heart of central texas real choice

Heart of Central Heart of Central Texas Real ChoiceTexas Real Choice

Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:

A System TransformationA System Transformation Change: Change: to put or place (a thing) in place of to put or place (a thing) in place of

something else; to exchange; make different; altersomething else; to exchange; make different; alter Transform: Transform: to change the form or appearance; to change the form or appearance;

to change the condition, character or functionto change the condition, character or function A System Transformation: A System Transformation: Full Access and Full Access and

Freedom to Choose for all persons with disabilitiesFreedom to Choose for all persons with disabilities


OverviewOverview Project Scope & FundingProject Scope & Funding Aging & Disability Resource Aging & Disability Resource

Centers Centers Leadership TeamLeadership Team Tools and TechnologyTools and Technology Navigators/Legal AdvocacyNavigators/Legal Advocacy Super Community Resource Super Community Resource

Coordination Groups (CRCGs)Coordination Groups (CRCGs) Project ModelProject Model Outcome MeasuresOutcome Measures Partnership and Partnership and

CommitmentsCommitments


Service AreaService Area

13 Counties: Bell, Bosque, Coryell, Falls, 13 Counties: Bell, Bosque, Coryell, Falls, Freestone, Hamilton, Hill, Lampasas, Freestone, Hamilton, Hill, Lampasas, Limestone, McLennan, Milam, Mills and Limestone, McLennan, Milam, Mills and San SabaSan Saba

Major Cities: Waco, Belton/Temple, Killeen Major Cities: Waco, Belton/Temple, Killeen and Hillsboroand Hillsboro

Population: 696,054Population: 696,054 Persons with Disabilities: 119,689Persons with Disabilities: 119,689 I-35 Corridor (40% of Texas population)I-35 Corridor (40% of Texas population)

Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:Funding Funding

Texas Real Choice Texas Real Choice Funding: $294,000 Funding: $294,000 for 3 years for 3 years ($882,000)($882,000)

Older American’s Older American’s Act, State General Act, State General Revenue Funding, Revenue Funding, local revenuelocal revenue


Aging and Disability Resource Centers Aging and Disability Resource Centers (ADRC)(ADRC) Central Texas ADRC: Co-Location Central Texas ADRC: Co-Location

of Area Agency on Aging (AAA) & of Area Agency on Aging (AAA) & Area Information Center (AIC), 2-3 Area Information Center (AIC), 2-3 Navigators, 2-3 Aging and Navigators, 2-3 Aging and Disability Resource Specialist Disability Resource Specialist (ADRS) and linkage to Heart of (ADRS) and linkage to Heart of Central Texas Independent Living Central Texas Independent Living Center.Center.

Heart of Texas ADRC: Co-Location Heart of Texas ADRC: Co-Location of ILC , AAA, AIC, 2-3 Navigators of ILC , AAA, AIC, 2-3 Navigators and 2 ½ ADRS.and 2 ½ ADRS.

One Stop Shopping for Persons One Stop Shopping for Persons with Disabilities and LTSS with Disabilities and LTSS Agencies (2-1-1 /1-800/Internet/ Agencies (2-1-1 /1-800/Internet/ walk-in)walk-in)

Personalized Service, Easy Access Personalized Service, Easy Access and Quick Response to Consumersand Quick Response to Consumers


2-1-1 Implementation2-1-1 Implementation

Central Texas – Central Texas – initiated December initiated December 20022002

Heart of Texas – Fall Heart of Texas – Fall 2003? 2003?


Leadership Team (4)Leadership Team (4) Executive Director, Heart of Executive Director, Heart of

Central Texas Independent Central Texas Independent Living CenterLiving Center

Executive Director, Executive Director, CareLinc Network (AIC)CareLinc Network (AIC)

Director, Central Texas AAA Director, Central Texas AAA (AIC)(AIC)

Director, Heart of Texas Director, Heart of Texas AAAAAA

Hire and Supervise Project Hire and Supervise Project DirectorDirector

Advisory CommitteeAdvisory Committee Integrated Management Integrated Management

and Leadershipand Leadership Navigators/ADRSs in 4 Navigators/ADRSs in 4

AgenciesAgencies


Common ToolsCommon Tools Prototypes: HHSC Summit (April 2001)Prototypes: HHSC Summit (April 2001) Intake and Referral FormIntake and Referral Form Release of InformationRelease of Information Withdrawal of Permission to Share InformationWithdrawal of Permission to Share Information Referral ProtocolsReferral Protocols Operational in 6 Counties (May 2002)Operational in 6 Counties (May 2002) Risk ScreeningRisk Screening Person/Family Centered Assessment and Person/Family Centered Assessment and

PlanningPlanning Reduces Fragmentation, Duplication, Barriers and Reduces Fragmentation, Duplication, Barriers and

ConfusionConfusion


Regional Management Information Regional Management Information SystemSystem (ServicePoint ™) (ServicePoint ™)

Hardware Infrastructure Hardware Infrastructure CompleteComplete

150 User Licenses150 User Licenses Automation of Tools and Automation of Tools and

ProtocolsProtocols Web-Based Community Intranet Web-Based Community Intranet

SystemSystem Detailed Report GenerationDetailed Report Generation Secure Data EntrySecure Data Entry Tracks Changes in Consumer Tracks Changes in Consumer

StatusStatus Real-Time Data Sharing with Real-Time Data Sharing with

Other AgenciesOther Agencies Consumer Confidentiality and Consumer Confidentiality and

Privacy (Enhanced)Privacy (Enhanced) Aggregate Unmet Need DataAggregate Unmet Need Data


Navigators (Barrier Busters)Navigators (Barrier Busters)

Comprehensive Consumer/Caregiver InterviewingComprehensive Consumer/Caregiver Interviewing Person/Family Centered Assessment, Planning and ImplementationPerson/Family Centered Assessment, Planning and Implementation Liaison to Key Partner Agency Staff (Super Community Resource Liaison to Key Partner Agency Staff (Super Community Resource

Coordination Groups)Coordination Groups) Brokering/Coordination of Traditional and Non-Traditional Community Brokering/Coordination of Traditional and Non-Traditional Community

Services and SupportsServices and Supports Consulting with Legal Advocacy Staff, Attending County CRCG’s, Consulting with Legal Advocacy Staff, Attending County CRCG’s,

Interface with ADRC StaffInterface with ADRC Staff Assisting with Paperwork, Accompanying Consumer to Agency Assisting with Paperwork, Accompanying Consumer to Agency

Appointments and HearingsAppointments and Hearings Assuring Follow-up, Cultural Sensitivity and Compliance with Assuring Follow-up, Cultural Sensitivity and Compliance with

Americans with Disabilities ActAmericans with Disabilities Act Information Provision for Informed ChoiceInformation Provision for Informed Choice


Legal AdvocacyLegal Advocacy

Lone Star Legal Aid Lone Star Legal Aid ContractContract

Legal Back Up for Legal Back Up for NavigatorsNavigators

Consultation, Research and Consultation, Research and AdvocacyAdvocacy

Recommend Legal Recommend Legal RemediesRemedies

Americans with Disabilities Americans with Disabilities Act ComplianceAct Compliance


Super Community Resource Coordination Super Community Resource Coordination GroupsGroups

Partner Agencies Commit Key Partner Agencies Commit Key PersonnelPersonnel

Key Staff Assign Key Staff Assign Staff/Authorize Expedited Staff/Authorize Expedited ServicesServices

Ongoing Access to NavigatorsOngoing Access to Navigators On-line Staffing Using On-line Staffing Using

Community IntranetCommunity Intranet Real-time Coordination and Real-time Coordination and

Resource AllocationResource Allocation Referral to County CRCG s Referral to County CRCG s

(Indigenous Resources)(Indigenous Resources)


System ModelSystem Model Agency Partners/ Agency Partners/

PublicPublic

Oversight/LeadershipOversight/Leadership AIC/ADRCAIC/ADRC

(Linking & Screening)(Linking & Screening)

Project DirectorProject Director NavigatorsNavigators County CRCG s County CRCG s

Super CRCGSuper CRCG


Outcome MeasurementOutcome MeasurementConsumer Outcomes: relocations, diversions, Consumer Outcomes: relocations, diversions,

community/family participation, person/family community/family participation, person/family centered plans, health and safety, freedom centered plans, health and safety, freedom from abuse and neglect, independence, from abuse and neglect, independence, futures planning, and consumer satisfaction.futures planning, and consumer satisfaction.

System Outcomes: aggregate met and unmet System Outcomes: aggregate met and unmet need, consumers linked with resources, need, consumers linked with resources, barriers overcome, service duration and barriers overcome, service duration and intensity, institutional diversions/relocations, intensity, institutional diversions/relocations, services from multiple agencies, services from multiple agencies, ServicePoint™ usage, meeting participation ServicePoint™ usage, meeting participation and Super CRCG Participation.and Super CRCG Participation.


Training CurriculumTraining Curriculum

Real Choice OverviewReal Choice Overview Person First LanguagePerson First Language System of Access and AssistanceSystem of Access and Assistance ABCs of Information and ReferralABCs of Information and Referral Person/Family Centered TrainingPerson/Family Centered Training Cultural DiversityCultural Diversity Service PointService Point™ Software™ Software Benefits CounselingBenefits Counseling Agency PartnersAgency Partners HIPAAHIPAA


Unprecedented PartnershipUnprecedented PartnershipCommitments to Serve on Advisory Committee:Commitments to Serve on Advisory Committee:

AAAHOTHill Country Community Action Assn., Inc.

CTAAA Consumer Advocate (Aging)

CareLinc Network Lone Star Legal Aid

HOCTILCKilleen Help Center (Bell County Human Services)

HOTRMHMR Milam County/CTCOG

TDPRS/APS HOT Workforce Board

CT Veterans Health Care System HOT Coalition for the Homeless

Region 12 Education Service Center HOT Rural Transit District

BellNet (Texas Agricultural Experiment System/Texas A&M) Central Texas Senior Ministry

CTCOG/Housing Division Limestone County Senior Services

CT Youth Services Bureau, Inc. Waco Housing Authority

CT Workforce Board/Information & Referral System United Way

Coryell County (County Judge) City of Waco

Heart of Central Texas Real Heart of Central Texas Real Choice:Choice: Advisory Committee MembersAdvisory Committee Members

Central TexasCentral Texas Mr. Nick Serna, Lone Star Legal AidMr. Nick Serna, Lone Star Legal Aid Dr. Lucinda Harmon, Combridge, Inc.Dr. Lucinda Harmon, Combridge, Inc. Mr. Barry Fredrickson, TX Dept. of Human Mr. Barry Fredrickson, TX Dept. of Human

ServicesServices Mr. Ray Helmcamp, CCCMHMRMr. Ray Helmcamp, CCCMHMR Mr. Mike Mathis, TDPRS-APSMr. Mike Mathis, TDPRS-APS Ms. Rita Kelly, Killeen Help CenterMs. Rita Kelly, Killeen Help Center Honorable John Hull, Coryell County JudgeHonorable John Hull, Coryell County Judge Ms. Gloria Holle, Early Childhood InterventionMs. Gloria Holle, Early Childhood Intervention Honorable Jack Calvert, Mayor, City of Honorable Jack Calvert, Mayor, City of

LampasasLampasas Ms. Tama Shaw, Hill Country Community Ms. Tama Shaw, Hill Country Community

ActionAction Mr. John Kirchoff, HUD, BeltonMr. John Kirchoff, HUD, Belton Mr. Aaron Montemayor, United Way GFHA, Mr. Aaron Montemayor, United Way GFHA,

KilleenKilleen Mr. Steve Wick, Central Tx Youth Services, Mr. Steve Wick, Central Tx Youth Services,

BeltonBelton Ms. Mary H. Klentzman, Family AdvocacyMs. Mary H. Klentzman, Family Advocacy

Heart of TexasHeart of Texas Mr. Brian Dodd, Regis-St. Elizabeth CentersMr. Brian Dodd, Regis-St. Elizabeth Centers Mr. Harvey Fredriksson, Aging Consumer Mr. Harvey Fredriksson, Aging Consumer AdvocateAdvocate Ms. Barbara Tate, HOT Regional MHMRMs. Barbara Tate, HOT Regional MHMR Ms. Marietta Diehl, TDPRS-APSMs. Marietta Diehl, TDPRS-APS Ms. Dixie Skeen, TX Dept. of HealthMs. Dixie Skeen, TX Dept. of Health Ms. Greta Brown, TX Dept. of Human ServicesMs. Greta Brown, TX Dept. of Human Services Mr. Budge Kimble, TX Commission For BlindMr. Budge Kimble, TX Commission For Blind Ms. Judy Hicks, Region 12 Education CenterMs. Judy Hicks, Region 12 Education Center Mr. Doug Young, Central TX Veterans Health Mr. Doug Young, Central TX Veterans Health CareCare Ms. Camilla Bare, Association of Retarded Ms. Camilla Bare, Association of Retarded CitizensCitizens Ms. Melody McDermitt, Central TX Senior Ms. Melody McDermitt, Central TX Senior MinistryMinistry Ms. Stacie York, Providence DePaul CenterMs. Stacie York, Providence DePaul Center Ms. Gaylen Lange, TX Workforce DevelopmentMs. Gaylen Lange, TX Workforce Development Ms. Barbara Brewer, Salvation ArmyMs. Barbara Brewer, Salvation Army Ms. Ana Salinas, Waco Housing AuthorityMs. Ana Salinas, Waco Housing Authority


Unprecedented PartnershipUnprecedented PartnershipCommitments to Help Develop and to Provide Personnel SupportCommitments to Help Develop and to Provide Personnel Support

to CRCGs for Adults and Familiesto CRCGs for Adults and Families

AAAHOTKilleen Help Center (Bell County Human Services)

CTAAA HOT Workforce Board

CareLinc Network Region 12 Education Service Center

HOCTILCTemple Help Center (Bell County Human Services)

HOTRMHMR Christian Assistance Network

TDPRS/APS Bosque County Senior Services

TDHS Central Texas Senior Ministry

Early Childhood/CCCMHMR Freestone County Senior Services

CT Youth Services Bureau, Inc. Limestone County Senior Services

CT Council on Alcoholism & Drug Abuse Salvation Army


Unprecedented PartnershipUnprecedented PartnershipCommitments to Designate Key Staff to Represent Commitments to Designate Key Staff to Represent Agency, Interface with Project Staff and Consumers:Agency, Interface with Project Staff and Consumers:

AAAHOT Lone Star Legal Aid

CTAAAKilleen Help Center (Bell County Human Services)

CareLinc Network HOT Workforce Board

HOCTILC HOT Coalition for the Homeless

HOTRMHMR Central Texas Senior Ministry

TDHS Bosque County Senior Services

TDPRS/APS Waco Housing Authority

CT Veterans Health Care System Salvation Army

Bell County (County Government) United Way

CTCOG/Housing Division City of Waco

CT Youth Services Bureau, Inc.


Unprecedented PartnershipUnprecedented PartnershipCommitments to Use Common Intake:Commitments to Use Common Intake:

AAAHOTTemple Help Center (Bell County Human Services)

CTAAA Christian Assistance Network

CareLinc Network HOT Coalition for the Homeless

HOCTILC Central Texas Senior Ministry

TDHS Freestone County Senior Services


Early Childhood/CCCMHMR Limestone County Senior Services

CT Veterans Health Care System Waco Housing Authority

CTCOG/Housing Division Salvation Army

CT Youth Services Bureau, Inc. United Way

Hill Country Community Action Assn., Inc. Caritas of Waco

CT Council on Alcoholism & Drug Abuse Compassion Ministries

Killeen Help Center (Bell County Human Services) Friend For Life

HOT Workforce Board Mission Waco


Unprecedented PartnershipUnprecedented PartnershipCommitments to Adhere to Standardized ReferralCommitments to Adhere to Standardized Referral

and Follow-Up Protocols:and Follow-Up Protocols:

AAAHOT HOT Workforce Board

CTAAATemple Help Center (Bell County Human Services)


HOCTILC HOT Rural Transit District

CCCMHMR Central Texas Senior Ministry



Early Childhood/CCCMHMR Limestone County Senior Services

CT Veterans Health Care System Waco Housing Authority

CTCOG/Housing Division Salvation Army

CT Youth Services Bureau, Inc. United Way

CT Workforce Board/Information&Referral System Caritas of Waco

Hill Country Community Action Assn., Inc. Compassion Ministries

CT Council on Alcoholism & Drug Abuse Friend For Life

Killeen Help Center (Bell County Human Services) Mission Waco


Unprecedented PartnershipUnprecedented PartnershipCommitments to Use of Common Information Management System Commitments to Use of Common Information Management System

for Sharing Consumer Information, Consumer Tracking and for Sharing Consumer Information, Consumer Tracking and Adherence to HHSC Consumer Confidentiality Guidelines:Adherence to HHSC Consumer Confidentiality Guidelines:

AAAHOT Temple Help Center (Bell County Human Services)

CTAAA Christian Assistance Network


HOCTILC Central Texas Senior Ministry



CT Veterans Health Care System Limestone County Senior Services

CTCOG/Housing Division Waco Housing Authority

CT Youth Services Bureau, Inc. Salvation Army

Greater Killeen Free Clinic United Way

Hill Country Community Action Assn., Inc. Caritas of Waco

CT Council on Alcoholism & Drug Abuse Compassion Ministries

Killeen Help Center (Bell County Human Services) Friend For Life

HOT Workforce Board Mission Waco


SummarySummary 13 Counties 13 Counties Aging and Disability Resource CentersAging and Disability Resource Centers Area Information Center (AIC) Area Information Center (AIC)

IntegrationIntegration Integrated Management and LeadershipIntegrated Management and Leadership Regional Web-Based IntranetRegional Web-Based Intranet Navigators and Legal AdvocacyNavigators and Legal Advocacy Super CRCGSuper CRCG Outcome MeasurementOutcome Measurement

heart of central texas real choice

Documents

implementationcentral

central texas aaa aicdirector

heart of texas adrc

heart of texas aaahire

colocation of area agency

system transformationchange

colocation of ilc

service area13 counties