Create and offer innovative
supports for people with cognitive,
developmental, physical, and
health related needs.
2/22/11
Colorado
Division for Developmental Disabilities
Current Year Management Challenges
– Vacancies held back since October 2009
• HCBS-DD (comprehensive services).
• Emergencies and foster care transition handled though attrition for the second year.
– 2010 – 11 Financial Exposure (unrelated to economy).
•
•
•
•
Comp Services ($__ million)
SL Services $__ million
TCM ($__ million)
Total 2010 – 11 shortfall of $35 million
– Cost Containment
•
•
•
•
FSSP cut by 50% 10/2010.
State GF comprehensive program eliminated 10/2010.
State GF Supported Living Services rates cut by 4.5%.
JBC Placeholder of $9 million.
2
Colorado State of Affairs
• Revenue Forecast is flat.
• 2011 - 2012 expecting $1.1 billion shortfall.
• Governor’s Budget Proposal protected
developmental disabilities services.
• Cuts to other areas of the State Budget will be
debated by the legislature.
• We remain cautious about how the shortfall will
effect community services.
• We are encouraged by the Hickenlooper
administration (Essential, Effective, Efficient, and
Elegant).
3
State Government
• 2011 Legislative Session
– Bills
– SB11-025 CO TEA
– HB11-1112 Non-emergency transportation, PI’d
– SB11-171 Caretaker abuse database
– Budget (JBC Figure Setting 2/10/11)
• FSSP, $2.1 million recommended, but flagged for further
consideration.
• Target $8.7 million cost containment at the discretion of DHS.
– Potential caps on TCM, day habilitation, and narrow definition of behavior
services.
– Audit SIS re-evaluations, Payment delay.
• No new adult resources.
• Increase in Early Intervention, $3.1 million.
– Back fills federal stimulus.
– Accounts for 6.5% growth.
4
• Infrastructure
– Strategic Planning
– Program and service evaluation
• Stay informed
– Social media, virtual workspaces, web casting
• Continued limited growth
• Emphasis on collaboration
• Preparation for economic recovery
5
Client
Relations
and
Care
Coordination
Client
Relations
and
Care
Coordination
Information Management & Reporting
Information Management & Reporting
ASD, C-HCBS
ASD, C-HCBS
Community
Community
Centered
Board
Centered
Board
Adult Case Management
Adult Case Management
Quality Assurance
Quality Assurance
Intake & Eligibility
Intake & Eligibility
EI Broker
EI Broker
EI Service Coordination
EI Service Coordination
FSSP - CWA
FSSP - CWA
Waitlist Management
Waitlist Management
OHCDS
OHCDS
Imagine!
Services
Imagine!
Services
Dayspring
Dayspring
Innovations
Innovations
CORE/Labor
Source
CORE/Labor
Source
Out
&
About
Out & About
IBHS
IBHS
Innovations
forfor
Innovations
Children
Children
Employer
of of
Record
Employer
Record
Imagine!
Imagine!
Foundation
Foundation
Imagine!
Imagine!
Corporate Infrastructure
Corporate Infrastructure
Finance, HR, IT, Marketing
Finance, HR, IT, Marketing
& Communications,
& Communications,
Corporate Integrity
Corporate Integrity
Service
Providers
Service
Providers
PASA’s
PASA’s
Independent
Independent
Contractors
Contractors
Social
Enterprise
Social
Enterprise
MedSupport
MedSupport
SmartView
SmartView
SmartHomes
SmartHomes
SmartCare
SmartCare
Grand
Care
Grand
Care
6
7
Early Intervention by City - Feb 2011
Lyons, 4, 1%
Nederland, 8, 2%
Superior, 13, 3%
Denver, 1, 0%
Niwot, 1, 0%
Louisville, 17, 4%
Erie, 22, 5%
Longmont, 131, 33%
Longmont
Boulder
Broomfield
Lafayette
Erie
Louisville
Superior
Nederland
Lyons
Denver
Niwot
Lafayette, 45, 11%
Broomfield, 75, 18%
Boulder, 97, 23%
8
9
2008
2011
2010
Supported Living
Services Living
with parents & are
over the age of 50
10
13
11
FSSP over the age of
18
122
170
196
FSSP over the age of
50
6
6
5
Teenagers entering
adult life in next 3
years
80
85
92 (67)
10
11
Reduced # employees is a
function of system changes,
not a function of the economy.
12
COI Task Force of stakeholders
recommended resolutions to the potential
conflict of interest issues inherent in our
system of supports.
–
–
–
–
–
Information and Referral,
Eligibility Determination,
Administration of the Waiting List,
Service Planning,
Provider Selection,
– Rate Negotiation and Monitoring Services.
13
Related to COI Task Force
• If Separation of Case management
– 21,210 people will change cm
– 524 experienced cm will lose or change
employment
• … statewide survey says
– 97.2% people happy with current cm
– 5 complaints received by state program
quality in 21 months of cm service.
14
Related to COI Task Force
• Survey of 35 other states revealed
–
–
–
–
17 have cm separated from service
12 allow cm by company providing service
5 use state employees
1 uses a single private contractor
• Public Forum June 1, 2010
– Overwhelming majority of public comment supported
the existing case management structure of CCB’s.
• DD Council, ARC of CO, & ACL
– Members of the task force speaking on your behalf for
separation.
15
What would you like to talk
about??
16
Why technology? – Why now?
Workforce Crisis
70000
67
60000
66.5
66
50000
65.5
40000
65
30000
Seniors
% Labor Force Participation
64.5
20000
64
10000
63.5
0
63
7/1/19857/1/19957/1/20007/1/20057/1/20157/1/2025
17