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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
