Roadmaps to Person Centered Practices

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Roadmaps to Person Centered Practices

• 3-Level PCP
• Self-Assessment

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Evaluation Team R Us
Several presentations of our ideas to others for
input
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Self-Assessment Results Used For Dialogue and
Support Planning
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Five Essentials of a PCP Self-Assessment
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Essential 1 Expert PCP Thinking Principles
John OBrien
Different Agency PCP Value Statements
Michael Smull
TASH
Work Group 5
SIS
IGs Assessment Tool
David Pitonyak
The Council
Tom Pomeranz
Individuals Supported
PCP Leadership Team
Work Group 6
Stephen Holburn
Dennis Reid
Beth Mount
Medicaid
AAMR
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Essential 2 Best From Existing PCP Assessments
The Councils 25 Individual Organizational
Outcomes
HOLBURNS QUALITY OF LIFE INDICATORS
KIPBS PCP Scoring Feedback Form
Valued Outcomes for Californians with MR
HOLBURNS PERSONAL FUTURES PLANNING INDICATORS
Supports for Community Living Outcomes
HOLBURNS INDICATORS OF PRINCIPLES SCALE
Ohio DMR/DD Framework PCP Section
SVTCS PDSA Rating Scales
SNAPSHOT OF PCP
PCP Characteristics Self-Rating Scale
Ensuring Opportunities for Choice
Smulls PCP Thinking Follow-up Scale
Reids Behavioral Outcomes (Happiness Index)
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Essential 3 Good Planning Steps
Smulls Steps
TQM/CSI

• Assess
• Plan
• Implement
• Evaluate
• Adjust

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Essential 4 Three Levels of Dialogue Support
Three Tiered Approach
Level 1 Surveys the individual to determine
their level of satisfaction
Level 2 Surveys employees to assess if the
organization is supporting person centered
practices
Level 3 Surveys organization to determine if
the system is supporting person
centered practices
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Essential 5 Using the Data
Self assessment--not report card
Snap shotFor Talking
Comparisons--not helpful
Dialogue gt numbers
Support --What can I do to support?
Research/Plan of Correction NO
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Five Essentials PCP Self-Assessment
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3-Level PCP Self-Assessment
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(No Transcript)
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PCP AT EACH LEVEL OF THE SYSTEM
"Getting Started"
"On the Way"
"Almost There"
"Good to Go"
SATISFYING, Level 3
DOING, Level 3
Level 3
PLANNING, Level 3
LISTENING, Level 3
SATISFYING, Level 2
DOING, Level 2
Level 2
PLANNING, Level 2
LISTENING, Level 2
SATISFYING, Level 1
DOING, Level 1
Level 1
PLANNING, Level 1
LISTENING, Level 1
1.0
3.0
6.0
9.0
12.0
RATINGS
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ALL LEVELS HOW WE'RE DOING AT PCP
"Getting Started"
"On the Way"
"Almost There"
"Good to Go"
SATISFY
3.2
DO
4.1
PLAN
4.9
7.8
LISTEN
1
3
6
9
12
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Essential 5 Using the Data
Research/Plan of Correction NO
Self assessment--not report card
Snap shotFor Talking
Comparisons--not helpful
Dialogue gt numbers
Support --What can I do to?
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VALIDITY?
Do Self-Assessment questions reflect
person-centered principles?
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Principles in Assessment Questions?
Principle 1
Principle 2
Principle 5
Principle 3
Principle 4
SELF-
KNOW
DIRECTION
COMMUNITY
TALENTS
PROVIDER
UNDERSTAND
INFORMED
RELATIONSHIPS
CONTRIBUTIONS
ACCOUNTABILITY
CHOICES
My Team
52
LEVEL 1
16
14
9
6
7
Supporting Me
Organization
Managers
40
8
10
8
5
9
LEVEL 2
Supporting
Teams
DMHMRSAS
39
13
6
0
0
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LEVEL 3
Supporting
Organizations
131
37
30
17
11
36
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RELIABILITY?
Inter-Rater Test-Retest Organization-Organization
DMHMRSAS-Organization
Input Please
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New DMHMRSAS demands we didnt have before
New PCP Consultant suggests new ideas
Staff taking data more seriously
Tough Medicaid survey-- Focus on Plan of
Correction
Lost three QMRPs
More staff overtime affects morale
Many new individuals servedgetting to know them
Changing how ID Teams work training staff
New Director with different ideas
New staff incentive program working
Opened nine new homes
Budget crisis affecting services
Big increase in Staff on workers comp
More restrictive rules for volunteers
A lot of staff turnoverRetirement/Hiring freeze
IG Office now asking about PCP
More non-verbal Medically fragile people to
support than last year
working out
People supported getting better at requesting
things
New company in area paying more for staff
Staff having to learn new electronic record system
Medical staff finally get serious about PCP
Last residential direction big on PCP New guy
isnt
Funds shifted to MH
New Day Support Manager real champion of PCP
Families of new clients much more vocal
Staff moral much better than last few years
Better staff ratios
Managers using data in less threatening ways
New Managers much more visible
Surveyors changed their audits to more PCP view
SOP changes reduce paperwork
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Im in BGNot my issue
Im a nurseNot my issue
Im a PT, not my issue
Why cant those QMRPs get it right?
Who cares as long as we pass Medicaid?
PCP will never work at here
Looks like a problem for our PCP Committee
What we need is more training
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Essential 5 Using the data
Tool for Dialogue
Listening at three levels
How do they see things?
Do we see things the same way?
How can I Support?
Getting to Yes
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Self-Assessment Results Used For Dialogue and
Support Planning
"Almost There"
"Good to Go"
Esc needs to sit in on more staffing
We need to reduce volunteer barriers
I need to sit in on PCP training
Check Why UR rated Level 2 differently
Talk to DMHMRSAS about their PCP plan
Dr. John OBrien, Director
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How Often? How Many Interviews?
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Not Sold in Any Stores
FREE Excel Program
FREE Self-Assessment Manual
FREE PowerPoint Training Program
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