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: castuart@vtdc.org
Dr. Susan Boser
E-mail: sboser@iup.edu
Susanna Giesey
E-mail: sgiesey@vtdc.org
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