ADDRESSING CURRENT
THREATS TO
PRE-VOCATIONAL SERVICES
BY MEASURING VALUE
Dr. Susan Boser
Indiana University of Pennsylvania
Colleen Stuart, CEO and
Susanna Giesey, Compliance/Quality Director
Venango Training and Development Center, Inc.
AGENDA
• Review current policy actions affecting pre-vocational
•
•
•
•
•
•
services.
Identify statistical trends in Home and CommunityBased Services.
Summarize service strategies in PA an other states
Analyze the Strengths, Weaknesses, Opportunities
and Threats of Pre-Vocational services in PA
Identify other SWOTs (Programmatic, Economic, and
Public)
Define Program Evaluation in Human Services
Present a proposal to evaluate Pre-Vocational
services in PA.
FUNDING, RIGHTS, & UNEMPLOYMENT:
ENVIRONMENTAL FORCES FOR
SYSTEMS CHANGE
Rising
Medicaid
Costs
Eliminate
Sub-minimum
Wage
High
Unemployment
for PWD
SYSTEMS CHANGES THREATEN THE
FUTURE OF PRE-VOCATIONAL SERVICES
ADA
OLMSTEAD
DECISION
& RHODE ISLAND
SETTLEMENT8
UNEMPLOYMENT
FLSA14
REHAB ACT OF
197315
AND WIOA16
EXECUTIVE
ORDERS
1354817
1365818
CMS FINAL RULE
FOR HCBS19, 20
MANAGED CARE21
HCBS WAIVER COSTS EXCEED STATE
INSTITUTIONS22
U.S. DATA TRENDS SHOW INCREASING
PARTICIPATION IN DAY PROGRAMS23
100%
21
90%
74
110
113
119
116
130
117
117
110
111
201
262
293
328
345
1994
2002
2006
2009
2011
80%
70%
128
Supported
Employment/
Follow-along
Sheltered
Workshops
60%
50%
40%
30%
20%
107
10%
0%
1988
Numbers are rounded to the nearest thousand.
Day
Programs
PA’S PLANS FOR THE FUTURE
• PA’s Transition Plan for HCBS Waivers
• WIOA
• ODP Futures Planning
• OVR’s State Plan
• Healthy PA
PROVIDER PERSPECTIVE – How Do
Providers Need To Look at the Future?
LET’S DO A “SWOT” ANALYSIS
STRENGTHS
• Currently approximately 10,000 Individuals
with Intellectual Disabilities are Choosing
Pre-Vocational Services in PA.
• Pre-Vocational Providers in PA adapt to the
needs of those we serve.
• Providers have developed “Quality
Management Plans”, following ODP
Guidelines, to insure quality.
• PA Bureau of Human Service Licensing
holds us to a high standard of operations.
SWOT
STRENGTHS cont.
• Programs Provide real work opportunities for
persons with significant disabilities.
• Providers are linked to a strong employer base
that depends upon our workforce.
• Our non-profit agencies provide thousands of
jobs, which makes us an integral part of the
economic infrastructure in our local communities
• There is a strong provider network through the
Vocational Division of RCPA
SWOT
WEAKNESSES
• No consistent data measurement tool to
track pre-vocational outcomes.
• Providers are using different
“benchmarks” for outcomes.
• Not all providers have staff trained in
data collection.
• Many Providers are short staffed with
high turnover.
SWOT
WEAKNESSES cont.
• Pre-Vocational Providers in PA have
done a poor job of marketing our
program successes.
• Providers don’t have strong, family
advocacy systems in place.
• Pre-Vocational Providers have differing
levels of access to subcontract work
SWOT
OPPORTUNITIES
• Access to the IUP Leadership Professors
and the PA University system
• Strong knowledgeable Pre-Vocational
Provider membership vested in the project
can provide valuable input.
• Development and implementation of an
“Outcome Measurement Tool” that can be
replicated state wide.
• Additional training in Quality Management
and Program Evaluation that will enhance
ODP requirements
SWOT
OPPORTUNITIES cont.
• Opportunity to establish additional
partnerships that will enhance project
outcomes
• Data will reveal the importance of PreVocational Sheltered Programs
• Project will strengthen the quality and
consistency of pre-vocational service
provision in PA.
SWOT
THREATS
• Ability to access sufficient funding to support
the initiative
• CMS Waiver Final Ruling segregation language
and community/family interpretation
• Workforce Innovation & Opportunity Act “Work
First” interpretation
• Ability of all Pre-Vocational Providers in the
State to participate (i.e.- staffing capacity and
competency)
SWOT
THREATS cont.
• ODP’s quality management priorities only
measure competitive employment as
success.
• L&I proposed legislation, HB 831, which
removes subminimum wage certificates
SWOT
OTHERS?
• PROGRAMMATIC
• PUBLIC
• ECONOMIC
PROGRAM EVALUATION
AND PRE-VOCATIONAL
SERVICES
Dr. Susan Boser
Indiana University of Pennsylvania
PROGRAM EVALUATION IN HUMAN
SERVICES
• What program evaluation is — and what it
isn’t
• Defining “outcomes” data
• Challenges with collecting outcomes data in
nonprofit human services
• Special challenges in collecting outcomes
data for pre-vocational services
PROPOSAL:
Create a standardized assessment & data tracking
tool by:
1. Research
• Inventory existing tools & create a matrix
• Literature search
• Exploratory qualitative research with key
groups
2. Collaborative review of findings, decision about
tool’s structure and design.
PROPOSAL:
Create a standardized assessment & data
tracking tool by:
3. Test & refine the tool
• Review by focus groups
• Pilot test
• Analyze and refine
4. Implementation
• Training and administration
• Integrated data management system
• Reporting mechanisms
QUESTIONS:
• Who must participate in the focus groups?
• What challenges do you foresee in
implementing a standardized outcome
assessment tool?
• What potential uses do you see for a
standardized outcome assessment tool?
• Any fears or concerns?
IUP/RCPA
PRE-VOCATIONAL EVALUATION
AND RESEARCH PROJECT
CONTACT INFORMATION:
Colleen Stuart
E-mail: [email protected]
Dr. Susan Boser
E-mail: [email protected]
Susanna Giesey
E-mail: [email protected]
SOURCES
1Benjamin Franklin image from
Hulton Archive/Getty (n.d.). [online image]. Retrieved August 4, 2014 from
http://www.thedailybeast.com/articles/2013/04/14/benjamin-franklin-america-s-first-stormchaser.html
2Sandlin, Leo.
(April 13, 2013). “Benjamin Franklin, America’s First Storm Chaser”. Retrieved August 4,
2014 from http://www.thedailybeast.com/articles/2013/04/14/benjamin-franklin-america-s-firststorm-chaser.html
3ACCSES.
(n.d.) ACCSES Public Policy Principles and Issues for 2013. Retrieved July 22, 2014 from
http://www.accses.org/CMS/Resources/dropbox/accses2013publicpolicyprinciplesandissues.pdf
4ACCSES.
(n.d.) ACCSES Public Policy Principles and Issues for 2014. Retrieved July 22, 2014 from
http://www.accses.org/CMS/Resources/dropbox/accses2014publicpolicyprinciplesandissues.pdf
5Special Olympics Press Room.,
(February 17, 2014). “Unemployment of People with Intellectual
Disabilities More than Twice as High as General Population”. Retrieved on May 1, 2014 from
http://www.specialolympics.org/Press/2014/Special_Olympics_Unemployment_Survey.aspx
6National Disability Institute News.
(July 22, 2014). “NDI report finds adults with disabilities continue to be
economically shortchanged despite ADA’s guarantee.” Retrieved on August 4, 2014 from
http://www.realeconomicimpact.org/News.aspx?id=427
SOURCES
7U.S.
Department of Justice logo. (n.d.). [Online image]. Retrieved on July 29, 2014 from
http://blawg.law.sc.edu/wp-content/uploads/2012/09/department-of-justice-logo.gif
8U.S. Department of
Labor logo. (n.d.). [Online image]. Retrieved on July 29, 2014 from
http://www.wagehourblog.com/files/2014/04/DOL1.png
9The White House logo.
(n.d.). [Online image]. Retrieved on July 29, 2014 from
http://upload.wikimedia.org/wikipedia/commons/5/5e/US-WhiteHouse-Logo.svg
10The Centers for
Medicare and Medicaid Services. (n.d.). Retrieved on July 29, 2014 from
http://radiationtherapynews.com/wp-content/uploads/2014/07/Centers-for-Medicare-MedicaidServices.jpg
11 “Employment First State Leadership Mentoring Program Community of
Practice Evaluation: Notice.”
Federal Register 79:131 (9 July 2014) p. 38960-38961. Retrieved July 21, 2014 from
https://www.federalregister.gov/articles/2014/07/09/2014-16057/agency-information-collectionactivities-submission-for-omb-review-comment-request-employment-first
12Harkin, T.
(2012). “Unfinished Business: Making employment of people with disabilities a national
priority”. United States Senate Committee on Health, Education, Labor and Pensions. Retrieved on
August 8, 2014 from http://www.harkin.senate.gov/documents/pdf/500469b49b364.pdf.
13Barry,
D. (April 8, 2014). "Rhode Island settles case on jobs for the disabled". In www.nytimes.com.
Retrieved on July 11, 2014 from http://www.nytimes.com/2014/04/09/us/developmentally-disabledget-more-workplace-protections.html?_r=0
SOURCES
14H.R. 831--113th Congress:
Fair Wages for Workers with Disabilities Act of 2013. (2013). In www.GovTrack.us.
Retrieved July 22, 2014, from http://www.govtrack.us/congress/bills/113/hr831
15“Affirmative Action
and Nondiscrimination Obligations of Contractors and Subcontractors Regarding
Individuals With Disabilities; Final Rule." Federal Register 78:185 (24 September 2014) p. 58682-58752.
Retrieved July 23, 2014 from https://www.federalregister.gov/articles/2013/09/24/201321228/affirmative-action-and-nondiscrimination-obligations-of-contractors-and-subcontractorsregarding
16H.R. 803--113th Congress: Workforce
Innovation and Opportunity Act. (2013). In www.GovTrack.us.
Retrieved July 23, 2014, from http://www.govtrack.us/congress/bills/113/hr803
17Increasing Federal Employment of
Individuals With Disabilities, Executive Order 13548." Federal Register
75:146. (30 July 2010) p. 45039-45041. Retrieved August 6, 2014 from
http://wwaw.gpo.gov/fdsys/pkg/FR-2010-07-30/pdf/2010-18988.pdf.
18"Establishing a Minimum Wage for Contractors,
Executive Order 13658." Federal Register 79:34
(20 February 2014) p. 9851-9854. Retrieved July 22, 2014 from http://www.gpo.gov/fdsys/pkg/FR2014-02-20/pdf/2014-03805.pdf.
19“Medicaid Program; State Plan Home and Community-Based Services, 5-Year Period for Waivers,
Provider
Payment Reassignment, and Home and Community-Based Setting Requirements for Community First
Choice and Home and Community-Based Services Waivers; Final Rule”., Federal Register 79:11
(16 January 2014) p. 2948-3039. Retrieved January 24, 2014 from http://www.gpo.gov/fdsys/pkg/FR2014-01-16/pdf/2014-00487.pdf.
SOURCES
20Center for
Medicaid Services. CMS Bulletin, September 16, 2011. “Updates to the 1915 (c) Waiver
Instructions and Technical Guide regarding employment and employment related services.” Retrieved
July 23, 2014 from http://downloads.cms.gov/cmsgov/archiveddownloads/CMCSBulletins/downloads/CIB-9-16-11.pdf
21National Disability Institute Lead Center.
(2014). “Medicaid Managed Care and Its Implications on
Employment Services”. Retrieved July 21, 2014from Lead Center
https://www.leadcenter.org/webinars/medicaid-managed-care-and-its-implications-employmentservices.
22Braddock. D.,
e.a. (February 27, 2013). “Intellectual and developmental disabilities services in the U.S.:
2013”. Coleman Institute for Cognitive Disabilities and the University of Colorado. Retrieved on August
5, 2014 from
www.stateofthestates.org/imagtes/documents/2013_02_27AAIDDSOSWebinar_rfinal.pdf.
23Braddock. D.,
e. a. (2013). The State of the States in Developmental Disabilities 2013. Coleman Institute for
Cognitive Disabilities and University of Colorado.
24 Braddock.
D., Challenges in developmental disabilities. State of the states, state of the nation, 2011. The Arc
of the United States 60th Annual Convention, Denver, CO, September 17, 2011..
25Rehabilitation Community Providers Association.
2014.
(2014). Personal Communication. Harrisburg, PA: May 2,
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