{ A WHOLE NEW WORLD Content Contribution provided by TBC SERVICES AND PROVIDER RESOURCES GROUP

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A WHOLE NEW WORLD

A WHOLE NEW WORLDContent Contribution provided by TBC SERVICES AND PROVIDER RESOURCES GROUP

{THE WORLD AS WE KNEW ITFACILITY BASEDLARGE GROUPSMIX OF VOC AND HABNot Many Changes Very predictable income & expense

Home BasedDay ServiceTransportationEmployment

WHERE IN THIS WORLD ARE WE GOINGEmploymentSMALL GROUPSCOMMUNITY SETTINGSHOME BASED SERVICESA marketing strategy that joins products or services together in order to sell them as a single combined unit. Bundling allows the convenient purchase of several products and/or services from one company. The products and services are usually related, but they can also consist of dissimilar products which appeal to one group of customers.DEFINITION of BundlingOne Call Does It AllBuilding of the market footprint for the product (ie: transportation, HPC, employment) is the process that requires activities in different segments.

During this process all functions within the company support the services.

Building a successful footprint can be done in several different, but interlinked dimension.NEW REVENUE STREAM

Creative scheduling that looks @ the profit and loss margin Ensuring that it is in the planLooking at realistic ratio and that special circumstances are accounted for

Snip financial statement Mary Stop here Kelsey integration voc/hab 1:12 anxiety 7Non-Medical TransportationLucrative money stream however, must be closely monitored

Attendance of program participants location & # of people

Staffing cross-utilized or single source/part-time Vehicle service and repair best way to address

Variety of vehicles flexibility of purposes, interagency collaboration

Per-mile versus per-trip billingEmployment ServicesKey ingredient of the future

Moving through tiers quickly by thinking ahead to the next step

Caseloads have to be managed

Staff schedules & retention

Barrier: OOD transportation typically two weeks then shifts to the person creativity and collaboration w/CBDD and discussed right at the beginning

Employment ServicesOOD/Employment First 2011 Primarily providing DD Supported Employment. In 2012, all eligible individuals were referred to OOD as payer of 1st resort for Supported Employment, and the year we became CARF accredited and OOD certified. Just now starting to see ROI.

11WHAT IS HPCCAN BE PROVIDED IN THE HOME OR IN THE COMMUNITY

1:1 SERVICES OR SMALL GROUPS (RECOMMEND NO MORE THAN 1:4 FOR THIS SERVICE)

CAN PROVIDE RECREATIONAL ACTIVITES AND OUTINGS

CAN BE PROVIDED OVERNIGHT

PAYS FOR AWAKE TIME AND SLEEP TIME AS NEEDED

VERY SUPPORTIVE SERVICE TO INDIVIDUALS WHO ARE WORKING AND LIVING ON THEIR OWNEXAMPLES OF CURRENT PROGRAM IDEASDAY, EVENING AND WEEKEND RECREATIONAL ACTIVITIES

BEFORE AND AFTERWORK CARE

DROP IN SERVICES

ASSISTANCE TO ACCESS MEDICAL CARE

WEEKEND DROP OFF SERVICES

OVERNIGHT TRAVEL

SHORT VACATION TRIPS

AMUSEMENT PARKS AND SPORTING EVENTS

HPC TRANSPORTATIONBILLED AS PER MILE

CAN BE USED IN ADDITION TO NMT (but not @ the same time)

CAN BE USED TO ACCESS ADS, SEE, SEC AND HPC SERVICES

HPC STAFF HOURS AND HPC MILEAGE CAN BE BILLED AT THE SAME TIME

MOSTLY PROVIDED IN SMALL VEHICLES OR EMPLOYEE VEHICLES

VERY PERSON CENTEREDABLE TO FOCUS ON WHAT THE INDIVIDUAL NEEDS AND WANTS

CAN ASSIST INDIVIDUAL IN INCREASING INDEPENDENCE

MUST BE IN THE PLAN AND RATIOS ARE GENERALLY SPELLED OUT IN THE PLAN

SUBJECT TO PAWS LIMITS NEED TO CAREFULLY MANAGE

What Does This Look Like?

16Management Financials Income and expenses classified by department

Decisions MUST be based on financial data

Financial forecasting and cash flow

Systems to monitor what works for you

Staffing based on actual acuity and based on available authorized funds

TAKE AWAYSFLEXIBLE AND NIMBLEABILITY TO MEET INDIVIDUALS NEEDSABILITY TO SUPPORT CMS STATUTES ABILITY TO BE IN THE COMMUNITYABILITY TO PROVIDE SERVICES IN SMALLER SETTINGS/WAYSABILITY TO CROSS TRAIN STAFF USING ADS AND HPCPERSON CENTEREDABILITY TO BE CREATIVE IN CAREABILITY TO BE FLEXIBLE IN SERVICE TIMES (TRANSPORTATION)