WELCOME March 27, 2018 Purchase of Service (POS) Data Report Fiscal Year 2016-2017 Gloria Wong, Executive Director Felipe Hernandez, Chief of Consumer Services Carmen Luna, Family Services & Support Unit Supervisor Liz Harrell, Information & Training Supervisor Lupe Jacquez, Cultural Specialist Vivian Lau, Person Centered Practices Coordinator Maribel Garcia, Person Centered Practices Coordinator

AGENDA I. Welcome & Introductions Gloria Wong 5 minutes II. Background Gloria Wong 5 minutes III. Data Overview Gloria Wong 20 minutes IV. ELARC Efforts Elizabeth Harrell 5 minutes V. POS Disparity Projects Update Lupe Jacquez / Carmen Luna 20 minutes VI. Audience Discussion Panel 60 minutes VII. Closing Remarks Gloria Wong 5 minutes

ANNUAL EXPENDITURES OF ELARC 2016/17 FISCAL YEAR ANNUAL EXPENDITURES OF PURCHASE OF SERVICES (POS) BY: ETHNICITY, AGE, DIAGNOSIS, LANGUAGE, RESIDENCE TYPE, AND INSURANCE-RELATED DATA

Annual Expenditures by Ethnicity Total Annual Expenditures and Authorized Services by Ethnicity or Race Page 1 Total Annual Expenditures and Authorized Services by Ethnicity Page 2 Total Annual Expenditures and Authorized Services by Ethnicity - - Overview Page 6 Total Annual Expenditures and Authorized Services by Page 8 Total Annual Expenditures and Authorized Services by - Summary Page 10 Total Annual Expenditures and Authorized Services by - Expanded Page 11 Total Annual Expenditures and Authorized Services by - Legislative Page 15 Expenditures Ethnicity Language Residence Diagnosis Expenditures Diagnosis Expenditures Diagnosis

No Purchase of Services Consumers with No Purchase Of Services by Ethnicity or Race Page 16 Consumers with No Purchase Of Services by Page 17 Consumers with No Purchase Of Services by Page 21 Consumers with No Purchase Of Services by Residence - Summary Page 23 Consumers with No Purchase Of Services by Language - Expanded Page 24 Consumers with by - Legislative Page 28 No Purchase Of Services Ethnicity Language Diagnosis Residence Diagnosis No Purchase Of Services Diagnosis

Insurance-Related Expenditures Total Annual Insurance-Related Expenditures by thnicity or Race Page 29 Total Annual Insurance-Related Expenditures by Diagnosis Page 30 Total Annual Insurance-Related Expenditures by Diagnosis - Overview Page 34 Total Annual Insurance-Related Expenditures by Residence Page 36 Total Annual Insurance-Related Expenditures by Language -Summary Page 38 Total Annual Insurance-Related Expenditures by Language -Expanded Page 39 Total Annual Insurance-Related Expenditures by Language -Legislative Page 43 Language Ethnicity Diagnosis Residence Insurance-Related Expenditures Insurance-Related Expenditures Diagnosis Insurance-Related Expenditures Diagnosis

Annual Expenditures by Residence Type Total Annual Expenditure and Authorized Services by Ethnicity or Race - Page 44 Total Annual Expenditure and Authorized Services by Ethnicity or Race - Page 45 Total Annual Expenditures and Authorized Services by Ethnicity or Race - Page 46 Total Annual Expenditures and Authorized Services by Ethnicity or Race - Page 47 Total Annual Expenditures and Authorized Services by Ethnicity or Race - Page 48 Total Annual Expenditures and Authorized Services by Ethnicity or Race - Page 49 Home Expenditures Expenditures ILS/SLS Expenditures Institutions Expenditures Residential Expenditures Med/Rehab/ Psych Expenditures Other

Annual Expenditures by Language for Residence Type Total Annual Expenditure and Authorized Services by Language for Residence - Page 50 Total Annual Expenditure and Authorized Services by Language for Residence - Page 51 Total Annual Expenditures and Authorized Services by Language for Residence - Page 52 Total Annual Expenditures and Authorized Services by Language for Residence - Page 53 Total Annual Expenditures and Authorized Services by Language for Residence - Page 54 Total Annual Expenditures and Authorized Services by Language for Residence - Page 55 Home Expenditures Expenditures ILS/SLS Expenditures Institutions Expenditures Residential Expenditures Med/Rehab/Psych Expenditures Other

Annual Expenditures for Consumers Total Annual Expenditure and Authorized Services by Ethnicity or Race- Page 56 Total Annual Expenditure and Authorized Services by Ethnicity or Race- Page 57 Living at Home Expenditures Expenditures Living out of Home

ELARC Demographics By Ethnicity By Age Group By Diagnosis

ELARC Consumers by Ethnicity for All Ages – FY 16/17 Asian 12.3% African-American 1.5% Hispanic 70.7% Other 5.3% White 10.3%

48.1%

ELARC Consumers by Diagnosis for All Ages – FY 16/17

ELARC Consumers by Language – FY 16/17

Total Annual Expenditures and Authorized Services By Ethnicity or Race Eastern Los Angeles Regional Center Total Annual Expenditures and Authorized Services By Ethnicity or Race Fiscal Year 2016-2017 For All Ages Ethnicity Consumer Count Total Expenditures Total Authorized Services Per Capita Expenditures Per Capita Authorized Services Utilized American Indian or Alaska Native 13 $318,954 $388,108 $24,535 $29,854 82.2% Asian 1,612 $21,176,612 $26,693,225 $13,137 $16,559 79.3% Black/African American 187 $5,556,590 $6,269,045 $29,714 $33,524 88.6% Hispanic 9,188 $107,608,067 $132,603,694 $11,712 $14,432 81.2% Native Hawaiian or Other Pacific Islander 4 $72,000 $88,509 $18,000 $22,127 81.3% Other Ethnicity or Race/Multi-Cultural 720 $6,676,302 $9,170,136 $9,273 $12,736 72.8% White 1,278 $43,447,244 $48,777,285 $33,996 $38,167 89.1% Totals: 13,002 $184,855,768 $223,990,002 $14,217 $17,227 82.5% 1 2 3 4 5 6 The expenditure data reported may not include payments made by the regional center to a service provider under a Contract. Typical services paid to a service provider under a Contract include, but are not limited to, Transportation Services, Transportation Assistant Services, and Supported Employment Program (SEP) Group Services. Total payments made by ELARC for contract services: $3,821,651 This amount not reflected in above figures.

Definitions (1) Consumer Count: Number of consumers who received services in Fiscal Year (FY) 2016-17. (2) Total Expenditures: Actual Purchase of Services (POS) expenses for all consumers in FY 2016-17. (3) Total Authorized Services: POS services approved for all consumers in FY 2016-17. (4) Per Capita Expenditures: Total expenditures (Col 2) ÷ consumer count (col 1) = Per Capita Expenses (Col 4) • Average cost of actual services paid for each group (5) Per Capita Authorized Services: • Total Authorized Services (Col 3) ÷ consumer count (Col 1) = Per Capita Authorized Services (Col 5) • Average amount approved for each group (6) Utilized • Total Expenditures (Col 2) ÷ total authorized services (Col 3) = UTILIZATION RATE (Col 6)   Column # Actual approved actual approved

Total Annual Expenditures and Authorized Services By Ethnicity or Race

Per Capita Authorization (PCA) & Utilization (U) Comparison 2016-17 PCA U Hispanic $14,432 81.2% Asian $16,559 79.3% White $38,167 89.1% 2015-16 PCA U Hispanic $13,860 81.7% Asian $15,746 80.7% White $32,255 89.5% 2014-15 PCA U Hispanic $13,739 81.7% Asian $14,933 80.5% White $32,088 88.9%

Per Capita Authorization (PCA) & Utilization (U) Comparison 2013-14 PCA U Hispanic $13,359 82.6% Asian $14,318 82.7% White $31,202 89.3% 2012-13 PCA U Hispanic $13,215 82.2% Asian $14,859 81.0% White $29,309 89.1% 2011-12 PCA U Hispanic $12,922 81.5% Asian $14,318 81.3% White $28,639 88.5%

ELARC Total Annual Expenditures and Authorized Services For Consumers Living At Home By Ethnicity or Race – FY 16/17

Comparison of Residence Type by Ethnicity – FY 16/17

Per Capita Authorized Services ELARC Per Capita Authorized Services for All Ages Living at Home or Out of Home – FY 16/17 Per Capita Authorized services Count Per Capita Authorized Services All Ages At Home Out of Home Asian 1,612 $11,919 $75,843 Hispanic 9,188 $10,283 $61,801 White 1,278 $15,615 $81,568 Total 12,078

POS DISPARITY PROJECT UPDATE 2016-17 DDS allocated $11 million to regional centers community based organizations for projects to reduce POS disparity

POS DISPARITY PROJECT UPDATE 2016-17 Training Partnership Outreach Informational Materials

POS DISPARITY PROJECT UPDATE 2016-17 1. Time and Entry into Regional Center Support to people entering and new to the ELARC community to understand the basics about Regional Centers and services and to identify community supports 2. Outreach Locate people who may not be aware of or understand how to apply for Regional Center Services 3. Materials and Information Provide ways to help people understand and navigate our agency and how we work 4. Ongoing Service Coordination Ongoing support to help those already served by ELARC to understand and access supports and services

POS DISPARITY PROJECT UPDATE 2017-18 Enhanced Caseloads Parent Training

Audience Discussion/Questions How do you obtain information and what advice would you give other parents about how to obtain information about Regional Center services? What is the role of parents in helping other parents understand information about Regional Center services? How can the Service Coordinator play a role in helping families better understand Regional Center services? What efforts can ELARC take to make information about services easier to obtain and understand? How can various groups work together to help each other understand how to navigate the Regional Center system? What are your ideas about why there is variance (a difference) between the different ethnic groups/languages?

POS Data on www.ELARC.org

POS Data on www.ELARC.org

POS Data on www.ELARC.org

Summary Cultural differences Values Cost Drivers System Complexities Service needs vs. Available Services Next Steps Research Self-Determination Ongoing Communication/Discussion Self-Assessment Annual Statement of Services

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