individual/family satisfaction should be the major focus of the assessments.”

3. Ingredient #2 The PAC – Planning Advisory Committee • DD Council • P&A • Temple UCED • Self Advocacy Groups • Family Groups • County Administrators • Providers Partnership

4. Ingredient #3 • The Penna. Council on Developmental Disabilities – Graham Mulholland was willing to fund a pilot to prove it could work. Somebody willing to try the idea to prove it will work

5. Ingredient #4 • Kevin Casey at the P&A • Self Advocacy Groups • Family Groups Champions

6. Ingredient #5 • Celia Feinstein Temple UCED Worked with self-advocates, families, advocates, counties, providers and state staff to design and pilot the idea. Someone to design & run it

7. Ingredient #6 • Pa. County Administrators never hesitated to implement an over sight system that evaluated their performance! Willing government entities

8. Ingredient #7 • Pa. Providers, while legitimately concerned about objectivity and fairness, opened their doors freely. Willing providers

9. Ingredient # 8 • The Deputy believed in it • The senior staff believed in it • They proposed and defended the budget for IM4Q • They contracted with Temple U. • They built into the states QM system • They made it a county requirement Support in the State DD Agency

10. Ingredient #9 • Secretary Feather Houston supported the idea…..because she heard from everyone • Governor Ridge funded IM4Q Support of the Governor and Secretary of DPW

11. Ingredient #10 • The IM4Q Entities • Self-Advocates • Families • Friends and Neighbors • Interested Citizens People who do the work day-in and day- out with commitment

12. National Core indicators • National Core Indicators http://www.nationalcoreindicators.org/

13. Data to Act On

14. Improving Quality PEOPLE TO PEOPLE ACCOUNTABILITY Data-based Accountability Data on health, employment, friends and family contact Participation in a Quality Improvement process • Personal attention to how people are living their lives • Local problem resolution process • Involvement of citizens • The protection that comes with letting the “sun shine in”

15. THE GOAL

16. Nancy Thaler National Association of State Directors of Developmental Disabilities Services 113 Oronoco Street Alexandria, VA 22314 703-683-4202 nthaler@nasddds.org