Heart of Central Texas Real Choice Heart of

Heart of Central Texas Real Choice

Heart of Central Texas Real Choice: A System Transformation n Change: n Transform: n A System Transformation: to put or place (a thing) in place of something else; to exchange; make different; alter to change the form or appearance; to change the condition, character or function Full Access and Freedom to Choose for all persons with disabilities

Heart of Central Texas Real Choice: Overview n n n n n Project Scope & Funding Aging & Disability Resource Centers Leadership Team Tools and Technology Navigators/Legal Advocacy Super Community Resource Coordination Groups (CRCGs) Project Model Outcome Measures Partnership and Commitments

Heart of Central Texas Real Choice: Service Area n n n 13 Counties: Bell, Bosque, Coryell, Falls, Freestone, Hamilton, Hill, Lampasas, Limestone, Mc. Lennan, Milam, Mills and San Saba Major Cities: Waco, Belton/Temple, Killeen and Hillsboro Population: 696, 054 Persons with Disabilities: 119, 689 I-35 Corridor (40% of Texas population)

Heart of Central Texas Real Choice: Funding n n Texas Real Choice Funding: $294, 000 for 3 years ($882, 000) Older American’s Act, State General Revenue Funding, local revenue

Heart of Central Texas Real Choice: Aging and Disability Resource Centers (ADRC) n n Central Texas ADRC: Co-Location of Area Agency on Aging (AAA) & Area Information Center (AIC), 2 -3 Navigators, 2 -3 Aging and Disability Resource Specialist (ADRS) and linkage to Heart of Central Texas Independent Living Center. Heart of Texas ADRC: Co-Location of ILC , AAA, AIC, 2 -3 Navigators and 2 ½ ADRS. One Stop Shopping for Persons with Disabilities and LTSS Agencies (2 -1 -1 /1 -800/Internet/ walk-in) Personalized Service, Easy Access and Quick Response to Consumers

Heart of Central Texas Real Choice: 2 -1 -1 Implementation n n Central Texas – initiated December 2002 Heart of Texas – Fall 2003?

Heart of Central Texas Real Choice: Leadership Team (4) n n Executive Director, Heart of Central Texas Independent Living Center Executive Director, Care. Linc Network (AIC) Director, Central Texas AAA (AIC) Director, Heart of Texas AAA Ø Hire and Supervise Project Director Ø Advisory Committee Ø Integrated Management and Leadership Ø Navigators/ADRSs in 4 Agencies

Heart of Central Texas Real Choice: Common Tools n n n n n Prototypes: HHSC Summit (April 2001) Intake and Referral Form Release of Information Withdrawal of Permission to Share Information Referral Protocols Operational in 6 Counties (May 2002) Risk Screening Person/Family Centered Assessment and Planning Reduces Fragmentation, Duplication, Barriers and Confusion

Heart of Central Texas Real Choice: Regional Management Information System (Service. Point ™) n n n n n Hardware Infrastructure Complete 150 User Licenses Automation of Tools and Protocols Web-Based Community Intranet System Detailed Report Generation Secure Data Entry Tracks Changes in Consumer Status Real-Time Data Sharing with Other Agencies Consumer Confidentiality and Privacy (Enhanced) Aggregate Unmet Need Data

Heart of Central Texas Real Choice: Navigators (Barrier Busters) n n n n Comprehensive Consumer/Caregiver Interviewing Person/Family Centered Assessment, Planning and Implementation Liaison to Key Partner Agency Staff (Super Community Resource Coordination Groups) Brokering/Coordination of Traditional and Non-Traditional Community Services and Supports Consulting with Legal Advocacy Staff, Attending County CRCG’s, Interface with ADRC Staff Assisting with Paperwork, Accompanying Consumer to Agency Appointments and Hearings Assuring Follow-up, Cultural Sensitivity and Compliance with Americans with Disabilities Act Information Provision for Informed Choice

Heart of Central Texas Real Choice: Legal Advocacy n n n Lone Star Legal Aid Contract Legal Back Up for Navigators Consultation, Research and Advocacy Recommend Legal Remedies Americans with Disabilities Act Compliance

Heart of Central Texas Real Choice: Super Community Resource Coordination Groups n n n Partner Agencies Commit Key Personnel Key Staff Assign Staff/Authorize Expedited Services Ongoing Access to Navigators On-line Staffing Using Community Intranet Real-time Coordination and Resource Allocation Referral to County CRCG s (Indigenous Resources)

Heart of Central Texas Real Choice: System Model Agency Partners/ Public Oversight/Leadership AIC/ADRC (Linking & Screening) Project Director Navigators Super CRCG County CRCG s

Heart of Central Texas Real Choice: Outcome Measurement ØConsumer Outcomes: relocations, diversions, community/family participation, person/family centered plans, health and safety, freedom from abuse and neglect, independence, futures planning, and consumer satisfaction. ØSystem Outcomes: aggregate met and unmet need, consumers linked with resources, barriers overcome, service duration and intensity, institutional diversions/relocations, services from multiple agencies, Service. Point™ usage, meeting participation and Super CRCG Participation.

Heart of Central Texas Real Choice: Training Curriculum n n n n n Real Choice Overview Person First Language System of Access and Assistance ABCs of Information and Referral Person/Family Centered Training Cultural Diversity Service Point™ Software Benefits Counseling Agency Partners HIPAA

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Serve on Advisory Committee: AAAHOT Hill Country Community Action Assn. , Inc. CTAAA Consumer Advocate (Aging) Care. Linc Network Lone Star Legal Aid HOCTILC Killeen Help Center (Bell County Human Services) HOTRMHMR Milam County/CTCOG TDPRS/APS HOT Workforce Board CT Veterans Health Care System HOT Coalition for the Homeless Region 12 Education Service Center HOT Rural Transit District Bell. Net (Texas Agricultural Experiment System/Texas A&M) Central Texas Senior Ministry CTCOG/Housing Division Limestone County Senior Services CT Youth Services Bureau, Inc. Waco Housing Authority CT Workforce Board/Information & Referral System United Way Coryell County (County Judge) City of Waco

Heart of Central Texas Real Choice: Advisory Committee Members n Central Texas n n n n Mr. Nick Serna, Lone Star Legal Aid Dr. Lucinda Harmon, Combridge, Inc. Mr. Barry Fredrickson, TX Dept. of Human Services Mr. Ray Helmcamp, CCCMHMR Mr. Mike Mathis, TDPRS-APS Ms. Rita Kelly, Killeen Help Center Honorable John Hull, Coryell County Judge Ms. Gloria Holle, Early Childhood Intervention Honorable Jack Calvert, Mayor, City of Lampasas Ms. Tama Shaw, Hill Country Community Action Mr. John Kirchoff, HUD, Belton Mr. Aaron Montemayor, United Way GFHA, Killeen Mr. Steve Wick, Central Tx Youth Services, Belton Ms. Mary H. Klentzman, Family Advocacy § Heart of Texas § Mr. Brian Dodd, Regis-St. Elizabeth Centers § Mr. Harvey Fredriksson, Aging Consumer Advocate § Ms. Barbara Tate, HOT Regional MHMR § Ms. Marietta Diehl, TDPRS-APS § Ms. Dixie Skeen, TX Dept. of Health § Ms. Greta Brown, TX Dept. of Human Services § Mr. Budge Kimble, TX Commission For Blind § Ms. Judy Hicks, Region 12 Education Center § Mr. Doug Young, Central TX Veterans Health Care § Ms. Camilla Bare, Association of Retarded Citizens § Ms. Melody Mc. Dermitt, Central TX Senior Ministry § Ms. Stacie York, Providence De. Paul Center § Ms. Gaylen Lange, TX Workforce Development § Ms. Barbara Brewer, Salvation Army § Ms. Ana Salinas, Waco Housing Authority

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Help Develop and to Provide Personnel Support to CRCGs for Adults and Families AAAHOT Killeen Help Center (Bell County Human Services) CTAAA HOT Workforce Board Care. Linc Network Region 12 Education Service Center HOCTILC Temple Help Center (Bell County Human Services) HOTRMHMR Christian Assistance Network TDPRS/APS Bosque County Senior Services TDHS Central Texas Senior Ministry Early Childhood/CCCMHMR Freestone County Senior Services CT Youth Services Bureau, Inc. Limestone County Senior Services CT Council on Alcoholism & Drug Abuse Salvation Army

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Designate Key Staff to Represent Agency, Interface with Project Staff and Consumers: AAAHOT Lone Star Legal Aid CTAAA Killeen Help Center (Bell County Human Services) Care. Linc Network HOT Workforce Board HOCTILC HOT Coalition for the Homeless HOTRMHMR Central Texas Senior Ministry TDHS Bosque County Senior Services TDPRS/APS Waco Housing Authority CT Veterans Health Care System Salvation Army Bell County (County Government) United Way CTCOG/Housing Division City of Waco CT Youth Services Bureau, Inc.

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Use Common Intake: AAAHOT Temple Help Center (Bell County Human Services) CTAAA Christian Assistance Network Care. Linc Network HOT Coalition for the Homeless HOCTILC Central Texas Senior Ministry TDHS Freestone County Senior Services TDPRS/APS Bosque County Senior Services Early Childhood/CCCMHMR Limestone County Senior Services CT Veterans Health Care System Waco Housing Authority CTCOG/Housing Division Salvation Army CT Youth Services Bureau, Inc. United Way Hill Country Community Action Assn. , Inc. Caritas of Waco CT Council on Alcoholism & Drug Abuse Compassion Ministries Killeen Help Center (Bell County Human Services) Friend For Life HOT Workforce Board Mission Waco

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Adhere to Standardized Referral and Follow-Up Protocols: AAAHOT Workforce Board CTAAA Temple Help Center (Bell County Human Services) Care. Linc Network HOT Coalition for the Homeless HOCTILC HOT Rural Transit District CCCMHMR Central Texas Senior Ministry TDHS Freestone County Senior Services TDPRS/APS Bosque County Senior Services Early Childhood/CCCMHMR Limestone County Senior Services CT Veterans Health Care System Waco Housing Authority CTCOG/Housing Division Salvation Army CT Youth Services Bureau, Inc. United Way CT Workforce Board/Information&Referral System Caritas of Waco Hill Country Community Action Assn. , Inc. Compassion Ministries CT Council on Alcoholism & Drug Abuse Friend For Life Killeen Help Center (Bell County Human Services) Mission Waco

Heart of Central Texas Real Choice: Unprecedented Partnership Commitments to Use of Common Information Management System for Sharing Consumer Information, Consumer Tracking and Adherence to HHSC Consumer Confidentiality Guidelines: AAAHOT Temple Help Center (Bell County Human Services) CTAAA Christian Assistance Network Care. Linc Network HOT Coalition for the Homeless HOCTILC Central Texas Senior Ministry TDHS Freestone County Senior Services TDPRS/APS Bosque County Senior Services CT Veterans Health Care System Limestone County Senior Services CTCOG/Housing Division Waco Housing Authority CT Youth Services Bureau, Inc. Salvation Army Greater Killeen Free Clinic United Way Hill Country Community Action Assn. , Inc. Caritas of Waco CT Council on Alcoholism & Drug Abuse Compassion Ministries Killeen Help Center (Bell County Human Services) Friend For Life HOT Workforce Board Mission Waco

Heart of Central Texas Real Choice: Summary n n n n 13 Counties Aging and Disability Resource Centers Area Information Center (AIC) Integration Integrated Management and Leadership Regional Web-Based Intranet Navigators and Legal Advocacy Super CRCG Outcome Measurement