1. Developmental Disabilities Administration Strategic Plan Process Update November 2009

2. The need for a plan… AliceAlice: Oh, no, no. I was just wondering if you could help me find my way. Cheshire CatCheshire Cat: Well that depends on where you want to get to. AliceAlice: Oh, it really doesn't matter, as long as... Cheshire CatCheshire Cat: Then it really doesn't matter which way you go. Alice in Wonderland

3. Today’s Agenda What we heard What we propose What does it mean Next Steps Question & Feedback – Did we get it right from your perspective? – Your thoughts about implementation

4. Stakeholder Involvement & Information Focus Groups – 7 regional groups across the state: Discussions – CMS – 4 other states People on the Go Maryland Disability Law Center Maryland Developmental Disabilities Council Arc of Maryland NASDDDS Web-based Questionnaire (1159 hits, 492 responses) Trend data (demographics, employment, labor, federal spending, long-term care, etc.)

5. What people said … Input and feedback ….  People want :  jobs, real jobs with real money  friends  meaningful relationships outside of where they work and live  to be contributing members of their community  Agencies want:  to support people to live a life of their choosing  flexibility

6. What we propose … Person Directed Services  Individualized  Supports personal development  Foster independence  Flexible  Timely  Fluid Systems in support of people  Flexible funding  Flexible regulations  Creative options Note: Compliance and within established guidelines from Federal and State Statutes and Regulations and prudent use of State funding.

7. What does it mean… People decide  What services/supports  Who provides services/supports  How long they are provided  Who helps you  If they are happy or not  When to change

8. What needs to be done…. Next steps  Revise/realign/develop Policies and procedures – Accessing funding – Accountability Viable Support Options – Natural and generic community services – Resource coordination – New directions/Community Pathways

9. What needs to be done…. continued Resource allocation – Fair and equitable – Standardize – Meet changing needs (i.e. employment, medical, aging) Quality framework – Proactive – Individually defined – Outcome based

10. What needs to be done…. continued  Information User friendly Easy to access Clear Transparent Ongoing Ensures accountability Valid and reliable data

11. Questions … Discussion Did we get this right? What should we change?

12. Questions … Discussion What additional information about the plan do you need?

13. Questions … Discussion What do you see as the challenges as we move forward?

14. Current Efforts Strengthening DDA's Foundation … All DDA business practices are being reviewed/changed including:  Application for services  Plan development and resource allocations (Supports Intensity Scale)  Services Natural and generic community services Medicaid state plan services (substantiated need) Low Intensity Support Services New Directions/supports waiver/Community Pathways – Request for additional services

15. Current Efforts – continue  Resource Coordination Choice Agent of the State/Agent of the Person  DDA Policies and Procedures  Waiting list management  Regulations  Personal responsibility

16. Current Efforts – continue  Employment First Community learning (to what end – integration/circle of support Outcomes to employment Employment Discovery and Customization (3 months)  Data management system QA Framework

17. Anticipated New Outcomes …  Real choice and control in the hands of people – personal outcome driven  Fundamental service shift to person directed system  Employment first  Fair and equitable distribution of resources  Customer sensitive innovations  System transparency and consistency  Fiscal and programmatic accountability  Data management system to drive decision making process  Overarching DDA Quality Framework

18. Proposed Vision/Mission/Goals Vision  All Marylander’s lead fulfilling lives enjoying the abundance of the state’s economic, cultural and natural resources. Mission  DDA partners with people with developmental disabilities to provide leadership and resources to live fulfilling lives. Goals  People with developmental disabilities… direct their lives; have viable support options; and, have information to make decisions.

19. Contact Information Developmental Disabilities Administration 201 West Preston Street, 4 th Floor Baltimore, MD 21201 410-767-5600 ddaweb@dhmh.state.md.us