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Introduction to Proposed New
July 22, 2014
This is a work in progress.
Changes are happening based on field test and ongoing feedback.
Why one ISP? Oregon currently has 11 different ISP
models used in various service settings Consistency for people supported and
family members Assist in transitions across service
settings Improved quality of plans
Advisory Group Made up of stakeholders representing
the array of service settings Reviewed each existing ISP in Oregon as
well as ISPs from other states Responded to drafts developed by
smaller work groups
Partners in conversation Plan of Care / Billing System Employment First Implementation Team Medicaid Waiver Unit and Oregon Health
Authority Licensing Unit
Where are we now? Started a field test in May We will continue to learn from what
works and what needs improvement Statewide roll-out is anticipated by
January 1 to coincide with implementation of new OARs
Trial(March-April)
Changes(Aug.-Oct.)
Implementation(Jan. 2015)
The Plan Captures what’s important TO and FOR
the person from various perspectives
Gather information from the person supported and others who know and care about the person
For Field TestGathering Person Centered Info
Our goals are to: Avoid duplicate or redundant
information Give opportunity to those closest to the
person to directly contribute vital information
Build on existing person centered planning tools and plans (e.g. ELP, ELISP, PFW, Customer Goal Survey)
The Plan Serious risks are identified and
addressed
Maintain instructions for staff to support identified risks (e.g. protocols, BSP, safety plans, etc.)
The Plan Connects assessed needs to specific
chosen services (such as ADL and IADL support needs)
Various goal implementation
tools will be offered
How the plan is developed The person invites people they want to assist
them with planning We are using the field test to identify
workflow methods that help teams develop ISPs effectively and efficiently
Coordinated with the Needs Assessment meeting
Highlights of LearningWhat Works Loved the One Page Profile &
Relationships page Flexibility is apparent; discussion topics,
goals, risk management strategies, gathering information
Person’s preferences are clear throughout the plan
CMS reviewed a draft and said we we’re on the right track
Feedback
from Trial
Participants
Highlights of LearningWhat needs more conversation Asking the right questions when
gathering person centered information.
How to best support the person’s choice of who plans with them “I don’t want my provider present.” “I don’t want you to talk about the serious
risks in my life.”
Feedback
from Trial
Participants
What’s next? Visit OregonISP.org
Latest news Sign up for email newsletter updates Share feedback
This Fall we will announce training schedule for November and December
Thank you!
OregonISP.org