Introduction to Oregon ISP (.ppt)

Introduction to
Proposed New
July 22, 2014
This is a work in
Changes are
happening based on
field test and ongoing
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
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
Partners in conversation
 Plan
of Care / Billing System
 Employment First Implementation Team
 Medicaid Waiver Unit and Oregon Health
 Licensing Unit
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
(Jan. 2015)
Field Test
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
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
 Build on existing person centered
planning tools and plans (e.g. ELP, ELISP,
PFW, Customer Goal Survey)
The Plan
 Serious
risks are identified and addressed
Maintain instructions for
staff to support identified
risks (e.g. protocols, BSP,
safety plans, etc.)
The Plan
 Connects
assessed needs to specific
chosen services (such as ADL and IADL
support needs)
Various goal
tools will be
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
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
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.”
What’s next?
 Visit
Latest news
Sign up for email newsletter updates
Share feedback
 This
Fall we will announce training
schedule for November and December
Thank you!

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