Transcript Kansas Institute for Positive Behavior Support

Kansas Institute for
Positive Behavior Support
www.kipbs.org
Kansas Institute for Positive
Behavior Support (KIPBS)
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Operated out of all three Kansas Centers on
Developmental Disability
Statewide plan, Federal Medicaid Funding (not a
waiver)
Three Social and Rehabilitation Services target
audiences
Mental Health
 Child Welfare
 Developmental Disabilities
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KIPBS Mission
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Train experts who will build capacity in their
regions and across Kansas
Provide Kansans with access to online resources
and instruction free of charge at different levels
of complexity
Create unified network of professionals across
services who support PBS and person-centered
planning (PCP) throughout Kansas
Consultant Versus Facilitator
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KIPBS students learn that their role is to work
with teams to develop capacity
Facilitator rather than Expert-based model
The purpose of the Institute is to create systems
change
Ongoing learning is valued and emphasized
KIPBS Graduates
Can bill Medicaid for PBS and personcentered planning services
 Contribute 12 hours a year to the Institute
in order to maintain eligibility for
reimbursement
 Submit potential applications to a Prior
Authorization committee for approval
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Technology-based Instruction
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Students working full time who can access
information in flexible manner
Students across diverse geographic locations in
Kansas
Class time is devoted to application-based
activities and case study development
Provides opportunities for students across
Kansas to communicate with each other
Building Resources in Kansas
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Level 1: Online materials introducing PBS
Level 2: Online instructional modules for agency
inservice training
Level 3: Online instructional modules to train leaders in
PBS
Additional resources will be available on the KIPBS
website:
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Newsletters for current updates on PBS
Information about PBS and PCP
Links to important related resources
Creating Different Types of Training
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Expert-level training- building statewide internal
capacity
Team-based training- creating teams that work
effectively
Awareness-level training- introducing new
people to the general concepts of positive
behavior support and person-centered planning
KIPBS Technology Supports
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Website containing links and resources
Online modules for levels available to all
Kansans from website
Password protected communication page for
instructors and mentors
Levels of Impact
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Build expert level capacity building with small number
of professionals who can bill Medicaid (e.g. 20 per year)
Provide statewide access to free inservice training
materials online
Create easy to digest information about PBS to policy
makers and agency directors
Develop state-wide, systems-level action plan with
KIPBS professionals
Donated mentor time to stay eligible and bill
Monitor and supervise reimbursement system
National Advisory Board
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Linda Bambara
Fredda Brown
Edward Carr
Albert Duchnowski
Rob Horner
Don Kincaid
Constance Lehman
 Darlene Magito
McClaughlin
 Joe Reichle
 Wayne Sailor
 Travis Thompson
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KIPBS Specialized Instruction
12 month training period resulting in:
 A portfolio including PBS, PCP, and systems
change case studies
 Completion of online instructional modules
 Two course exams
 Field-based activities and onsite course
supervision
Types of Instruction
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Online Instruction
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Onsite Classes
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Conceptual Knowledge
Field based activities
Assessments, reflective activities, threaded discussions
Model and demonstrate concepts
Group discussions and dialogue
Practice using new skills
Mentors
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Support development of portfolio
Additional individualized training as needed
Networking Activities
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Two forums each year bringing all KIPBS
professionals together
Experts connected via distance learning
strategies
Smaller work groups addressing 3 areas:
Improving the KIPBS training
 Current barriers to providing PBS
 Brainstorming systems change in Kansas
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Content Map
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Module 1: Introduction to PBS
Module 2: Introduction to Applied Behavior
Analysis
Module 3: Measuring Behavior &
Interpreting Data
Module 4: Person-Centered Planning
Module 5: Functional Behavioral
Assessment
Content Map
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Module 6: Designing Positive Behavior
Support Plans
Module 7: Multi-component Interventions
Module 8: Emotional and Behavioral Health
Module 9: Systems Change
Module 10: PBS Facilitator Guidelines
KIPBS Toolbox
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Problem solving strategy to tailor instruction
and create flexible teaching
Provides access to specific strategies and
information whenever a problem arises within a
case study
Access to tools for facilitating the personcentered planning and PBS plans
Module Demonstration
Prior Authorization
Target Population
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Children who engage in socially inappropriate
behaviors at such a frequency or intensity that they
are at risk of out-of-home placement. Eligibility
criteria include:
Developmental disability
 Diagnosis of autism
 Typically developing children who fit behavioral
criteria
 Children who have sustained a traumatically inflicted
head injury
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Prior Authorization Issues
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Provider is qualified
Consumer meets the established guidelines
Diagnostic and behavioral
 Medicaid eligible
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Assessment of behavioral status
Identification of problem behaviors
 Rating of behaviors
 Identifying environments in which behaviors occur
 Assessing risk of institutionalization or loss of LRE
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Purposes of Prior Authorization
 Control
costs
 Control provider quality
 Track provider/consumer data
 Prioritizing allocation of resources
 Log and investigate complaints
Billing Codes
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Total amount per year possible: $8,800 per
case
 Assessment
(up to $1,200)
 Intervention (up to $6,000)
 Person-centered Planning (up to $1,600)
One year reimbursement per case (with
possibility of extension based on approval)
 Maximum of 6 open cases per facilitator
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Project Evaluation
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Descriptive Evaluation: for the purpose of replication
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Performance Evaluation: to evaluate changes in professional
knowledge and skills
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Project staff activities
Instructor and mentor activities
Professional (student) activities
Online assessments
Field-based observations and activities
Portfolios
Exams (midterm and final)
Impact Evaluation: to evaluate effect on consumers
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Consumer satisfaction ratings
Quality of life surveys
Review of behavior change data and PBS plans
Review of person-centered plans to document preferred lifestyle changes
Supervision of KIPBS Facilitators
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Every student must complete three cases and submit
before billing (to demonstrate skills are generalized)
Every case must include the PCP and PBS self
assessment checklists
Three cases after students graduate are closely
evaluated and must reach 80%
Random selection of cases for more intensive review
after that period for each student
Review and investigate complaints sent to the Prior
Authorization Committee
Evaluating Layers of Impact
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Online and Website Impact
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Traffic on modules (number of users, hits, & time spent on module)
Traffic on website (visits, hits, return visitors, domain analysis, mailing list,
contacts via website email)
Training agencies to use online materials in innovative ways
(regional workshops)
Number of children served (data on outcomes)
Self-assessment data and portfolio outcomes
Mentor action plan data (# of awareness trainings, systems
change reports, mentors supporting students)
KIPBS state systems change action plans