Introduction to
Proposed New
July 22, 2014
This is a work in progress.
Changes are happening based on field test and ongoing feedback.
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
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
Plan of Care / Billing System
Employment First Implementation Team
Medicaid Waiver Unit and Oregon Health
Authority
Licensing Unit
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)
Field Test
(May-July)
Training
(Nov.-Dec.)
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
Gathering 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)
Serious risks are identified and addressed
Maintain instructions for staff to support identified risks (e.g. protocols, BSP, safety plans, etc.)
Connects assessed needs to specific chosen services (such as ADL and IADL support needs)
Various goal implementation tools will be offered
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
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
What 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.”
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This Fall we will announce training schedule for November and December
OregonISP.org