Download - Building An Accessible Transportation Network, A Public- Private Partnership Jim Wilkie – Link Associates Jon Davis – Polk County Emergency Management.

Building An Accessible Transportation Network, A Public- Private Partnership Jim Wilkie Link Associates Jon Davis Polk County Emergency Management

Community-based non-profit organization Founded in 1953 Provides services for children & adults with intellectual disabilities. Link Serves over 1,200 unduplicated individuals yearly Services Provided Supported Employment Worksite program (mobile crew) Developmental Center for Adults (Day Habilitation Services) Residential (RCF-MR/HCBS/SCL) Representative Payee Services Respite Services Transportation Case Management & Service Coordination Leisure Services

Mission: Providing People with Intellectual Disabilities opportunities to achieve their personal goals Vision: Consumers in the community reaching their chosen goals Values: Dignity & Respect We respect the dignity of each person & the persons right to direct their life. Quality Services We work together as a team, consumers & staff, to provide services that support consumers in defining and achieving their needs & desires. Caring and Supportive Environments We provide people with living & working environments that offer consumers opportunities to work, learn, & socialize through supports provided by caring, skilled, & knowledgeable staff. Personal Choices We provide services reflecting individual needs and desire, recognizing the consumers right to risk failure in striving to achieve their personal goals.

Sample of Consumers served Through Second Quarter For Fiscal Year 2010 -2011 Leisure 272 Respite - 63 Residential (HCBS/SCL/RCF) 100 Day Habilitation 59 Pre Vocational 91 Supported Employment 62 Transportation (trips provided) 44,716

State System Targeted Case Management Eligibility : Under the state Medicaid plan, case management services are available to persons with chronic mental illness, mental retardation, or a developmental disability, who are not in a Medicaid- funded institution. Children must be receiving services through the Home and Community-Based Services Waiver for Persons with Mental Retardation to be eligible. Case management services may be provided to persons with brain injuries occurring after the age of 22 only through the Brain Injury Waiver. Some agencies may serve individuals with other disabilities, but the consumer must pay the full cost of the service. Funding: The state and the county of legal settlement share equally the non-federal share of the cost of service to adults whose case management service is not covered by the Iowa Plan for Behavioral Health (administered by Merit Behavioral Care of Iowa). In addition, Polk County may pay for case management services to individuals who are temporarily ineligible for Medicaid and for those transitioning into or out of the case management system. Service description : Generally, all case management services include the following: Assessing service needs, including assurance that a diagnosis and evaluation is obtained for each consumer Developing, with an interdisciplinary team, an appropriate individual program plan for each consumer. Assisting the consumer in obtaining needed services. Monitoring the provision of services and the consumers progress. Advocating on behalf of the consumer Specific provider agencies: Each county in Iowa directly provides or designates one or more agencies to provide case management services. Polk County has designated six different agencies as case management providers. Consumers may apply to any of the designated providers. The following chart shows the population groups each agency serves, and a description of each program follows the chart

Polk County Provider Network Polk County service contracts require that all providers meet all applicable licensure, accreditation or certification standards; however Polk County makes serious efforts to stimulate access to more natural supports in its service provider network. Successful attainment of positive outcomes, consumer and family satisfaction, and cost effectiveness measures are the most important factors in continued network participation. PCHS has identified access points within the provider network to assist individuals or their representatives to apply Targeted Case Management Agencies contracted by Polk County Health Services (CPC) Link Associates Easter Seals Child Serve Golden Circle Community Support Advocates Broadlawns Cap Consumers may have CM outside of where they live Funding would be approved by a different Central Point of Communication (CPC) for each county

Programs in Polk County fund by PCHS Behavioral Health Resources (BHR) Behavioral Technologies Broadlawns Medical Center Candeo Child Guidance Center, a division of Orchard Place Children & Families of Iowa ChildServe Christian Opportunity Center (COC) Community Support Advocates (CSA) Counseling & Assessment Services, P.C. Crest DART (Des Moines Area Regional Transit) Easter Seal Society Generations Inc. Golden Circle Behavioral Health Goodwill Industries of Central Iowa Homestead H.O.P.E. Iowa foundation for Medical Care Link Associates Lutheran Services in Iowa Mainstream Living Mosaic Primary Health Care Inc. Progress Industries Passageway ResCare Strawhacker & associates Trans Iowa, L.C.

How Link Transportation Began Needed a way to get Consumers to and from work/day programs Contracted with Dart until 2004 Waiver funding rules changed and Link began its own routes in 2004 DART assisted Link in identifying and establishing the routes Work with Polk County Health Services to gain approval and set reimbursement rate Started with Links Day Hab/Pre Voc consumers first

Links Transportation Department Link Employees 300 full and Part time staff Transportation Department has 3 full time staff Fleet & Facilities Director - Jim Wilkie Fleet & Facilities Administrator Scott Hennings Fleet & Facilities Administrator Linda Knapp Drivers 14 Drivers Permanent/Part Time (30 hours less/wk) Work split shifts Operate 13 Wheelchair Accessible Bus Routes Buses hold 10-14 consumers 13 Residential routes Utilize Residential vehicles & staff to assist with transportation Transport 6 consumers per vehicle Provide over 86,000 trips on a yearly basis

Staff Training & Qualifications Bus drivers required to have Class C CDL Background Checks Employees Receive the following Training Classes Agency Orientation Rights, Responsibility & Confidentiality Life Plans/Incident Reporting Mandatory Reporter CPR/First Aid Introduction to MR/DD Positive Behavioral Support Universal Precautions Respect Transportation & Safety Training Defensive Driving Fish Training

Businesses & Providers Served Behavioral Technologies Candeo ChildServe Christian Opportunity Center (COC) Community Support Advocates (CSA) Crest DART (Des Moines Area Regional Transit) Easter Seal Society Golden Circle Behavioral Health Goodwill Industries of Central Iowa Homestead Lutheran Services in Iowa Mainstream Living Mosaic Progress Industries ResCare

Transportation Coordination Case Manager issue NODs (notice of Decisions) after consumers & their teams choose the providers they would like to access Fleet & Facilities Administrator looks at: Where consumer lives Where consumer will be going to work Do they need to transfer to another route at Link to reach final stop Time consumer needs to be at work & picked up Can we meet the consumers needs Where does the consumer fit on the existing routes Ensure they will be on the route less than 1 hours Place on appropriate route Do consumers on different routes need to be moved around Contacts CM & residential provider to inform them of drivers name, cell phone number and pick up times or informs them that we cant meet their needs at this time Start date determined, changes made to route, drivers informed Transportation Services Begin

Links Routes

Sampling of Links Fleet

Benefits of Link Transportation Human Service Provider who understand the needs of the consumers served Links Transportation saves the county over $900,000.00 a year Specialized service with trained staff to work with people with Intellectual Disabilities Reduced ride time for consumers Reduces the carbon foot print with condensed routes Works with consumers team to help them achieve their personal goals. Benefits consumers and Link Service is designed as an income source/self sustaining program Program provides reliable transportation with staff that are trained to work with people with disabilities

Link & Polk County EMA How Link and Polk County EMA started Link contacted Polk County EMA for assistance in planning and preparing for Emergencies/Disasters Polk County EMA reviewed plans & offered suggestions Also contacted DM Police Dept for assistance with Bomb Threats DMPD and Polk Co. EMA invited Link to join the Polk county Multidisciplinary team Growing the relationship Remained in contact with AJ Mumm Expresses Links desire/ability to give back as best we could as a non profit Assisted Polk Co EMA in Vigilant Guard Exercises Asked to attend pre planning meetings during 08 Floods Assisted in emergency evacuation during 2008 Floods Finalizing Cooperative Agreement

Providers in Iowa Iowa Association of Community Providers (IACP) State association of community providers IACP State office located at 7025 Hickman Road; Suite 5 Urbandale, IA 50322 Phone: (515) 270-9495 Fax: (515) 270-1035 ACP www.iowaproviders.org

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Mission Statement In partnership with private sector and nonprofit organizations, coordinate and promote a comprehensive, risk-based program of local emergency management activities in order to establish a disaster resilient community in Polk County.

Mission = Comprehensive Mitigation Preparedness Response Recovery

Emergency Management Commission

Federal Response State Response County Response Local Response On-site Responders Normal Operations Incident On-site Responders Local Response County Response State Response Federal Response Response Transition Recovery Incidents should be managed at the lowest jurisdictional level possible

Core Duties and Responsibilities Iowa Code & Iowa Administrative Code 1. Administration and finance 2. Hazard identification, risk and capability assessments 3. Resource management 4. Planning 5. Direction, control, and coordination 6. Damage assessment 7. Communications and warning 8. Operations and procedures 9. Training 10. Exercises 11. Public education and information 12. Homeland Security* (informal)

Hazard Analysis, Risk Assessment 1.Historical Occurrence 2.Probability 3.Vulnerability 4.Geographic Scope 5.Severity of Impact 6.Speed of Onset 7.Cascading Potential

Planning In preparing for battle I have always found that plans are useless, but planning is indispensable. Dwight D. Eisenhower Men often oppose a thing merely because they have had no agency in planning it, or because it may have been planned by those whom they dislike. - Alexander Hamilton In preparing for battle I have always found that plans are useless, but planning is indispensable. Dwight D. Eisenhower Men often oppose a thing merely because they have had no agency in planning it, or because it may have been planned by those whom they dislike. - Alexander Hamilton PRODUCTS Comprehensive Emergency Plan Response/Operations Mitigation Recovery Pre-Disaster Mitigation COOP/COG Strategic Plan PROCESS Agreed upon courses of action among parties with shared responsibilities. Prevent misunderstandings Fulfill community expectations Satisfy legal requirements Reduce liability Identify shortfalls Basis for training and exercises

Resource Management Functions Identify/Type Build Implement Maintain Categories/Types Services Equipment Supplies Facilities Methods Own Contract Mutual aid EMAC/IMAC

Flooding Example Planning: No notice incident Planned event Evacuation Rally Point: 3 rd Ave/University Public Health EMS Accessible Transportation Law Enforcement Shelters: Location/identification

Notification Response Partners EOC activation Call lists CodeRED Public CodeRED NOAA Weather Radio Media Door to door

Triage Assess medical needs - Pre-incident - Due to incident Basic First Aid or transport to hospital Determine sheltering needs - Medical Shelter for acute medical conditions - Residential Care - Accessible General Population Shelters - Self sufficient

Transportation -From Evacuation Rally Point to shelters - From residence to Evacuation Rally Point or shelter - Other missions ex. Showers, Disaster Recovery Center

Why it works Natural partner Utilizes the experts in the field Common goals Established trust with public

How to build partnership in your community Identify resources for accessible transportation Identify support staff/private partners Include them in the planning process