AIDD Updates

Sara Newell

July 9, 2014

Staffing Updates • Aaron Bishop, Commissioner

• Sharon Lewis, Principal Deputy Administrator, ACL, HHS Secretary Sylvia Burwell’s Senior Advisor on Disability Policy

• New staff:– Clare Barnett (P&A/HAVA programs)

– Allison Cruz (DD Council program)

DDC Staff Contact Information Allison Cruz

– Regions 1, 5, 6

– Phone: (202) 357-3439

– E-mail: Allison.Cruz@acl.hhs.gov

Sara Newell

– Regions 2, 3, 4

– Phone: 202-690-5963

– E-mail: Sara.Newell@acl.hhs.gov

Rita Stevens

– Regions 7, 8, 9, 10

– Phone: 202-260-6818

– E-mail: Rita.Stevens@acl.hhs.gov3

Grants Management Updates • OGM Fiscal Points of Contact:

– DD Council Contact: Rebecca Mann• Phone: (202) 357-3423• E-mail: Rebecca.Mann@acl.hhs.gov

– Rimas Liogys, Director:• Phone: 202-357-3454• E-mail: rimas.liogys@acl.hhs.gov

– Yi-Hsin Yan, Management and Program Analyst: • Phone: 202-357-3436• E-mail: yi-hsin.yan@acl.hhs.gov

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Interagency Efforts• HHS National Alzheimer's Plan

• HHS/ED Early Childhood Developmental and Behavioral Screening Initiative

• APS

• AOA LTCOP

• OSEP/ED PTI

• Youth Transition

• NINR

• ACL ADRC/No Wrong Door

• HHS Epilepsy Initiative5

Review of PPRs/SPAs

• Staff completed reviews of the FY13 PPRs and FY14 SPAs

• Conducted an analysis of the data to identify potential outliers

• All FY13 Program Performance Reports and FY14 State Plan Amendments submitted in DD Suite have been accepted.

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Review of PPRs/SPAs

• Continuing to develop guidance to improve report quality and reliability

• Will be engaging in further discussions with Councils around their reporting

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Quality Review System Pilot

• In 2012, OPS engaged in a project to:

– Review and evaluated MTARS– Developed revised model – called Quality

Review System– Developed review tools

Quality Review System

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Tier 3 - On-site review for red flag programs, which AIDD

can conduct at any point, but most likely after Tiers 1 & 2

Tier 2 - Periodic in-depth Compliance & Outcome

Review (desk review & site visit)

Tier I - Annual PPR/State Plan Review (compliance

and outcomes)

Organizational Review

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Compliance

Outcomes

Organizational

ReviewQUALITY REVIEW SYSTEM

Quality Review System (QRS or “Q”)

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Compliance Review

Tier 1: Annual PPR and SPA Review

Tier 2: Periodic in-depth compliance

review

Outcome Review

Tier 1: Annual PPR Review - Outcome

measures

Tier 2: Periodic in-depth outcome reviews

Federal Staff

Review Team

Federal Staff

Review Team

Tier 1: Annual Compliance and Outcome Review

• Conducted annually by federal staff

• Focus on high level program compliance and outcome reviews

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Tier 1: Annual Compliance and Outcome Review

• Compliance review: – Review and analysis of the Program

Performance Reports (PPRs) and State Plan Amendments (SPAs)

– Assess whether grantee is compliant with DD Act requirements

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Tier 1: Annual Compliance and Outcome Review

• Outcome review: – Review and analysis of the Program

Performance Reports (PPRs) and State Plan Amendments (SPAs)

– Focus on data and narrative(qualitative) to assess results

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Tier 1: Annual Compliance and Outcome Review

• Tier 1 Review tool– Developed by Workgroup

Members: Wanda Willis, TN, Claire Mantonya,

UT, Brian Cox, MD, Kathy McAllister, FL

– AIDD staff conducted pilot of Tier 1 review tool in 2013 and 2014

– Recently expanded tool for future use15

Tier 2: Status

• Tier 2 document to be completed by end of 2014

• Piloting process will begin in 2015

• Focus on in-depth review of program compliance and program outcomes

• Verifies grantee is compliant with all aspects of DD Act requirements and is achieving outcomes

• Desk reviews, on-site visits16

Performance Measures: Update

Allison Cruz

July 9, 2014

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• Performance Measures developed by Workgroup (2011-2013)– (9)DDC Representatives:

Millie Ryan AK, Graham Mulholland PA, Anna Lobosco NY, Holly Riddle NC, Joanna Cordry TX, Vendella Collins MI, Wanda Willis TN, Ed Holen WA, Carol Stamatakis NH, NACDD & AIDD staff.

• Performance Measures Pilot (2013-2016)– (9)DDC Representatives: Becky Harker- IA, Margie

Harkness- IL, Sherry Manning & Kari Horn- NV, Anna Lobosco- NY, Cheryl Hess- ND, Alicia Cone- TN, Ed Holden & Brian Dahl- WA, Fil Clissa & Ann Sievert WI, Shannon Buller- WY.

Pilot Status

Bi-monthly Performance Measures discussions:

– Data collection and reporting

– Resources beneficial to assist in implementation (e.g. guidance document, frequently asked questions, list of resources)

– Sharing of tools and instruments being developed to guide pilot implementation (e.g. spreadsheets)

– PPR reporting template

Pilot Timeline

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Federal Fiscal Year

Pilot Remaining Councils

2015 (10/1/14-9/30/15)

• Gather data on new performance measures and report such data in FY 2015 PPR

• Report on current performance measures in FY 2015 PPR

2016(10/1/15-9/30/16)

• Continue to gather data on new performance measures and report such data in FY 2016 PPR

• August 15, 2016- Submit New State Plan

(10/1/16-9/30/2021)

• Report on current performance measures in FY 2016 PPR

• Align contracts/grants with new performance measures for new state plan cycle

• August 15, 2016- Submit New State Plan (10/1/16-9/30/2021)

2017(10/1/16-9/30/17)

• Implement New State Plan

• Gather data on new performance measures and report such data in FY 2017 PPR- FY2021

Administration on Intellectual and Developmental Disabilities

Administration for Community Living

U.S. Department of Health and Human Services

1 Massachusetts Ave, NW

Washington, DC 20201

(p) 202-690-6590

(f) 202-205-8037

AIDD website: http://transition.acf.hhs.gov/programs/add

ACL website: http://www.hhs.gov/acl