1. Developing A Comprehensive Plan: Major Components Richmond, VA July 31, 2002

2. Components  Plan Accountability  Involvement of Stakeholders  Baseline Information  Assessment Process  Transition Supports  Review of Community Capacity  Budget and Infrastructure  Quality Assurance

3. Accountability  Who is doing what?  Mission Statement  Contains clear understanding of Olmstead  List of Issues and Challenges  List of MEASUREABLE objectives and activities

4. More Accountability  Identifying specific individuals by name and title responsible for implementation of each objective  Identifying resources or a specific strategy to obtain resources  Processes for Approval, modification, evaluation

5. Stakeholders  State and local organizations;  Health, Aging, MH, MR, DD, Transportation, Housing, Medicaid, etc.  People with All disabilities  Advocates/advocacy agencies  Community providers  Local and state elected officials

6. Baseline Information  Listings of residential facilities and census  Those serving children and youth  Nursing homes  Public, private, domiciliary care

7. More Baseline Data  Facilities serving People with Mental Illness  Public, private  Facilities serving people with Developmental Disabilities  Public, private  Units in nursing homes

8. Assessment Process  Process for assessing people  Eligibility, Need and Transition to Most Integrated Setting  Who could be in the community?  Provides Information to individuals re: community services  Options for services

9. Assessment Process  Identifies Risks relevant to Person’s safety and health and accommodations needed  Provides for Transition: What is needed?  Health services, housing, transportation, etc.

10. Community Capacity  Reviews current and projected capacity of Home and Community based Medicaid waivers  Home Health Services  Identifies costs of existing and new community supports  Strategy for expansion or restructuring of community services based on need  Waiting List data as primary basis for planning

11. Quality Assurance  Includes a system of measurement and Quality improvement activities for all populations in the community  Describes the availability of ombudsman, advocates, or other individual representatives in the community

12. Quality Assurance  Identifies established principles, expectations and standards for all types of community services  Includes an independent system of monitoring and evaluating community services

13. Contact Information Contact: OCR Region III Regional Manager Office for Civil Rights U.S. Department of Health and Human Services 150 S. Independence Mall West Suite 372, Public Ledger Building Philadelphia, PA 19106-9111 e-mail Paul.Cushing@hhs.gov Voice: (215) 861-4441 TDD: (215) 861-4440