2014 Reinventing Quality Conference


2006 Reinventing Quality Conference
Conference Materials

Conference Program

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Index of Available Presentations
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View Presentations from previous Reinventing Quality Conferences
   •  2004
   •  2003
   •  2002
   •  2001

Opening Plenary: Supporting Valued Lives: Where Are We Nationally?

Supporting Valued Lives: Where Are We Nationally?
This opening plenary session included an overview of the current national policy landscape, emerging trends in the provision of services and supports, and the perspectives of a family member and a person with a developmental disability regarding their hopes for systems of services and support and ensuring the quality of those supports.
PDF Icon View/Download This Presentation Patterson (37 KB)
PDF Icon View/Download This Presentation (2.4 MB)
Moderator:
Val Bradley; President, Human Services Research Institute (HSRI)
Presenters:
Robert Gettings; Executive Director, National Association of State Directors of Developmental Disabilities Services (NASDDDS)
Terry Kozloff; Director, Connecting Families
K. Charlie Lakin; Research and Training Center on Community Living, University of Minnesota
Nicole Patterson; Consumer Services Coordinator, California DD Services

Workshop 1: Ensuring the Quality of Self-Directed Supports


Self-Direction in Action
This session featured advocacy strategies for promoting and implementing self-directed services across multiple populations, as well as the quality management strategies states are applying to self-directed services and supports. Piedmont Behavioral Healthcare’s implementation of self-direction through the Innovations waiver was presented, along with Kentucky’s legislation to support self-direction, and specific quality management strategies including the use of consumer surveys; monitoring efforts for self-directed supports (supports brokerage and financial management services); and incident management reporting requirements for independent providers, consumers & others.
PDF Icon View/Download This Presentation Misenheimer (1.5 MB)
PDF Icon View/Download This Presentation Anderson (822 KB)
Moderator:
Robert Gettings; Executive Director, National Association of State Directors of Developmental Disabilities Services (NASDDDS)
Presenters:
Deborah Anderson; Executive Staff, Kentucky Cabinet for Health and Family Services, Office of Health Policy
Suzanne Crisp; Senior Research Leader, Thomson/
Betsy Dunnigan; Acting Director, Kentucky Cabinet for Health and Family Services, Division of Mental Retardation
Andrea Misenheimer; DD Director Clinical Care Management, Piedmont Behavioral Healthcare, NC

Safe and Self-Directed
Planning for, monitoring, and measuring risk in relation to self-directed services requires new tools and new ways of thinking. Presenters shared the experience of two states regarding risk assessment and promotion of informed decision making to support self-directed lives. Attendees had the opportunity to discuss other promising practices from around the country. Highlighted tools and processes in this workshop included health screening from Oregon’s self-directed risk assessment tool, and the Connecticut Quality System for promoting good choice-making skills via risk assessment, health screenings, and training.
PDF Icon View/Download This Presentation Tuller (85 KB)
Moderator/Presenter:
Jean Tuller; Executive Director, Oregon Technical Assistance Corporation
Presenters:
Mary Lee Fay; Administrator, Seniors & People with Disabilities, Office of Home & Community Supports, Oregon DHS
Beth Aura Miller; Self Determination Director, Connecticut DMR

What Information Do People Need: Approaches at the Local/Provider Level
Self-determination skills are mandatory for successful transition planning. This session focused on steps underway in California to empower individuals with developmental disabilities to self-direct their lives. Project Team staff described the training being provided to help transition-aged high school students to “take charge” of their lives and direct their IEP process within the schools and as they enter adult services. In addition, facilitators of San Diego Regional Center's Self-Determination Project provided an overview of their experiences in implementing self-directed services, including the development of independent brokerage and fiscal agent supports. Presenters also discussed their experience in teaching students with developmental disabilities self-determination philosophy, principles and practice in the classroom, using the “Take Charge for the Future” curriculum.
PDF Icon View/Download This Presentation Rurka (1.6 MB)
PDF Icon View/Download This Presentation Wallace-Patton (670 KB)
Other Workshop Materials
PDF IconPRIDE Industries Grant Announcement Rurka (134 KB)
Moderator:
Yvonne McCuistion Tucker; Section Chief, Community Services & Supports, California DD Services
Presenters:
Rosemary Elston; Project Director, PRIDE Industries – Beyond Project TEAM
Rojane Jackson; Executive Director, Community Interface Services
Cheryl Kitowski; Project Trainer, PRIDE Industries – Beyond Project TEAM
Elisha Rurka; Project Trainer, PRIDE Industries – Beyond Project TEAM
Judy Wallace-Patton, LCSW; Chief, Case Management Services, San Diego Regional Center
Peggie Webb; Executive Director, Mosaic Connections, Inc.

What Information Do People Need: Approaches at the State Level
This workshop focused on what people need to know to manage their own supports and what kind of information exists. Materials developed by three states (VA, NC, and CA) to enhance consumer participation in decision making about their lives were presented. The Partnership for People with Disabilities at Virginia Commonwealth University, a University of Excellence (UCE) in developmental disabilities, collaborated with the Virginia Department of Medical Assistance Services to develop user-friendly materials that explain how to use consumer-directed services. These materials are the foundation for a website designed to assist individuals and their supporters in directing their own supports and services. North Carolina took a unique approach through its Consumer-Directed Personal Assistance Services and Supports (CPASS) grant project, collaborating with all disability populations and service systems (mental health/developmental disabilities, aging, vocational rehabilitation, etc.) to develop materials relevant to all populations. The process used to develop the materials was described, along with difficulties encountered, problems resolved, and how this approach strengthened the system. California’s Consumer Advisory Committee also shared tools developed to enhance consumer participation in decision-making.
PDF Icon View/Download This Presentation Lawson (1.1 MB)
PDF Icon View/Download This Presentation Eller (214 KB)
Moderator:
Ellen Sue Goldblatt; Protection & Advocacy, Inc.
Presenters:
Ann Eller; Mental Health Program Manager, North Carolina DMHDDSAS
Eileen Hammar; Program Specialist - Community Services, Partnership for People with Disabilities
Karen Lawson; Virginia DMAS
Carol Risley; Chief, Office of Human Rights & Advocacy Services, California DD Services

Plenary 2: Valued Lives Means Valued Jobs: National Overview


Valued Lives Means Valued Jobs: National Overview
This panel provided an overview of national advances and innovative practices in the employment of people with developmental disabilities including those practices most closely associated with best practices. The session also highlighted an exciting example of an individual who has created her own business. Dusty's Puppets is an example of the current trend toward consumer owned and operated micro-enterprises that build business success upon the talents and passions of their owners.
PDF Icon View/Download This Presentation Butterworth (1.6 MB)
Moderator:
Bob Baldo; Executive Director, Association of Regional Center Agencies
Presenters:
John Butterworth; Research Coordinator, Institute for Community Inclusion, University of Massachusetts Boston
Dusty Dutton; Owner, Dusty’s Puppets

Workshop 2: Supports for Employment


Getting Serious About Employment: Setting Performance Goals
In this presentation, one state’s experience with developing a progressive employment system was highlighted in depth. The State of Washington provides important lessons about the ways of enhancing employment at all levels – provider, county, and state levels. It provided examples of the means by which state and local agencies can advance employment as a top priority and set concrete benchmarks to ensure the achievement of employment goals.
PDF Icon View/Download This Presentation Strehlow (227 KB)
Moderator:
John Butterworth; Research Coordinator, Institute for Community Inclusion, University of Massachusetts Boston
Presenters:
Ray Jensen; Director, King County DD Division
Linda Rolfe; Director, Division of Developmental Disabilities, Washington DSHS
Mary Strehlow; Program Manager, Clark County Developmental Disabilities

Organizational Transitions – Deconstructing Workshops
This session presented examples of agencies from around the country that have shifted their focus from sheltered and segregated employment to integrated, competitive employment and how such change was accomplished. Allegan County Community Mental Health Services closed their workshop in April of 2004. Panelists discussed the system change process used tosuccessfully close the workshop and support individuals for the people who previously attended this facility. Data was presented regarding the number of people working, hours worked and income earned, as well as cost per person to the service system. Panelists from the Tierra del Sol Foundation focused on individuals with developmental disabilities and their success stories in obtaining training, job placement, and ongoing employment supports.
PDF Icon View/Download This Presentation Lawhead (629 KB)
PDF Icon View/Download This Presentation Durkee (174 KB)
Moderator:
LeeAnn Christian; (prefers not to have title listed), Regional Center of Orange County
Presenters:
Beth Durkee; Director of Services for People with Developmental Disabilities, Allegan County Community Mental Health Services
Bob Lawhead; Executive Director, Employment Link
Rebecca Morrill-Lienhard; Director of Integration and Transition Services, Tierra del Sol Foundation
Loralee Sutton; Employee – Oakview Retirement, Tierra del Sol Foundation

Customized Employment Supports to Individuals
In this session attendees heard from self-advocates and regional center staff on customized employment approaches that assist people with disabilities and service providers to furnish work options as a typical service. The consumer presentations focused on small businesses and the steps necessary to set up and successfully operate the development of micro-enterprises.
PDF Icon View/Download This Presentation Long (19 KB)
PDF Icon View/Download This Presentation Weston (382 KB)
Other Workshop Materials
PDF IconEmployment Services Guide Beamer (759 KB)
Moderator:
Sherry Beamer; President, Sherry Beamer & Associates, Inc.
Presenters:
Diana Anderson; Community Service Specialist, Far Northern Regional Center
Dusty Dutton; Owner, Dusty’s Puppets
Cher Evans; Business Manager, Dusty’s Puppets
Hallie Long; Main Streaming in America
Mary Ann Weston; Community Service Specialist, Far Northern Regional Center

Workshop 3: Supporting Participation


Wellness and Health as a Foundation for Participation
This workshop presented initiatives underway to raise awareness that a healthy lifestyle is important for the full participation of people with intellectual and developmental disabilities in community life. Panelists described statewide and regional projects aimed at reviewing mortality, improving health and safety, and educating the community about the importance of a healthy lifestyle to a person’s overall well-being.
PDF Icon View/Download This Presentation Finley (289 KB)
PDF Icon View/Download This Presentation Oxx (120 KB)
PDF Icon View/Download This Presentation Ingraham (437 KB)
Moderator:
Sarah Taub; Project Director, Human Services Research Institute (HSRI)
Presenters:
Betsy Finley, RN; Chief, Clinical Services Bureau, Long Term Services Division, New Mexico Department of Health
Rick Ingraham; Manager, Children and Family Services, California DD Services
Sharon Oxx, RN, CDDN; Director of Health Services, Office of Quality Management - Massachusetts DMR

Social Capital: How Do I Get It and Where Do I Spend It?
This panel focused on the concept of social capital, which is more than community inclusion, participation, and self-determination. Social capital refers to our networks and connections with trusted friends in our communities. These trusted friends return favors, help us out, and connect us to other people and resources. Service organizations cannot provide people with social capital. But organizations can facilitate the development of social capital networks with other people in the community. This panel discussion provided concrete organizational strategies for building the social capital of people with disabilities in their local communities.
PDF Icon View/Download This Presentation Gardner (1.5 MB)
Moderator/Presenter:
Jim Gardner, PhD; President & CEO, Council for Quality and Leadership
Presenters:
Amanda Cade; Assistant Vice President QAI, Council on Quality & Leadership
Sandy Gregory; Quality Assurance Coordinator, Mosaic
Gloria Pearson; Executive Director, Ability Building Services, S Dakota
Sharon Spurlock; Assistant Director - Community Integration Services, St. Louis Arc

Supporting Relationships: The Power of Person-Centered Organization
Becoming active members of one’s neighborhood and being involved in community groups and associations provides rich opportunities to develop meaningful relationships. This presentation described strategies and tools that support people with developmental disabilities to forge friendships and intimate relationships with community members, breaking down the persisting patterns of personal isolation and programmatic segregation.
PDF Icon View/Download This Presentation Everson (842 KB)
Other Workshop Materials
PDF IconArticle: Closing the Gap between Vision and Reality: Building Person-Centered Organizations Blaney (31 KB)
Moderator:
Yo Bestgen; Deputy Director, Alta California Regional Center
Presenters:
Jacquelyn Victorian Blaney; Executive Director, Independent Living Inc.
Carolyn Carlson; (none submitted), Community Expressions
Stacy Everson; Executive Director, Seeds Educational Services, Inc.

Early Identification and Intervention in Autism: Forging the Architecture for Change
today. Despite important advances in recent years, access to intensive early intervention remains limited across the U.S. and unaffordable to the majority of parents. Panelists covered the most current research into effective educational strategies for young children with autism and what we know that works for most children. The critical need for intensive intervention at the earliest possible point was stressed. The importance of educational inclusion in elementary and middle school also was emphasized.
PDF Icon View/Download This Presentation Firestone (61 KB)
PDF Icon View/Download This Presentation Stephens (599 KB)
Moderator:
Ron Huff; Director of Intake, Alta California Regional Center
Presenters:
Barbara Firestone, PhD; President & CEO, The Help Group
Rita Rubin; President, Greater Long Beach/South Bay Chapter
Laurie Stephens, PhD; Director, Autism Spectrum Disorders Programs, The Help Group

Plenary 3: Individuals & Families Helping to Improve Quality


Individuals & Families Helping to Improve Quality
This plenary session explored the experiences of people with disabilities and family members who have been part of state and local efforts to monitor and enhance the quality of services and supports. From the self-advocacy perspective, Kristofer Peterson discussed his work as a surveyor using the Life Quality instrument adopted by California Area Boards. From the perspective of families and involved public administrators, there were presentations on the Rhode Island Statewide Quality Consortium and various activities of the committees in the areas of employment, and health and safety. The topics discussed included specific strategies to involve various stakeholders, specifically family members, in reviewing data and information on service outcomes within the DD system and encouraging pro-active participation, resulting in actions that make a difference in the lives of people with disabilities.
PDF Icon View/Download This Presentation Babin (3.4 MB)
PDF Icon View/Download This Presentation Gomes (26 KB)
Moderator:
Sarah Taub; Project Director, Human Services Research Institute (HSRI)
Presenters:
Sue Babin; Administrator, Rhode Island Division of Developmental Disabilities
Pam Goes; Family Support Coordinator, PAL (President, PAL Board of Directors)
Connie Gomes; Secretary, PAL
Doreen McConaghy; Executive Director, PAL, PAL
Kristofer Peterson; Support Specialist, Community Options

Workshop 4: Valued Contributions to Quality Improvements


How to Develop and Use Quality Councils
This presentation provided an overview of quality improvement and quality councils and highlighted two powerful examples of the use of quality councils. Specifically, Ms. Grossman focused the initiation of quality councils in Massachusetts, including the purpose, structure, and membership of councils and the orientation training and ongoing support given to the council members. Mr. Dunaway, from Florida described the development, and “care and feeding” of state and local level quality and steering committees, including people receiving services and their family members.
PDF Icon View/Download This Presentation Dunaway (149 KB)
PDF Icon View/Download This Presentation Grossman (749 KB)
Moderator:
Maureen Booth; Director, Quality Improvement, Institute for Health Policy, Muskie School of Public Service
Presenters:
Steve Dunaway; Quality Management, Florida’s Agency for Persons with Disabilities
Gail Grossman; Assistant Commissioner, Office of Quality Management - Massachusetts DMR

Quality Enhancement at the Provider Level: How to Build in Individual, Family, and DSP Perspectives
This panel highlighted three examples of provider-based quality assurance/quality improvement systems. The first example is ANCOR’s new organization-wide Performance Excellence Initiative. Presenters described the framework for the new initiative and the values and commitments that it reflects. The second presentation described the Periodic Service Review (PSR) system, a quality management tool developed by members of Institute for Applied Behavior Analysis. The third presentation shared information about the annual Quality Enhancement Review conducted by the Evergreen agency based the Evergreen Outcomes for People and Evergreen Outcomes for Children as the core technology for the measurement of service quality.
PDF Icon View/Download This Presentation Gomez (14 KB)
PDF Icon View/Download This Presentation Seppala (404 KB)
Moderator:
Renee L. Pietrangelo, PhD; CEO, ANCOR
Presenters:
Maryam Abedi; Consultant, Institute for Applied Behavior Analysis
Terry Collard; Vice President/Chief Strategic Officer, Chimes International
Lori Ann Dotson; Director of Supported Living, Institute for Applied Behavior Analysis
Sharon Gomez; Quality Enhancement Officer, Evergreen Presbyterian Ministries
Marty Lampner; Chimes International
Linda Seppala; Director of STEP, Institute for Applied Behavior Analysis

Developing Indicators and Benchmarks
In order to structure their quality management initiatives and to ensure integration across QA/QI systems, many states are in the process of framing quality indicators to assist in organizing their efforts. Ohio has designed and constructed fifty core indicators and supporting performance measures within the state’s Quality Framework. South Dakota gathers quality data from a variety of sources including a recently developed internet based reporting system, aggregate data from Council on Quality and Leadership (CQL) accreditation, and National Core Indicator (NCI) data.
PDF Icon View/Download This Presentation Seiler (175 KB)
PDF Icon View/Download This Presentation Hammar (347 KB)
Moderator:
Val Bradley; President, Human Services Research Institute (HSRI)
Presenters:
Don Bashaw; Assistant Deputy Director, Ohio Department of MRDD
Wanda Seiler; Director, South Dakota Division of Developmental Disabilities

Workshop 5: Forging System Change to Create Valued Lives


Moving Mountain Award Presentations on Workforce Development
This presentation focused on the practices employed by the Moving Mountain Award winners to enhance the quality of the direct support workforce. Specifically there was a presentation regarding Ark Regional Service’s competency-based performance system and the agency’s commitment to training, compensation, professional growth, and career development for direct support professionals. Kansans Mobilizing for Direct Support Workforce Change shared with meeting participants the steps taken and the tools used to improve the direct support workforce in Kansas. The Minnesota Community Supports Program is the state’s first total online program for direct support professionals (DSPs). The Stars program is a staff development and incentive program of The Arc Northern Chesapeake Region that uses the Community Support Skills Standards.
PDF Icon View/Download This Presentation Hermreck (185 KB)
PDF Icon View/Download This Presentation Quinn (55 KB)
PDF Icon View/Download This Presentation Cooper (1.2 MB)
PDF Icon View/Download This Presentation Sanders (660 KB)
Other Workshop Materials
PDF IconTraining System Description Cooper (192 KB)
Moderator:
Sheryl Larson; Research Director, University of Minnesota Institute on Community Integration
Presenters:
Mary Arnold; Ark Regional Services
Terry Cooper; Director of Human Services, Ark Regional Services
Patty Dumovich; Residential Coordinator, Johnson County Developmental Supports
Dan Hermreck; Training Coordinator, TARC/Kansas Mobilizing for Workforce Change
Brigitte Kratzer; Employment Specialist, The Arc Northern Chesapeake Region
Shelley May; Kansans Mobilizing for Workforce Change
Tim Quinn; Executive Director, The Arc Northern Chesapeake Region
W.C. Sanders; Coordinator and Lead Faculty, Community Supports Program, South Central College
Kathy Stiffler; CEO, Individual Support Systems
Sarah Williams; Human Resources Representative, Johnson County Developmental Supports

Connecting the DOTs...The College of Direct Support and You!
The panel described the College of Direct Support (CDS) and how web based training is being used in various states and agencies. The session included a live demonstration, an explanation of how the CDS can help states and provider agencies meet the new CMS Quality Assurance Framework.
PDF Icon View/Download This Presentation Hewitt (299 KB)
Moderator:
K. Charlie Lakin; Research and Training Center on Community Living, University of Minnesota
Presenters:
Tony Anderson; Executive Director, The Arc of California
Amy Hewitt; Training Director & Research Associate, University of Minnesota Institute on Community Integration
Bill Tapp; National Project Director, MC Strategies, Georgia

New CMS Waiver Application as a Catalyst for Systems Change
This presentation briefly described CMS goals and objectives in extensively revising the HCBS waiver application and the process that was used to develop the new application. The new application was described. A majority of the presentation was devoted to describing the new application supports participant direction of waiver services and major changes in CMS oversight of state operation of HCBS waiver programs.
PDF Icon View/Download This Presentation Smith (1.0 MB)
Moderator:
Val Bradley; President, Human Services Research Institute (HSRI)
Presenters:
Gary Smith; Senior Project Director, HSRI

Closing an Institution: The Agnews Experience
This presentation provided an overview of the steps taken by the state and a consortium of three northern California regional centers to move people out of Agnews Developmental Center – a state facility for people with developmental disabilities that is slated to close by June 30, 2007. It included a discussion of the ways in which the closure effort is being monitored, how resources were developed and how a federal systems change grant was employed to facilitate the process.
PDF Icon View/Download This Presentation Anderson (1.4 MB)
Moderator:
Margaret Anderson; Manager, Community Services and Supports Branch, California DD Services
Presenters:
Jim Burton; Executive Director, Regional Center of the East Bay
Julia Mullen; Deputy Director, Community Services and Supports Division, California Department of Developmental Services
Santi J. Rogers; Executive Director, San Andreas Regional Center
Jim Shorter; Executive Director, Golden State Regional Center

Closing Plenary: Wrap-up…Lessons Learned, Conference Highlights


Wrap-up
The final session was be a chance to reflect on lessons learned, conference highlights, and the commitments made by participants to put some of the best practices discussed during the meeting into practice.
PDF Icon View/Download This Presentation Bradley (240 KB)
Moderator:
Val Bradley; President, Human Services Research Institute (HSRI)