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Strategies to Support Employment HCBS Conference
Wednesday, September 2
10-11:15 am
Georgetown West
WELCOME & THANK YOU! Don Langer, CEO UnitedHealthcare Community Plan of Texas
What is Project SEARCH J. Erin Riehle
Director of Disability Services and Project SEARCH
Cincinnati Children's Hospital Medical Center
Project|SEARCH
Em
plo
ym
en
t
What is Project SEARCH
4
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Program Philosophy
People with disabilities have the right
to choose a path toward education
and employment. However, while
freedom of choice is given, the right to
work is earned. Earning the right to
work is dependent upon preparation.
Stephen Simon, ADA Quarterly,
Fall 1998
5
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Transition to Work
Project SEARCH is a one-year, transition-to-
work program for young adults with intellectual
and developmental disabilities.
Goal of competitive employment
Total workplace immersion
Internship rotations for career exploration
and job skills acquisition
Customized job-search assistance
6
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Young Person With Disability
Education
Developmental Disabilities
Family
Other :
WIB, Union, Advocacy
Group , etc.
Supported Employment
Agency
Vocational Rehabilitation
Project SEARCH Partners
7
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Young Person With Disability
Education
Developmental Disabilities
Family
Other :
WIB, Union, Advocacy
Group , etc.
Supported Employment
Agency
Vocational Rehabilitation
8
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Business Role
• Business
liaison
• Internships
• Classroom
9
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
August June
1st Internship
10 weeks Graduate &
Begin Work at
Host Site or
in Community
2nd Internship
10 weeks
3rd Internship
10 weeks
3 week
Orientation
Transition
Week Transition
Week
Begin PS
Program
Annual Calendar
10
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Working Together
Interns
Individual
Internship
sites
Instructor
Job Coach
Instructor
Job Coach
Business Liaison
11
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Internship Progression
Retrieve and clean stretchers
Maintain
Changing
Area
Check
oxygen
tanks
Maintain
waiting
area
Deliver
contrast
Transport
patients Transporter
All tasks during
induction and
probation Transporter
First
internship
Second
Internship
Third
Internship
12
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Employment Outcomes
Class of 2013 – 2014:
• International Outcome average – 73%
• Increase of four points from last year
• Over 150 programs recognized for 60-100%
employment
13
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Outcomes
• Nearly 400 current programs in 45 states,
Canada, England, Ireland and Scotland.
• Working with Holland, Israel, India and South
Korea.
• 92% of sites entered data into the database.
• 33% were employed by the host site, 67%
were employed outside of the host site.
• Average hourly wage was $9.13.
• Average hours worked per week were 25.39.
14
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Industry Sectors
• Healthcare (NIH, Kaiser, Cleveland Clinic, VA)
• Finance and Insurance (UHC, 5/3, PayPal)
• Universities (U of Maryland, Kansas State, OSU)
• Government (DOI, Montgomery County Maryland)
• Manufacturing (Medtronic, GSK, Atlas Copco, Shaw)
• Distribution Centers (Core-Mark, Walmart, DSW)
• Zoos, Parks and Museums (Smithsonian, Zoo Miami)
• Retail (Wegmans, River Valley Mall)
• Hospitality (Embassy Suites, Sofitel, Marriott Europe)
• Military (McConnell Air Force Base)
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Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Unique Partnership with UHC
• First time PS has partnered with a group that
exists to design, improve and sustain systems
delivering home and community based services
for people with disabilities.
• Multiple tiers of engagement.
• Concerned with social determinants of health.
• Creative leaders who are not necessarily
“disability experts” – bring a fresh perspective.
• Flexible and non-traditional in delivery of
services.
16 16
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
UnitedHealthcare Community Plan of Texas Project SEARCH Host Angela Trahan
Texas Chief Operating Officer
The Beginning
• Texas added Employment Benefits- Supported Employment, Employment
Assistance to LTSS Medicaid
• Health plan engaged national team for assistance in implementing
• Research identified Project SEARCH as a best practice
• Toured existing site – Seton hospital in Austin, Texas
• Project SEARCH was expanding and had grant program for start up
• UnitedHealthcare Community Plan explored, committed to program, built
relationship with Fort Bend Independent School District
• Two organizations were awarded grant, UnitedHealthcare funded second
year of certification
• We continue to work with other markets and health plans to expand our
support of Project SEARCH
Recognition of the multiple factors (including employment) impacting
health, quality of life and wellness – Expanding definition QUALITY
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Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
The Opportunity
Medicaid Evolution Aligns with Project SEARCH Opportunities
New Medicaid Managed Care
Populations
Individuals with Intellectual and
Developmental Disabilities (I/DD)
Individuals with Serious Mental
Illness (SMI)
Children with Special Healthcare
Needs
Homeless
Emerging Benefits and Services:
Housing
Employment
Caregiver assistance
Educational planning
Emerging Community Partners:
Housing placement and supports
Employment Agencies/Providers
School Districts
Project SEARCH OPPORTUNITY
Young Adults with
Disabilities – ID/DD
Person Centered
Immersion for staff and
members
Promotes Independence
through Employment
Commitment to
Population
National Award Winning
and effective Project
Search
Local School Districts
DARS/DADS agencies
New provider types –
Voc Rehab/ SELN/ EN
Creative Community
Partnerships
States and advocates
support the program
Market Differentiation
Build relationships with
potential members and
families
New community partners
Multiple ways to support
Project SEARCH
Growth & Retention
10-12 students with
disabilities immersed in
plan annually
Active partnerships –
Schools/agencies/providers
/parents/plan
Health plan and other
Business Segments
Cultural Change
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The Options
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Fort Bend Independent School District Leah Davis
Project SEARCH Teacher
Fort Bend ISD Special Education
Our Mission
“Fort Bend ISD exists to inspire and
equip all students to pursue futures
beyond what they can imagine.”
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Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Building Partnerships
Fort Bend Independent
School District
Voc Rehab Services
UnitedHealthcare Community Plan
Project SEARCH
• Evaluated our
existing programs
• Found Project
SEARCH filled a
gap
• School District was
immediately on
board with this
approach
• Worked quickly with
partners to develop
and launch
23
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Why We Were Excited
• Nothing like this in our district or even in the Houston area
• Gives our students increased support system and opportunities
to prepare for employment
• Gives FBISD the opportunity to strengthen our relationships with
other partners who had the same goal for our interns as we do:
• local business
• long-term support agencies
• VR services
• UnitedHealthcare
• Additional national relationships through UnitedHealthcare
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Ensuring Success
• Building Parental Trust
• Concerns about training outside of the traditional school setting
and questions about why UnitedHealthcare would “do this for
our students.”
• Many information parent nights at UnitedHealthcare to help the
interns and parents become more familiar with the team, Project
SEARCH, and where their interns would be going each day.
• Addressing Transportation
• Technically eligible for free public school bus transportation.
• Yet ride public transportation or scheduling transportation is
essential in their future success finding and retaining a job.
• We assisted program participants in coordinating public
transportation and providing transportation training. We also
provided resources and information regarding available
transportation options to parents and families.
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Captain of the Ship
“Parents are the captain of the educational ship”
However, in this program they have trusted their
children to become the captain of their own ship by
accepting the challenge of gaining skills to become
an independent young adult.
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2014-2015 Project SEARCH Interns
Questions?
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