Transcript What is PCS of WNY? - Person Centered Services of Western New

What is PCS of WNY?
• Person Centered Services of Western New York (PCSWNY) is a
collaborative organization established by a group of local nonprofit
service providers for people with developmental disabilities.
• PCSWNY was established to respond to New York State’s People
First Waiver program.
• Comprised of eleven developmental disabilities agencies
throughout Buffalo, Rochester, and Finger Lakes working together
to build a stronger and sustainable healthcare & service
environment for the individuals and families we serve.
PCS of WNY
Board Members
Rochester/Finger Lakes
• Able 2
• Heritage Christian Services Inc.
• Hillside Family of Agencies
• Holy Childhood
• Lifetime Assistance Inc.
• Pathways, Inc.
Buffalo/Western New York
• Aspire of WNY, Inc.
• Cantalician Center for Learning Inc.
• Community Services for Developmentally Disabled Inc.
• People Inc.
• Suburban Adult Services Inc.
People First Waiver
• What is the People First Waiver?
• The People First Waiver will allow
OPWDD to craft a new, more efficient
system design that will protect the
health and safety of all individuals
while increasing the effectiveness and
sustainability of supports and services
for future generations.
• New design will provide managed care
through the establishment of managed
care organizations called DISCO’s.
• Why Managed Care?
What is a DISCO?
• Developmental Disabilities Individualized Support and Care
Coordination Organization (DISCO)
• The DISCO will function as a fiscal intermediary and service
delivery network providing comprehensive Care Coordination
to individuals with disabilities and their families.
• DISCOs will be equipped to serve individuals with all levels of
need by providing supports and services directly or indirectly
through sub-contracts with provider agencies.
DISCO Services
OPWDD Auspice Services
DOH Auspice Services
OMH/OASAS Auspice
Services
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Voluntary Operated
OPWDD Comprehensive
Waiver Services
Voluntary Operated Day
Treatment
Voluntary Operated
ICF/MR
Art 16 Clinic Services: OT,
PT, SLP, Clinical Social
Work, Psychology,
Nutrition, Rehab,
Counseling, Podiatry, and
Dentistry.
Care Coordination
provided by the DISCO
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Adult Day Health Care
Assisted Living Facility
Dentistry
DME and Hearing Aids
Home Care (nursing, Home Health
Aide, PT, OT, SLP, nutrition, Medical
Social Services and associated
ancillary services such as home
delivered meals and social day care)
(offered under any auspice: hospitalbased, nursing ho me-based, and
free-standing programs)
Non Emergency Transportation
Optometry, Eyeglasses
OT, PT, SLP
Personal Care
Personal Emergency Response
System
Private Duty Nursing
Psychology and Clinical Social Work
Respiratory Therapy
Skilled Nursing Facility
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OASAS Inpatient
OMH Institutional Program
(PC/RTF) and private
psychiatric hospitalizations
Psychology and Clinical
Social Work.
OMH day treatment
PROS
Coordinated Assessment
System
• Universal Assessment Tool - interRAI Assessment Suite
o Consists of 16 separate “domains”
o Each domain will contain specific items
o Items will identify information to be gathered
• Assessments will be conducted by trained specialists employed by
the State.
• Assessments will be person-centered and involve individuals, family,
staff, clinical team, records, and observations.
• Assessment Supplements
Coordinated Assessment
System
Phasing Plan of Coordinated Assessment System
Phase I
Select Case Studies
Phase II
DISCO Pilot Project Participants
Phase III
Individuals newly entering the service
system
Phase IV
Over time, assessments will be conducted
for individuals who currently receive
services.
The purpose of the new assessment system is to help identify opportunities
for greater integration and independence based on strengths, needs, and
individual interests.
Functions of Care
Coordination
Linkage and
Referral
Eligibility and
Benefits
Maintenance
Advocacy
Cost
Management
Care
Planning
Central
Point of
Contact
Coordination
with
Providers
Assessment
Record
Keeping
Monitoring
Geographic Breakdown
PCS of WNY Intent
• A Gateway to Choice…
• The future DD service system will be driven by missionbased, experienced service providers, using a network of
providers that embrace a person-centered philosophy and
maximize efficiencies while protecting what is unique and
important to serving people with developmental
disabilities.
Mission and Vision
MISSION
Person-Centered Services of Western New York is applying to be
one of the first Developmental Disabilities Individual Support &
Care Coordination Organizations (DISCO) in New York State and the
first serving the 17 counties of Region 1.
VISION
All individuals in Region 1 with developmental and/or intellectual
disabilities will have access to the residential and direct services
they require - including care coordination, mental health and
physical health – and the greatest possible choice of quality
providers.
Goals of PCSWNY
Appropriate
access to care
Assume risk
Results-based
New ideas
Guiding Principles for Agency
Participants
• Maintain respect for the identity and continuity of all agency
participants while working together toward the best possible
regional approach.
• Preserve respect for the values and principles of our various
network providers.
• Uphold confidentiality while maintaining openness to sharing of
information that is necessary for moving forward in a collaborative
manner.
Guiding Principles for Service
Delivery
• Ensure that the individuals who are receiving and/or needing
services in the forefront of our planning
o Better outcomes
o Better supports
o Person-centered
• Seek inclusion and diversity in governance and networks along with
the capacity to support the entire region.
• Understand that participating agencies will be moving forward with
other options within the DISCO environment
Organization of PCS of WNY
OPWDD
Other
DISCO(s)
Advisory
Board
Network – DD
(17 counties)
Network –
Non-DD
Why PCS of WNY?
No outside organizations
Maximize choice
Competitive environment
Connections to the region
Advantages of PCS of WNY
• Geographic distribution – across 17 Region 1 counties
• Established networks and relationships of the founding
members
• Combined service portfolio of founding agencies
• Two Compass agencies (Heritage Christian Services, People
Inc.)
• Senior and housing services
• Prepared to be an early adopter; we can move as fast as
OPWDD requires
Timeline for Transition
DISCO Pilot Phase
Full Implementation (Non-Pilot
DISCO Roll out
Services
Included
OPWDD and DOH long-term
supports and services and
other behavioral supports
OPWDD and DOH long-term
supports and services and other
behavioral supports – to phase into
comprehensive services over time
Initial
Enrollment
November 2013
November 2015
Questions?
Contact Information
Sara Randolph
Director of Business
Development
716.817.7415
[email protected]
Tess Fraser
Director of Marketing
716.817.7496
[email protected]
Website: www.pcswny.org
www.facebook.com/PCSWNY