1. Introduction to Proposed New July 22, 2014

2. This is a work in progress. Changes are happening based on field test and ongoing feedback.

3. Why one ISP?  Oregon currently has 11 different ISP models used in various service settings  Consistency for people supported and family members  Assist in transitions across service settings  Improved quality of plans

4. Advisory Group  Made up of stakeholders representing the array of service settings  Reviewed each existing ISP in Oregon as well as ISPs from other states  Responded to drafts developed by smaller work groups

5. Partners in conversation  Plan of Care / Billing System  Employment First Implementation Team  Medicaid Waiver Unit and Oregon Health Authority  Licensing Unit

6. Where are we now?  Started a field test in May  We will continue to learn from what works and what needs improvement  Statewide roll-out is anticipated by January 1 to coincide with implementation of new OARs Trial (March-April) Field Test (May-July) Changes (Aug.-Oct.) Training (Nov.-Dec.) Implementatio n (Jan. 2015)

7. The Plan  Captures what’s important TO and FOR the person from various perspectives Gather information from the person supported and others who know and care about the person

8. For Field Test Gathering Person Centered Info Our goals are to:  Avoid duplicate or redundant information  Give opportunity to those closest to the person to directly contribute vital information  Build on existing person centered planning tools and plans (e.g. ELP, ELISP, PFW, Customer Goal Survey)

11. The Plan  Serious risks are identified and addressed Maintain instructions for staff to support identified risks (e.g. protocols, BSP, safety plans, etc.)

12. The Plan  Connects assessed needs to specific chosen services (such as ADL and IADL support needs)

13. Various goal implementation tools will be offered

14. How the plan is developed  The person invites people they want to assist them with planning  We are using the field test to identify workflow methods that help teams develop ISPs effectively and efficiently  Coordinated with the Needs Assessment meeting

15. Highlights of Learning What Works  Loved the One Page Profile & Relationships page  Flexibility is apparent; discussion topics, goals, risk management strategies, gathering information  Person’s preferences are clear throughout the plan  CMS reviewed a draft and said we we’re on the right track Feedback from Trial Participants

16. Highlights of Learning What needs more conversation  Asking the right questions when gathering person centered information.  How to best support the person’s choice of who plans with them  “I don’t want my provider present.”  “I don’t want you to talk about the serious risks in my life.” Feedback from Trial Participants

17. What’s next?  Visit OregonISP.orgOregonISP.org  Latest news  Sign up for email newsletter updates  Share feedback  This Fall we will announce training schedule for November and December

18. Thank you! OregonISP.org