Rehabilitation Services

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Rehabilitation Services

• Payment-for-Performance
• History and Overview

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Background

• SRS Mission
• To protect children and promote self-sufficiency
• Rehabilitation Services mission
• Working in partnership with Kansans with
  disabilities to achieve their goals for
  employment and independence.

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Background

• Rehabilitation Services
• Served about 15,000 persons
• Successful employment goal is 2075
• Approximately 30 of the budget spent on
  contracted placement services
• Success rate between 33 and 44

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Systemic Change

• Impact on the consumer
• Rehabilitation Services Administration review
• Need to meet Federal standards

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History

• 1998 Grants to Outcome-based funding
• 2003 Project With Industry (PWI) Grant to
  Payment-for-Performance (PfP)
• 2005 Supported Employment (SE) Grants to
  Payment-for-Performance

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History

• 2006 Focus Groups / Survey-Monkey
• 2007 PfP Workgroup/RSA Review/Focus Groups
• 2008 Continued Focus Group Meetings
• PfP Workgroup Reviews all information

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Heres What We Heard

• Service Descriptions not clear too general
• Expectations/responsibilities not clear
• Lack of statewide consistency
• Different fees
• Different expectations
• No consistent reporting/documentation
• Contractors not involved in IPE development

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Heres What We Heard

• Referrals not appropriate or ready for
  placement
• Supported Employment vs. Placement
• Difficult to determine Supported Employment
• Difficult to determine stabilization criteria
• Lack of successful outcomes
• RSA KRS spending too much money per person

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Review Clarify the Process

• RS PfP work group looked at the standard
  processes of the VR consumer
• Made systemic changes to meet consumer needs
  while addressing the Federal standards
• Collaboration with community partners

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Moving ForwardContracted Service Development

• Old service descriptions modified
• Better selection of individualized services
• More choices for placement activity
• Created a choice for job preparation service
• Created a choice for IL assessment service
• Accountability benchmarks built-in
• Better detail and expectations

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Assessment
Assisting and clarifying with the consumer an
employment goal and identifying action steps and
services needed to achieve the goal
Consumer and Counselor Develop the Individualized
Plan for Employment based upon all available
information to determine the level and intensity
of service needs.

• Vocational Assessment
• Independent Living Assessment
• Community-based Work Assessment
• Assistive Technology Assessment
• Rehabilitation Engineering Assessment

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Individualized Plan for Employment (IPE) Services
IPE Services provided as agreed, for example
Education, Skill or Job Related Training Services
Medical, Physical and/or Mental Restoration
Services
Rehabilitation and Assistive Technology Services

• Job Preparation
• Assistive Technology Services
• Rehabilitation Engineering Services

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Placement Services
Customized Placement
Guided Placement
Self Directed Placement
Action plan completed by team (Includes
consumer, counselor, contractor and other
identified participants)

• Guided Placement
• Customized Placement
• Job Coaching
• Community-based Job Tryout

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Accountability

• Designed to create shared accountability for
  outcomes
• Responsibilities are with consumer, contractor,
  and RS counselors/managers
• Clarifies expectations and roles of all partners
• Accountability benchmarks established
• Data will be disseminated quarterly
• Entire system will be reviewed annually

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Service Descriptions

• Detailed service descriptions are on the
  Rehabilitation Services Website
• Please review the detailed service descriptions
  before the next webinar http//www.srskansas.org/
  rehab/text/Contractor/Forms.htm

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• Payment-for-Performance
• Contracted Services
• Questions?
• Review the new service descriptions and email
  specific questions to Mike.Ahlers_at_srs.ks.gov by
  Tuesday, April 29, 2008.

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Next Steps

• Webinar on Service Descriptions
• May 1 - 1000 or 200
• Regional Trainings
• May 6 Topeka (NE Region)
• May 8 Manhattan (NE Region)
• May 13 Wichita (Wichita Region)
• May 14 Wichita (SC Region)
• May 20 Great Bend (West Region)
• May 28 29 Kansas City (KC Metro)
• June 11 Iola (SE Region)

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Next Steps

• Make-up Sessions (if needed)
• June 18 Topeka
• June 24 Garden City
• Transition period
• May through June 2008
• Implementation July 1, 2008

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• Remember to mark your calendar with the dates for
  the next webinar
• May 1, 2008
• 1000 AM
• or
• 200 PM