ASD Seminar 2017: Provider Workshop · 2017-07-18 · ASD Seminar 2017: Provider Workshop Recorded Version BAS Clinical Team Department of Human Services ... But, highly recommended

7/10/2017

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>www.dpw.state.pa.us >www.dhs.pa.gov

ASD Seminar 2017:Provider Workshop

Recorded Version

BAS Clinical Team

Department of Human Services

Office of Developmental Programs

Bureau of Autism Services


• Review SBP, GAS, PRE, and Employment

• Frequently Asked Questions

• Discussion/Wrap-up

Agenda

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WE ARE SPEAKING TO THE RULES, NOT THE EXCEPTIONS

If you have a question or concern about the exception to these processes, please discuss the specifics with your assigned RO rep and Clinical rep

separate from this training.


SKILL BUILDING PLAN (SBP)

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• Needed a systematic way to outline how to teach participant skills

• Through focus groups and provider meetings, CS shared they are not in a position to write plans to teach skills

• Our experiences demonstrated that providers want a “template” to follow so BAS expectations are clear.

Why did we develop a SBP?

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Where Does the SBP Live?

• MyODP:

Go to Resources Autism Resources > AAW Provider Resources > AAW SSD/Systematic Skill Building > SSB Resources

• Hard copies of the SBP remain in participant files

Only the goals/objectives of each SBP gets entered into HCSIS

• All members of the team need to have a copy


SSB CS BSS SC All Other Providers

Develops SBP

X

Implements SBP

X X

Aligns with SBP

X X

Maintains hard copy of SBPs in participant files

X X

Who Develops and Implements?

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GOAL ATTAINMENT SCALING (GAS)


• Needed a systematic way to report on progress and inform appropriate instructional decisions

• In late 2014 we launched a 2 year pilot program

• Fully Implemented with SSB in July 2016

Why Did We Decide to do GAS?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

No: No QSR No:Inconclusive

Yes:Informative

Data

Pe

rce

nta

ge

Are there sufficient data to inform support and progress reporting?

No Model GAS Model

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• MyODP:

Training > Autism Training > Adult Autism Programs (AAW/ACAP) > Goal Attainment Scaling (GAS)

• Hard copies remain in participant files

• All members of the team need to have a copy

NOTES:

1 excel file can contain 5 GAS charts!

The excel file only works with Microsoft Excel (NOT “Numbers” for MAC).

Where Does it Live?

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Develops GAS Chart

XX (when no SSB or BSS)

X X

Implements GAS

X X X X

Maintains copy of GAS charts in participant files

X X X X X

Reports on Progress

X X X X

Enters Progress into HCSIS

X



PERIODIC RISK EVALUATION (PRE)

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What are the PRE Domains?


• A tool did not exist that met our needs to identify risk factors and to help develop plans to mitigate risks

• Approx. 2 year pilot

Why Do We Have the PRE?

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What is the PRE?


• MyODP:

Training > Autism Training > Adult Autism Programs (AAW/ACAP) > Periodic Risk Evaluation

• QuestionPro

• Results get sent to Provider Support Mailbox (Scores remain with BAS)

The person who enters PRE into QuestionPro can save the results BEFORE submitting it, which is recommended if you want to keep a summary of the info entered (and to inform ISP).

• Each participant is deemed complex or non-complex

Where Does it Live?

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Completes PRE

X X

Maintains Hard Copy of PRE

X X

Updates ISP with results of PRE

X

Mitigates Risk

X X X X X


OR


EMPLOYMENT SERVICES

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• Work performed on a full or part-time basis (including self-employment) for which a person is:

(1) Compensated at not less than federal minimum wage requirements or State or local minimum wage law (whichever is higher) and not less than the customary rate paid by the employer for the same or similar work performed by people without a disability;

(2) At a location where the employee interacts with people without a disability (not including supervisory personnel or people who are providing services to such employee); and

(3) Presented, as appropriate, opportunities for similar benefits and advancement like those for other employees without a disability and who have similar positions.

Definition of Competitive Integrated Employment

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• Career Planning Service (unit rates)

Vocational Assessment

Job Finding

• Supported Employment

Intensive Job Coaching: Direct & Indirect

Extended Employment Supports: Direct & Indirect

Significant Changes to AAW Employment Services

Vocational Profile

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• Is the individual working in a competitive integrated job? If no, is the person enrolled in prevocational or transitional services?

• Is the individual self-employed?

• How many jobs is the individual working that meet the definition of competitive integrated employment?

• Estimated average hours worked per typical work week.

• Job Type

• Does the individual receive paid benefits?

6 New Employment Questions to SC Monitoring

Sample Report

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36% 38% 40% 42% 44% 46% 48% 50% 52%

Central

Northeast

Southeast

West

% w/ at least 1 job- March 2017

0%

10%

20%

30%

40%

50%

60%

1-10hours/week

11 - 20hours/week

21 - 35hours/week

35+hours/week

Unknown

Number of Hours Per Week- March 2017

Central

Northeast

Southeast

West

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0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

Central Northeast Southeast West

% Receive Benefits- March 2017

6 New Employment Questions to SC Monitoring

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• MyODP: Training > Autism Training > Adult Autism Programs (AAW/ACAP) > Employment/Vocational Trainings > Employment Required Training

Where do Employment Resources Live?


FREQUENTLY ASKED QUESTIONS

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• SSB is essentially a service which ALL participants could benefit from in a variety of ways, similar to CS.

• If SSB and CS services are both on the participant’s plan, the expectation is that they will have the SAME goals/objectives, but SSB will take the lead to develop SBPs, which includes the GAS chart.

SSB reports in GAS format for MPN/QSR; CS reports anecdotally, not in GAS format for MPN.

SSB


GAS Training and Qualifications

• Announcement sent through list-serv on 3/22/17 outlining requirements to get qualified

• 1 person from every agency (at minimum) or anyone who will create GAS charts

• If you already met SSB qualifications, you do NOT need to receive GAS qualification

But, highly recommended you at least view this training as it is more comprehensive.

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GAS Training and Qualifications

• SCs (and other services who do not develop goals/objectives and monitor progress are NOT required to get qualified)

You may still take the training, but please do not submit a sample GAS chart!


SCs Role with GAS

• SCs received training in August (3 sessions were held) and again in October which outlined their responsibilities

MyODP: Training > Autism Training > Adult Autism Programs (AAW/ACAP) > Virtual Targeted Trainings > SC-SC Sup- Virtual Targeted Trainings > Supports Coordinators October 16 Training

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SCs Role with GAS

• Ensure goals/objectives are in correct format and linked to right services

• Enter QSRs into HCSIS in new GAS format


What Will Happen on July 1 with GAS

• GAS will get implemented for ALL participants

• More communication to come, but in general:

GAS chart should be ready to go at each participants next ARP. So, if participant’s PED is not until November 3rd, then GAS will not be implemented until then. But use the time to plan ahead!

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• Evaluate what was previously implemented to determine if/how it is appropriate to continue with that plan or develop a new plan.

• It is not expected to start with a clean slate, nor is it expected to simply replicate what was previously done.

• Just like BSS, SSB Plan Development is completed one time. Any additional revisions or new plans will be completed using Consult.

When Participant Changes Providers, what happens?


• BAS recommends that the quarters are completed. If the participant meets the goals/ objectives, the SBS could consider them to be in the “maintenance” stage.

This ensures that they have mastered the goal/ objective and are continuing to meet it, prior to ending it completely.

• Goals/objectives should be re-prioritized every year and changed as needed

Mastery of Skills

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Progress Monitoring

Progress Monitoring

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PRE

• The PRE is part of the assessment protocol and a new one should be completed within 90 days of the Plan Effective Date, just like any other assessment.

• If you submit a PRE and believe you made a mistake, email the Provider Support Mailbox FIRST!


PRE

• When answering questions, if it seems more than one answer seems appropriate (e.g. frequency and severity), consider the bigger picture for how it is impacting the participant’s life

• Do not administer WITH the participant or his/her family!

Information needed to complete it should be gathered BEFORE you complete the PRE

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DISCUSSION/WRAP-UP


How to ensure you have all the information to do your job as a provider

• Have you visited the ASERT website (www.paautism.org)?

– Did you create profiles for the participants you support?

– Did you sign up to receive the ASERT monthly newsletter?

– Do you follow ASERT on Facebook or twitter?

• Are you signed up on BAS list-servs (all providers and SC specific)?

– Are you receiving Admin Notices and Communications via the list-serv?

• Do you visit the online training platform (www.myodp.org) and save all pertinent documents and watch trainings? Do you participate in live training opportunities?

• Do you communicate with the Regional and Clinical Reps to ask questions and share participant concerns?

If you have questions on any of the above, please contact the Provider Support Mailbox ([email protected])

http://www.paautism.org/

http://www.myodp.org/

mailto:[email protected]

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www.MyODP.org

Scroll down on the home page to find How To Create an Account

Navigation Bar with Drop-down Menus

Chat, phone and email Help Desk options

Training Drop-down Menu

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>www.dpw.state.pa.us >www.dhs.pa.gov 55

to provide information and support to families

to facilitate connections between individuals, families, professionals, and providers throughout the Commonwealth

ASERT Statewide Resource Center

• Statewide Toll-free Number: Offering live assistance from ASERT’s Resource Center Specialists

• Website:

• ASERT Outreach Specialists Available to attend conferences,

support group meetings and community events to promote autism awareness and provide resources

http://www.paautism.org/

Documents

ASD Seminar 2017: Provider Workshop · 2017-07-18 · ASD Seminar 2017: Provider Workshop Recorded Version BAS Clinical Team Department of Human Services ... But, highly recommended