1. 1 Synergy Conference Strategic Planning Leadership Group October 2, 2014 John L. Martin, Director Jo Krippenstapel, Facilitator

2. Strategic Planning Leadership Group 32 MEMBERS TOTAL 2 INCLUDING ADVOCATE REPRESENTATIVES: OSDA PEOPLE FIRST ARC OF OHIO DD COUNCIL DOWN SYNDROME ASSOCIATION ADVOCACY AND PROTECTIVE SERVICES OHIO SIBS AUTISM ASSOCIATION THE OHIO LEAGUE

3. Strategic Planning Process What Big Issues Are We Facing? How Can We Listen and Learn ? Where Do We Want To Be in 10 Years? 3

4. 4 Strategic Planning Leadership Group --- Monthly Starting in November, 2013

5. FOUR OPEN FORUMS 1.) CMS RULE 2.) WORK 3.) COMMUNITY LIVING 4.) LISTENING TO PEOPLE 5 OPPORTUNITIES TO LEARN FROM EXPERTS AND FROM EACH OTHER

6. 6 A FULL LIFE! EARLY CHILDHOOD --------- SCHOOL YEARS-------- ADULT LIFE ---------------SENIOR YEARS BENCHMARKS FOR: EXPERIENCES OF PEOPLE & FAMILIES SERVICE DELIVERY INFRASTRUCTURE 10 YEAR BENCHMARKS FOR A POSITIVE LIFE TRAJECTORY

7. TODAY: SHARE FOUR FINAL BENCHMARKS Benchmark #1: The number of people with disabilities who are employed is 50%. Supporting Principles: Hours worked per week range from 1 to 40 with an aggregate average of 20 hours per week. Individuals choose activities for the remainder of the day with as much community involvement as desired. 7

8. Employment: Where we are now Ohio currently (8/31/14) has 7,614 persons employed which represents about 25% of the persons enrolled in day services. 8

9. http://www.statedata.info/ 9

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11. Benchmark #1: The number of people with disabilities who are employed is 50% THUMBS UP! I MOSTLY AGREE! 11 THUMBS DOWN ! I MOSTLY DISAGREE!

12. Benchmark #1: The number of people with disabilities who are employed is 50%. 12 WHAT WORRIES DO YOU HAVE ABOUT THIS BENCHMARK? WHAT HOPES DO YOU HAVE ABOUT THIS BENCHMARK?

13. Benchmark #2: 25% of all DD waiver recipients will live in host homes/shared living Supporting Principles: Use creative strategies for recruiting, matching, supporting and providing supports for success (including technology). 13

14. Host Homes/ Shared Living Where We Are Now  1,163people in shared living/host homes  6.5 % of people on the IO waiver in shared living/host homes  Ohio ranks 16 th nationally in the number of people in host homes adjusted for population.  A few states (Vermont, Colorado) have over ½ of their folks on waivers in host home environments. 14

15. 15 Source: Larson, S.A., Ryan, A., Salmi, P., Smith, D., Anderson, L. and Hewitt A.S. (2013). Residential Services for Persons with Developmental Disabilities: Status and trends through 2011. Minneapolis: University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration.

16. Benchmark #2: 25% of all DD waiver recipients will live in host homes THUMBS UP! I MOSTLY AGREE! 16 THUMBS DOWN ! I MOSTLY DISAGREE!

17. Benchmark #2: 25% of all DD waiver recipients will live in host homes 17 WHAT WORRIES DO YOU HAVE ABOUT THIS BENCHMARK? WHAT HOPES DO YOU HAVE ABOUT THIS BENCHMARK?

18. Benchmark# 3: Nursing services will be available in all waivers. Supporting Principles: Nursing services will be funded by the State. Addition of nursing services will not impact ODDP range or caps on services. Delegation continues to be used. Smooth intersection between personal care and nursing. 18

19. Over the next 10 years, the number of people with DD in our system over the age of 60 will double 19

20. Over the next 10 years, the number of people over age 60 with a Level 1 Waiver will increase by three times 20

21. Benchmark # 3: Nursing services will be available in all waivers. THUMBS UP! I MOSTLY AGREE! 21 THUMBS DOWN ! I MOSTLY DISAGREE!

22. Benchmark #4: All Direct Support Staff earn a livable wage (200%) of the federal poverty level Supporting Principles: Will require rate increase for waiver services. Wages should be equitable across service types (waiver/ICF). Will require increase to funding ranges and caps. Assurance that rate increase goes to DSP. 22

23. Direct Service Staff Where We Are Now  46% turnover in Ohio (similar to national data) – OPRA data  2013 Direct Service Professional average wage was $9.54 (OPRA data)  Each 1% increase in the HPC rate costs $3.5 million. To go from current level ($9.54) to 200% of poverty for a family of two ($15.00 hour) would be a 50% increase costing $170 million. 23

24. Benchmark #4: All Direct Support Staff earn a livable wage (200%) of the federal poverty level THUMBS UP! I MOSTLY AGREE! 24 THUMBS DOWN ! I MOSTLY DISAGREE!

25. WHAT ARE YOUR HOPES FOR THE NEXT 10 YEARS? 25

26. thank you! 26