1. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Office of Developmental Programs ODP Deaf Services for Independent Monitors for Quality (IM4Q) 1

2. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Harry M. v. DPW Settlement Overview 2

3. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Settlement agreement approved in August 2013 Communication access for people who are: –Deaf –Served through the Consolidated Waiver Agreement and summary in English and ASL: http://www.drnpa.org/page/harry-m-v-dpw/ http://www.drnpa.org/page/harry-m-v-dpw/ Harry M. v. DPW 3

4. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare New data fields in HCSIS Statewide Deaf Services Coordinator Identification of individuals who are deaf Identify current deaf-skilled staff Provide interpreters and communication assistance Provide individuals options to choose skilled SCs and providers Harry M. v. DPW - Requirements 4

5. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Establish a standardized communication assessment procedure Complete communication assessment for individuals who are deaf Communication Assessment 5

6. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Training for: –Supports Coordinators –Providers –Investigators, Licensing Inspectors, Monitors –Communication Assessors Topics include deaf culture, needs of waiver participants who are deaf, role of Deaf Services Coordinator Training Requirements 6

7. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Deaf culture Unique needs of waiver participants who are deaf Communication with class members Identifying and reporting problems with effective communication When and how to contact the DSC Training Outline 7

8. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Only about 30% of English is visible on the lips Many deaf people do not read/write English well enough for anything beyond basic facts (name, DOB, address, etc.) Highly attentive visually May love hearing technology (or not) Deaf Culture 8

9. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Allow enough time Team Meetings 9

10. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Meet in a quiet, well-lit room Deaf person should be seated with back to window Circle or wide “U” shaped seating best Team Meetings 10

11. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Ask 1 person to talk at a time Talk face to face, about 3 feet apart Speak to the person Team Meetings 11

12. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Types of ASL interpreters Interpret everything that is said Practice may be needed Interpreters 12

13. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Coordinating and Working with Interpreters 13

14. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare 14

15. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Licensing staff, investigators and monitors are required to provide communication assistance when meeting with an individual who is deaf. 15

16. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Office of Deaf and Hard of Hearing database Department of General Services list Sign Language Interpreters 16

17. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Sign Language Interpreter Search Search online for “PA ODHH Interpreter” http://www.odhh.state.pa.us/S earch/InterpreterSearch.aspx 17

18. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare 2-hour minimum Create and maintain a list Be flexible if interpreter is needed on short notice Helpful Hints 18

19. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Certified investigators must document attempts made to secure interpreters and any difficulties with needed communication services. 19

20. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Administrative Entity Oversight Monitoring Supports Coordination Orientation Monitoring Provider Monitoring Monitoring Tool Changes 20

21. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Ensure assessment information is recorded accurately Ensure that recommendations follow-up is completed by Supports Coordination Organization (SCO) Ensure provider qualification information is updated accurately AE Oversight Monitoring 21

22. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Communication assistance deemed necessary while rendering service Notify SC in 10 days if become aware of communication assistance that needs to be included in ISP Contact DSC if having difficulty providing communication assistance Provider Monitoring 22

23. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Written protocol to request and obtain the necessary communication assistance Communication assistance provided during SC services Required information completed in HCSIS, once communication assessment completed Supports Coordination Monitoring 23

24. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Identifying and Reporting Problems with Effective Communication 24

25. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Communication Assistance 25

26. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Provide a Safe Environment 26

27. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Sample Recommendations Door knocker light Doorbell signaler Heavy Duty Bed Shaker Sonic Boom Alarm Clock 27

28. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Video Communication Common Among the Deaf Community 28

29. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Report through regular reporting process at your agency Regional Office in ODP Report to Customer Service Line IM4Q Monitors 29

30. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Contacting the Deaf Services Coordinator (DSC) 30

31. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Difficulty finding a provider to meet a communication need identified in the ISP Communication assistance need is not being met as specified in the ISP Information on providers who have specialized expertise Contacting the DSC 31

32. Click to add footer text Tom Corbett, Governor Beverly Mackereth, Secretary of Public Welfare Maureen Veety, DSC –Phone: 570-614-1318 –Email: RA-ODPDeafServices@pa.govRA-ODPDeafServices@pa.gov Contacting the DSC 32