1. Eitas’ Journey to implement new ISP using LifeCourse Framework
May 17, 2017

2. Eitas – Empowering Individuals Through Advocacy and Support
County Board – Support Coordination, funding for services and transportation
55 SC’s and growing-hire a new team each year – we serve over 2000 people and their families
Urban Core and Rural service area
72 residential providers and over 100 Waiver Service providers – Serve more people receiving 24 hour supports than St. Louis.

3. Timeline
State and Federal
EITAS
Life Course…we are hearing about LifeCourse-that is for families…right??
Wow! LifeCourse Framework is now a part of our state quality of life measures – MO Quality Outcomes
2015-Eitas starts training new Support Coordinators in LifeCourse principles and tools & Person Centered Thinking. Lots of consultation with Sheli and team
Support Coordinators/leaders attend LifeCourse Community Event sponsored by Division of DD
EITAS develops new ISP and organization wide training
HCBS Rule – 2014
2015
New Missouri Quality Outcomes
MO submits Transition Plan for HCBS Rule
Remediation required ISPs related to HCBS rule
Missouri stakeholders start developing new ISP Guide
LifeCourse used widely in Missouri and growing in the US
New Individualized Support Plan Guide – MO 2017
2017 LifeCourse Showcase in KC!

6. Missouri Quality Outcomes
In 2015 Missouri updated the Missouri Quality Outcomes.
There are 7 areas of MO Quality Outcomes. Missouri intentionally integrated the LifeCourse Domains into the MO Quality Outcomes.
The state is using the new MO Quality Outcomes to measure quality of life for Missourians with developmental disabilities.

7. ISP Guide – Missouri
MO Quality Outcomes used to guide the revised ISP Guide implemented January of 2017.
The guide is divided into sections that make it easy to utilize person centered planning processes including: Vision for a Good Life and Important To
Sections of the ISP are organized by MO Quality Outcomes = LifeCourse Domains

8. Opportunities from Support Coordination Organization perspective – System Oriented
Not getting to do the real work that feeds the soul
Overwhelmed with paper, regulations, monitoring responsibilities
Losing the essence of person centered planning and support and advocacy
LifeCourse sets the direction of our work to achieve our mission
LifeCourse - is engaging, practical – can use tomorrow
LifeCourse principles can be integrated into processes, systems and our day to day thinking organization wide

9. New ISP format - Opportunities
Get to “do it right” within the system
Bring it all together so it makes sense to SC’s
Person Centered Planning Process and OUTCOMES!!!!!!
Individualized Support Plan format incorporates LifeCourse and the intent of the HCBS rule
Path of least resistance

10. Eitas Process
Person Centered Support Plan Pilot - 10th draft Workgroup comprised of Support Coordinators with a range of experience with LifeCourse and Person Centered Planning. Discussed the pros/cons of current and what will be the pro/cons of the new template/format People doing the work directed the work; people we support provided input and providers

12. New ISP – 3parts Support Information Person Centered Planning process
Based on LC Domains
Addresses the bulk of the details of required information for Missouri DMH ISP Guide
Person Centered Planning process
embedded into the first several pages
Personal Outcomes Moved closer to the front document

13. Training SC’s do own portfolio
Simple exercises to understand how to apply the principles to get information
Using interactive, group activities to help people understand we use the tools in our planning process to cover the LC domains
To help with overwhelmed feeling – use the next chart to identify “low hanging fruit” opportunities and to strategize best approaches/expectations

16. LifeCourse Domains
LifeCourse connects to all parts of a person. We use this graphic in training with youth planning for transition. Soon we will use the graphic

17. Person First Outcomes – colorful life!
Personal Outcomes
Move away from “Service Life” outcomes that reinforce a “green only” life.
Person First Outcomes – colorful life!

19. For more information: Amanda George ageorge@eitas.org
Lyndee Willoughby
Eitas
Empowering Individuals Through Advocacy and Support
8511 Hillcrest Road, Ste. 300
Kansas City, MO 64138