1. National Disability Institute Introduces Community Tyze 1 October 22, 2015

2. Agenda Introduction Goal of Pilot Tier Piloting Activity to Pilot Role of National Disability Institute in the pilot Standards and Technologies Under Consideration Logistics Ecosystem Defining Success Resources/References

3. Introduction: Pilot Team NameRoleEmail Mary Lynn RevoirCommunity Tyze Managermlrevoir@ndi-inc.org Serghei SpelciucLeader TechnologySergheiSpelciuc@saintelizab eth.com Mary BryantBusiness Capabilities Team MaryBryant@saintelizabeth. com Vetting Related to eLTSS Initiative Launched in 2010 3,000 Tyze networks exist across U.S. and Canada 100+ networks of individuals receiving CB Medicaid services 18 years as director of Medicaid HCBS provider supporting individuals with ID, DD, Brain Injury, Physical Disabilities, Mental Health 20 years of IT development experience 20 years client management and technical implementation experience

4. Introduction: National Disability Institute (NDI) and Community Tyze The mission of NDI is to drive social impact to build a better economic future for people with disabilities and their families. NDI affects change through public education, policy development, training, technical assistance and innovative initiatives. NDI offers Community Tyze, an innovative secured social networking tool for individuals with disabilities and support systems. Community Tyze supports self-directed services by the individual with a disability or designated concierge – Offers paid and natural network members the ability to exchange information with ease and within a secured platform Community Tyze is currently being offered to individuals with disabilities by their respective service providers in multiple states (CT, MN, IA, MI) – Improving service coordination through increased communication and tracking progress – Increasing the ability of service providers to easily expand their communication of important educational information through specific communication tools built into Community Tyze; enables opportunity to provide positive impact on the competencies of natural support team

5. Pilot Introduction: Business Drivers NDI actively supports an individual’s ability to self-direct services by easing the ability to effectively coordinate long term supports and facilitate meaningful communication among natural and paid supports. –Self-directed, secure storage and controlled accessibility of important documentation –Self-directed, controlled access & visibility to documented progress toward goal achievement –Self-directed, controlled access to scheduled activities & events –Private, secure messaging for sharing information between parties –Protected tools for safely expanding social participation and reducing social isolation 5

6. Community Tyze Offers Story 2: Sharing a Person-Centered eLTSS Plan Today this solution offers the 7 triggers that are related to access, view, review, and sharing of the eLTSS plan. Beneficiary System Trigger 1 Trigger 2 LTSS/Service Provider System Trigger 7 Trigger 16 eHR System Trigger 8 Case Management System Trigger 3 Trigger 4

7. Pilot Workflow Current Community Tyze Workflow Contracted agency provides Community Tyze as an operating tool eLTSS plan and progress accessed and stored in Community Tyze by beneficiary and service providers Implementation to individuals/beneficiaries Customization and launch Contract process Market education process 7 Desired Workflow After Pilot Community Tyze utilized within State as operating standard for all CB-Medicaid recipients eLTSS plan and progress accessed and stored in Community Tyze by beneficiary and service providers Implementation by CB-Medicaid providers to CB-Medicaid recipients Customization and launch Contract process Community Tyze designated as State’s Operating Standard for CB-Medicaid

8. Piloting Tier 2 A Community Tyze pilot utilizing currently available technology achieves Tier II by facilitating the following: Secure electronic sharing of individual eLTSS plan documents with selected, invited network members Allowing the opportunity to provide input on the shared document electronically through comments associated with the posted file or through secure, private messaging Allowing visibility via shared electronic calendar to activities and events indicating progress toward goals or indicating need for increased supportive assistance to increase social interaction Allowing secure yet collaborative electronic input from various paid supports regarding current challenges and appropriate long-term support needs Engages CB-LTSS stakeholders (providers, beneficiaries, advocates, accountable entities and payers) to embrace a new way of achieving a higher degree of self-direction Post-pilot survey results will provide key input regarding the value of using a Tier II solution today while the appropriateness of Tier III solutions are investigated

9. Community Tyze intends to pilot following eLTSS elements: Community Tyze will pilot through the existing functionality of the product to Access, View, Review Plan Community Tyze offers a platform where paid and natural supporters can post information and data that would provide knowledge needed to Update Plan Community Tyze is open to partnering with any TEFT grantee or Non-TEFT provider Community Tyze is open to discussing potential API development or single sign-on opportunity with an appropriate clinical system in the future to move from Tier II to Tier III. Associated information entries housed in Community Tyze could involve all of the eLTSS sub-domains from the FRM document and the RTM document, noted in the individual eLTSS plan.

10. Community Tyze role in the eLTSS pilot Beneficiary System – Community Tyze is existing technology designed for the individual with disability or designee to create and build a personal support network – Community Tyze is portable and can move with an individual who changes service providers – Community Tyze increases engagement of natural supporters to participate in support of the beneficiary’s goals/needs eLTSS/Service Provider System – Community Tyze can securely store the eLTSS plan – Community Tyze provides secure exchange of information among invited paid and natural network members. – Data is stored securely in Community Tyze. Secure messaging is utilized to alert invited supporters to login to view new information available. – Community Tyze houses input related to targeted goals for ease of individuals and case managers to monitor progress

11. Standards Under Consideration: Tier 2 – Servers and Databases – CentOS, Nginx, Jetty, Redis, PostgreSQL – Email – SendGrid, ActiveMQ – Frameworks – Spring, JMS, AngularJS, Backbone.js – Standards and Protocols - RFC 5905, ISO 16262- 2011, JavaScript, XHTML, XLS/XLSX/XLSM/, HTTPS, IP, REST, SAML, SMTP, SOAP, TCP, TLS

12. Pilot Logistics: Timeline -Presentation to TEFT grantees and larger community: October 22, 2015 -Identification of Partners/Providers: October - December 2015 -Provide orientation to Partners and participate in pilot activities: November 2015 – March 2016 -Completion of RTM: March 2016 -Completion of Pilots: April 2016 Challenges 1.Open to additional Partners/Providers to further understand and explore the emerging and value-added role Community Tyze can bring to the service delivery system. 2.Must incorporate an investment of time for proper orientation of selected individuals/beneficiaries on both the concept and merits of an electronic solution as well as the technologies involved. Ensuring comfort with the pilot process is a key factor. 3.Identifying service providers who trust the use of technology as a strategy for service delivery and display a willingness to invest in a value-added product.

13. Pilot Ecosystem NDI invites and requests to join any current eLTSS providers -NDI currently partners with providers in the states of Connecticut, Minnesota, Iowa, and Michigan. As a Tier 2 solution, our product is not impacted by the service provider back end system. We are experienced with the development of applicable API’s and single sign on processes and would be willing to consider a joint phase 3 pilot in the future. From a technology standpoint, NDI partners with Saint Elizabeth Health Care to provide the Community Tyze network platform.

14. How do you define success? Community Tyze will be used successfully as a value-added tool: – Supporting the goals of more than 500 individual networks – Supporting adults supported by CB-Medicaid services in 10 states In post pilot surveys, Community Tyze end users would rate the positive effectiveness of the tool at 80% or greater addressing: 1)increased self-directed services 2)expanded support network 3)reduced isolation and increased social relationships 4)improved service coordination and achieved personal outcomes Supporting evidence from service providers indicate that Community Tyze has positively impacted the cost of service

15. Helpful References Community Tyze website www.communitytyze.com Robert Wood Johnson Foundation research http://www.rwjf.org/en/research-publications/find-rwjf-research/2011/09/combating- isolation-and-loneliness-with-an-online-personal-netwo.html Donna Thompson testimonial video Testimonial Video Thank You for the Opportunity to Present. Contact : Mary Lynn ReVoir, National Disability Institute mlrevoir@ndi-inc.orgmlrevoir@ndi-inc.org / 563.568.7112