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Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
C:\Users\OR0212610\Desktop\Meeting Notes 3-2-16 EO Policy Group.docx 1
Total time: 2:00
Minutes taken by: Cassy McCartney Facilitated by: Lilia Teninty/Trina Lee/Acacia McGuire
Discussion:
No changes to last month’s meeting notes
Maximizing Hours – Acacia/Brean There is a settlement requirement that requires this policy and encouraging people to maximize
their hours, but this is a choice for each individual. This will involve all agencies, job
developers and coaches. There will be one high level transmittal but there will also be a policy
Agenda Document Time Owner Discussion/Decision
X Review Agenda 2 Lilia/Trina Discussion
X Review last month’s meeting minutes
Copy of last month’s notes
2 Trina/Acacia Discussion
X Maximizing Hours
Policy review and
discussion on
implementation, training
and next steps
Guidance document
30 Acacia
Discussion
X Data Report January 2016
Copy of Report and EOS
30 Andre Discussion
Break 10
X QA/QI Plan Proposed changes
Power Point 30 Brean
Discussion
X Data New provider capacity graphs and settlement agreement information
Excel spreadsheet “Settlement Reduction“
15 Acacia
Discussion
X Next meeting agenda items/wrap up
5 All
Discussion
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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so the field can really understand what we are asking of them. This is the first component of
this, it is the first time it has been shared publicly. There will be an online worker manual.
Brean added that she used the language from the ODDS rule already in place. You can also see
that it requires a goal or discussion. So the idea is to layout when the goal and discussion are
supposed to happen. Bill asked about the documentation in the progress notes, but it already
happens in the CDP. Acacia is glad to hear him say that, because that’s not what she is hearing
from the field. So there is talk about adjusting the language in the CDP and individual section.
Bill agrees with this. Ross is wondering what happens if you’ve already had your ISP but
afterwards you decide you want to work more hours. Acacia encouraged Ross to talk to his
PA/SC at any time, this should be a live document, and we may need to add language around
this. This conversation can happen at any time.
Sydney asked if the documentation of the conversation for the benefits counseling section
should be added or not. Acacia would like to think about this more, Allison has been talking to
folks about this so she may have more information. Sydney believes this is important and would
like to have it documented. Ann added that the Action Request VR is planning includes this and
the options for choice. Danielle asked that if the two documents are linked, they need to stay
together. Acacia would really like to do this. Trina added with the new regulations that all the
staff go through training, and document those trainings are occurring. So at the next meeting
VR should have more information on this. Sarah Jane asked on GoTo if we are billing for
encounters other than when it happens in the ISP, if it needs to be documented. Acacia clarified
yes, it needs to be documented and language needs to be added somehow.
Cynthia asked about the joint transmittals, will everyone be able to see both of them. Yes, that
is the plan. Angela has also been doing a lot of work around communication so there will be a
lot of information that will go out about this. VR and ODDS will be doing training around this
also, between April and June and implementation will be late June. It will be released earlier
than that, so people understand it, but live at the end of the June.
Ross would like to know why this needs to be documented, if you talk to your boss or
coworker, why does it need to be documented? Acacia clarified that it needs to be documented
for the PA and SC’s, not necessarily the individual.
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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Trina would like the group to review this a little more and bring back any ideas or suggestions
to next month’s meeting. Nothing needs to be decided today, just need to start the conversation.
Data Report – Andre This is the final version of this report, a draft version was shared last month, and this is also
posted on the Employment First website as well. Andre will focus on the things that have been
added so there isn’t a lot of duplication from last month.
Page 9 – eXPRS billing, chart 5, DSA community and facility has been added. Chart 6 has also
been added, these are all the hours that have been billed for day services. The only problem here
was attendant care, because it can be billed at home, it is not included in this graph. Discovery
is also excluded because it is an outcome based payment and no way to track how many hours
in the field were needed to complete. But may be able to include in the future. Sydney asked if
there was a way to see the change, Andre didn’t add it to this report, but there was a 5%
increase from the previous year in time spent in an integrated setting.
Page 10 – Complaints and Grievances numbers have been updated.
Page 12 - Appendix A was updated on how it was broken out, by transition student and
sheltered worker.
Tim Rocak asked how long we have been billing in these categories. Andre - September 2015.
Page 13 – Chart 5 has been updated with newer numbers.
Page 15 – Appendix C, added the vendor outcomes for VR, this is also a settlement number
required.
Seth asked about chart 5 with the month to month comparison, it looks like the small group
supported employment numbers are shrinking, do we know why? This was discussed last
month, ODDS created a minimum wage requirement for small group employment beginning
July 2015, therefore it shows a drop because those providers had to either raise the wage to
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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minimum or bill under employment path community. Andre remembers there being about a
50/50 split of the providers who were already paying minimum wage.
Andre also had a table in the appendix with clients receiving supports for integrated
employment by county. There are some issues with the data, especially Sherman and Hood
River were under counted in those numbers, and so once he gets a decent enough methodology,
he will publish those numbers, but didn’t feel like it was ready yet.
Tim Rocak did a quick add of people in service, and there seems to be a drop in numbers in
total people in services. Andre talked about the unique count, so if people are accessing multiple
services, all of those numbers would need to be unduplicated, so the only reason would be that
people are receiving less duplicated services. Andre could clarify in the next report the
difference between distinct and unique. Seth would like to know if it’s possible to see the final
count of all individuals. Acacia would like to bring this back to the next meeting.
Ross asked about the areas where the workshops have closed and what is happening with that
population. Andre included those individuals in this report. Acacia talked about the report that
was talked about at the last meeting, but with this report, it just didn’t get done, it is something
that will get done.
Sydney asked if in that data collecting, is it able to tell us who is in process with VR for the
table in appendix B. Andre added this to a previous report, so it is possible. Sydney would like
to see the count of people moving, so if there are 5 people moving, how many of those are
moving to VR. Cynthia would like to create an ongoing report, so we can start to track it. Liz
asked if Andre has access to people to see who has applied vs who is in plan, yes he does and
will probably add anyone who has applied for VR. Trina talked about page 10, chart 7 that
shows similar information.
Acacia would like this type of feedback, but if we want to make changes to this report
specifically we should make sure they are ongoing items that we will want to track. Heather
agrees that if we add too many graphs, we won’t be able to track them very well. We also need
to make the graphs bigger. Acacia would like to bring some of this data back to the next
meeting, if we decided it is important enough to track regularly then we can decide to add it to
the report.
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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EOS – Andre Andre shared this website on GoTo Meeting and projected in the meeting. This will be a new
website, what is being shown is a developer website, it is not finalyet. The purpose of this data
is to allow the end user to choose which provider they would like to use. Andre went through
how to select the different counties or provider.
Seth would like to know how 126% is possible. Andre clarified that this is still in developer
mode, so this will not be the live set of numbers.
Acacia added that she wanted to show this to see the new formatting and search functions, if
there is any feedback from this group, to let them know.
Andre also went over the Providers page and how to look at providers specifically. Mitch
suggested adding the alphabet at the bottom instead of page numbers.
Acacia talked about the information included from the last EOS, so this is more comprehensive.
Laurie thinks it looks really great, doesn’t even mind the color scheme. Andre wants to add
more color. Laurie is willing to help figure out the schemes.
QA/QI Plan – Brean
This group doesn’t need to approve anything, but to focus on feedback. Brean went over a
power point that was displayed on GoTo and projected in the room.
Trina would like to add that this includes something more data driven in the Quality of
Providers Strategies, rather than subjective outcomes.
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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Brean got feedback that it wouldn’t be fair to hold the providers to the same benchmarks, and
that the data wouldn’t be accurate . So this plan will change to report on provider outcomes, but
not hold them to the same benchmarks..
The employment specialist mentoring strategy is in the T&TA plan, so it will live there and not
in this plan.
Acacia talked about the tracking local complaints strategy. If a compliant gets a resolution and
the individual is unhappy with that resolution, then they can file a complaint with ODDS. These
state level complaints are what we track in the Employment First report.. Tracking local
complaints is larger than just an employment issue, and is a need across all services. It may not
live in this report in the end, but it does need to be tracked somewhere. In the meantime, there
are the ODDS QA field staff who check to make sure the logs are present.,. Sydney asked who
is developing the measures, like with the HCBS settings for example. Brean would take this to
the workstream where brainstorming would take place, the measurements are developed there
and then the data specialist would pull that data. Sydney asked if providers could be included in
that workstream. Acacia talked about all the information has come to this group, and wanted to
clarify if the ask is to have any changes to this group. Sydney would like to make sure there is
enough input on the measurements. The HCBS measurements are not complete yet and could
come back to this group, but that information also goes to a HCBS stakeholder group.
Sydney was in a meeting for the behavioral rule, maybe there is a way to bring those things
together with the quality of training strategies.
The 2015 QA report can also be viewed on the Employment First website, if there are any
suggestions or more feedback, you can email [email protected]
Data – Acacia
What this is trying to show is what each provider needs to do to meet the settlement
requirements. The regional employment specialists are going to each county and starting this
process with everyone. Cynthia asked about the counties that have 0 when they should have
some people, Acacia isn’t sure why, they will look at Columbia, but there are a lot of counties
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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that don’t have any sheltered workshops. There are also counties, like Harney County, that
didn’t have a sheltered workshop in that month, or they may not have billed for services during
that month. Trina added this would also be good data to compare to individuals that have gone
to VR. Danielle asked if the idea was to bring this back monthly to this group. Acacia is willing
to do this, there are also a lot of other stakeholder groups that have seen this data. There won’t
be different data every month, but can bring it back once there is new data.
Tim likes what this data is doing and agrees this is the right thing to do, this is a good way to
take a large problem and make it manageable. But looking at Benton County, if 35 people left
the sheltered workshops, and don’t continue services, does that meet the settlement
requirement. Acacia talked about the two levels of settlement requirements. One are the overall
reduction and to reduce the number of hours. The other requirement are to have a certain
number of individuals who are leaving a sheltered workshop and going into competitive
integrated employment. Tim likes this format if it included showing where people were coming
out and what 5 data points of where those people are going. He isn’t asking to change the data
report, but to simplify it into a format like this. Acacia also agrees that the data report are things
that we absolutely need to continue to report on, but we are at the individual level now, and
need to see where people are going. Seth agrees with this, it will be hard to track this kind of
diversity, but really wanting to get to that point. Andre has thought about how to track this, and
it will be very hard to know where people are going. The only way to really see it is to see
where billing went up, but went down in other areas. Seth agrees with this, but would still like
to see the total number of individuals, not necessarily in the data report, just in general.
Michelle agrees that this how we can track the meaningful life and that it’s still happening,
understanding that it’s complicated but important to track.
Acacia would like to continue working on this. There are interviews scheduled next week for
the ODDS data specialist, that person will be designated to work on specific things like this.
VR Council Annual Report – Trina
Trina shared with the group and passed these out to everyone in the room. This report has the
mission and goals for the next biennium. This also includes data towards the end of the report.
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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Next meeting agenda items/wrap up – Acacia
Acacia asked for feedback from the group, did this meeting go as they would have liked, the
policy was shared here if that how it should
Cynthia really likes to know this stuff and likes to see it here
Roberta agrees this is a great opportunity for different stakeholders to look at this and all be on
the same page.
Bill agrees this is the best place to look at this stuff.
Ann would like to talk about the ODDS/VR MOU next month. Ross would also like to have an
update on transportation. Acacia has gathered more information on transportation and can bring
an update next month.
Next month topics:
VR Maximizing hour’s policy/communication plan
Data Update: unique count/other data update
SW update
Transportation update
Membership:
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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G Seth Johnson
Opportunity Foundation of Central Oregon –
Service Provider
G Sarah Jane Owens
Association of Oregon Community
Mental Health Programs - Counties
X Cynthia Owens
Oregon Council on Developmental
Disabilities – Advocacy
Paul Partridge
Yamhill County Developmental
Disability Program - Counties
Chris Burnett
Oregon Rehabilitation Association (ORA) –
Providers
X Bill Uhlman
Eastern Oregon Support Services
Brokerage – Support Services
G Heather Hopkins - Slechta
Full Access Brokerage High Desert –
Support Services Brokerages
Michelle Markle
Portland Public Schools - Education
Senator Sara Gelser
Oregon Senate – Legislature
X Trina Lee
DHS – Vocational Rehabilitation
G Morgan Rincon
Oregon Commission for the Blind –
Vocational Rehabilitation
X Liz Fox
Oregon State Rehabilitation Council –
Vocational Rehabilitation
X Ross Ryan
Oregon Self Advocacy Coalition – Self
Advocates
G Laurie Kash
Rainer School District – Education
X Jaime Daignault
Oregon Council on Developmental
Disabilities – Advocacy
Jessica Leitner
Edwards Center – Providers
Marcia Ingledue
The ARC Oregon – Advocacy Organization
– Self Advocacy
X Sydney Shook
Families Connected – Families
Sarah Drinkwater
Department of Education – Education
G Roberta Dunn
Family and Community Together –
Family Members
X Lilia Teninty
DHS – Office of Developmental Disabilities
(ODDS)
Senator Lee Beyer
Oregon Senate – Legislature
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
C:\Users\OR0212610\Desktop\Meeting Notes 3-2-16 EO Policy Group.docx 10
Future Agenda Items Owner Discussion/Decision
Communication Plan – Phase 2 Angela Yeager
Discussion
Transformation Grants Next steps regarding communication
All Discussion
HCBS QA Info Acacia Discussion ODDS/VR MOU VR Discussion Update on maximizing hours Acacia Discussion Update on SW Forum Acacia Discussion Update on ODDS rule Acacia Discussion Capacity
Sheltered Workshops All Discussion (April)
Jordan Ohlde
Oregon Self Advocacy Coalition – Self
Advocate
X Justin Connolly
Oregon Self Advocacy Coalition – Self
Advocate
Jordana Barclay
Oregon Workforce Partnership – Workforce
Invited Guests
Robert Costello - VR Julie Sobel – ORA
X Angela Yeager – Employment First X Ann Balzell - VR
X Andre Harboe – Employment First X Danielle Vander Linden - ORA
Tim Acker – Employment First Julie Huber - ODDS
X Corissa Neufeldt – Employment First X Mitch Kruska - ODE
Allison Enriquez - ODDS X Brean Arnold – Employment First
X Ryley Newport - OCDD X Tim Rocack – Garten
X Acacia McGuire Anderson - ODDS Howard Fulk – ODDS Employment
Specialist
X Heather Lindsey - ODE G Gordon Magella – DRO
G Stephanie Roncal - ODDS Corey Jeppersen - ORA
Erica Drake – ODDS Employment Specialist P Bob Joondeph - DRO
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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Future Agenda Items Owner Discussion/Decision
Communication Plan – Phase 2 Angela Yeager
Discussion
Transformation Grants Next steps regarding communication
All Discussion
Budget
Specifically the 8 million dollar
innovation fund
Lilia/Acacia/ Trina
Discussion
VR Data
To show the several different
disabilities that are being tracked
compared to individuals with I/DD and
what those trends are, specifically to
areas of the state where there isn’t any
access to employment services. (Bill
Uhlman)
Trina/VR Discussion
POS Data
Specifically around transition students
who no longer have access to sheltered
workshops and did not choose ongoing
ODDS supports
Education Discussion (July)
Data
From sheltered workshops that have
closed and what people are doing now
Andre Discussion (March)
Program/Workstream Updates Executive/ Workstream leads
Discussion
Employment Department Reporting
Pros and Cons list to recommend to the
department (Added 8/5/15)
Self-Employment
Enhance the experience to promote
(added 8/5/15 and again 2/3/16)
All Discussion
Executive Order Employment First Statewide Stakeholder Policy Meeting Wednesday March 2, 2016
1:00-3:00pm HSB Rm #166
500 Summer St, Salem OR 97301 1-888-808-6929
Access Code: 2349190 Host code: 1531(enter access code first)
Go To Meeting: https://global.gotomeeting.com/join/525980061
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Future Agenda Items Owner Discussion/Decision
Communication Plan – Phase 2 Angela Yeager
Discussion
Transformation Grants Next steps regarding communication
All Discussion
How do we reach employers
successfully?
All/Angela Discussion
Family to Family Networks All Discussion Definition of what an integrated
setting is – ongoing
All Discussion
Outstanding Action Items
Complete Items for follow-up action Due Assigned
Completed Action Items – To be removed when no longer relevant and added to tracker.
Date
Decisions To be removed when no longer relevant and added to tracker