11

Functional NeedsFunctional NeedsAssessment Assessment

OverviewOverview

June 2013June 2013

22

Why is this assessment Why is this assessment required?required?

• Federal Regulations require annual Federal Regulations require annual assessment of an individual’s need for assessment of an individual’s need for services.services.

• This requirement extends to existing state This requirement extends to existing state plan and waiver services. Oregon is required plan and waiver services. Oregon is required to adopt a functional needs assessment as part to adopt a functional needs assessment as part of the remediation of our last CMS audit of the remediation of our last CMS audit findings, as well as for implementation of the findings, as well as for implementation of the “K Plan.”“K Plan.”

• Planned adoption of “K Plan” has necessitated Planned adoption of “K Plan” has necessitated an expedited timeline for implementation of a an expedited timeline for implementation of a functional needs assessment tool and process.functional needs assessment tool and process.

33

Purpose of the AssessmentPurpose of the Assessment

• Assess the need for support (Medicaid Assess the need for support (Medicaid services may be provided to meet services may be provided to meet assessedassessed needs.) needs.)

• Assessment gathers information Assessment gathers information about needs, preferences and goals about needs, preferences and goals and becomes an information source and becomes an information source for service planning. (Medicaid for service planning. (Medicaid requires that needs identified in the requires that needs identified in the assessment must be addressed in the assessment must be addressed in the service plan.) service plan.)

44

But, I heard this was going to But, I heard this was going to be used for rate setting…be used for rate setting…

• SIS and SNAP will continue to be used for SIS and SNAP will continue to be used for rate setting in out of home placements.rate setting in out of home placements.

• FNAT will result in a determination of FNAT will result in a determination of support needs and the services necessary support needs and the services necessary to meet those needs for individuals living to meet those needs for individuals living in their own or family home.in their own or family home.

• It will not set a funding amount. The It will not set a funding amount. The funding authorized will depend upon the funding authorized will depend upon the services chosen by the individual to meet services chosen by the individual to meet the needs assessed in the FNAT. (This the needs assessed in the FNAT. (This happens in service planning.)happens in service planning.)

55

Who conducts the Who conducts the assessment?assessment?

• The functional needs assessment is The functional needs assessment is completed by the “person centered completed by the “person centered plan coordinator”plan coordinator”

• A Personal Agent or Services A Personal Agent or Services Coordinator or DHS Case Manager Coordinator or DHS Case Manager (i.e. CIIS) (i.e. CIIS)

66

Who will be assessed?Who will be assessed?• All new individuals enrolled in case All new individuals enrolled in case

managementmanagement at either a CDDP or at either a CDDP or Brokerage must have an assessment prior to Brokerage must have an assessment prior to authorizing services. authorizing services.

• All currently enrolled individualsAll currently enrolled individuals must must have an assessment have an assessment as part of the as part of the development of their next annual plandevelopment of their next annual plan (before authorizing services under a (before authorizing services under a renewed plan.).renewed plan.).

• Individuals may request assessmentIndividuals may request assessment or or re-assessment at any time. (Assessment re-assessment at any time. (Assessment must be completed within 45 days of the must be completed within 45 days of the request.)request.)

77

The Assessment ProcessThe Assessment Process• Must include a face-to-face assessment Must include a face-to-face assessment

– Individual/guardian may determine how Individual/guardian may determine how much they wish to participate (at a much they wish to participate (at a minimum, you must observe the individual)minimum, you must observe the individual)

– Individual/guardian decides who else Individual/guardian decides who else participates in an assessment interview participates in an assessment interview

• Must include a review of the individual’s Must include a review of the individual’s filefile

• May include information from other May include information from other sources sources

88

Assessment Information Assessment Information sourcessources• Assessment is not based only on Assessment is not based only on

interview response. Consider info from interview response. Consider info from other sources such as observation, other sources such as observation, client file.client file.

• PA/SC must ASSESS the level of PA/SC must ASSESS the level of need based on their professional need based on their professional judgment.judgment.

• In some cases, observation and In some cases, observation and documentation may result in an documentation may result in an assessed level of need that differs from assessed level of need that differs from the support level reported in interview.the support level reported in interview.

99

Planning an AssessmentPlanning an Assessment

• Conduct the assessment in the person’s Conduct the assessment in the person’s home whenever possible. Assessments home whenever possible. Assessments may be conducted in an alternate location, may be conducted in an alternate location, such as the CDDP office, when necessary.such as the CDDP office, when necessary.– Unlike the SIS and SNAP, it is not necessary to Unlike the SIS and SNAP, it is not necessary to

convene a single “valid respondent group” for a convene a single “valid respondent group” for a single meeting. The individual/guardian chooses single meeting. The individual/guardian chooses who participates and the PA/SC obtains who participates and the PA/SC obtains additional information, as necessary.additional information, as necessary.

• Materials are being developed for Materials are being developed for individuals and family members to assist individuals and family members to assist them in preparing for and understanding them in preparing for and understanding the assessment process. (These will the assessment process. (These will probably not be available in time for July 1 probably not be available in time for July 1 implementation.) implementation.)

1010

Until participant training Until participant training materials are available materials are available

• DO inform individuals and participants DO inform individuals and participants of the purpose of the assessmentof the purpose of the assessment

• Explain the necessity of identifying the Explain the necessity of identifying the true amount of support neededtrue amount of support needed

• Make your best effort to communicate Make your best effort to communicate the intent of the questions in language the intent of the questions in language the consumer and other participants the consumer and other participants can understandcan understand

1111

Attempt to make the Attempt to make the assessment an comfortable assessment an comfortable communicationcommunication• It is not necessary for the PA/SC to read It is not necessary for the PA/SC to read

each item verbatim during the assessment. each item verbatim during the assessment. (However, a copy of the assessment tool (However, a copy of the assessment tool should be made available to all should be made available to all participants.) participants.)

• Guide a discussion with the Guide a discussion with the individual/guardian and other participants to individual/guardian and other participants to gather the information necessary to assess gather the information necessary to assess the specific support need defined in the the specific support need defined in the section.section.

1212

Assessment information will Assessment information will feed into service plan feed into service plan developmentdevelopmentWhen fully developed the assessment When fully developed the assessment

tool will include service planning tools:tool will include service planning tools:– Summary of support needs and narrative Summary of support needs and narrative

description of supports and preferencesdescription of supports and preferences– Personal goals document that lists all Personal goals document that lists all

personal goals identified during the personal goals identified during the assessment for discussion in service assessment for discussion in service planning.planning.

– Risk document that identifies potential Risk document that identifies potential need for nursing assessment, protocol need for nursing assessment, protocol development, behavior support plan, etc. development, behavior support plan, etc.

1313

Questions so far ????Questions so far ????

On to the tool, itself….On to the tool, itself….

1414

This is the “Donut Tire” This is the “Donut Tire” versionversion• The initial version of the tool is not The initial version of the tool is not

intended to be the final product.intended to be the final product.• Development of the Functional Needs Development of the Functional Needs

Assessment will continue throughout (at Assessment will continue throughout (at least) the next calendar year.least) the next calendar year.

• This version needs to essentially work like This version needs to essentially work like the final version and fulfill the basic needthe final version and fulfill the basic need

• The final version will be easier to use, may The final version will be easier to use, may have adjustments in questions where have adjustments in questions where needed, produce service planning tools needed, produce service planning tools (and may whitewalls and steel treads…)(and may whitewalls and steel treads…)

1515

Prior to developing this tool, Prior to developing this tool, Oregon reviewed:Oregon reviewed:

– Our own existing assessments including Our own existing assessments including goal surveys, rate tools, risk goal surveys, rate tools, risk assessments and various program assessments and various program criteria tools criteria tools

– Need assessment tools from other statesNeed assessment tools from other states– CMS guidance on categories that will CMS guidance on categories that will

likely become “required elements” under likely become “required elements” under future regulationsfuture regulations

1616

Considerations in tool selection:Considerations in tool selection:– Tool needs to cover all assessment Tool needs to cover all assessment

categories required by CMScategories required by CMS – Adaptable: a tool that Oregon can modify as Adaptable: a tool that Oregon can modify as

programs grow and changeprograms grow and change– Resource issue: TimeResource issue: Time

• Tool needs to be reasonable for completion with Tool needs to be reasonable for completion with current case management resources; current case management resources;

• Tool needs to not be an undue burden for individuals Tool needs to not be an undue burden for individuals and familiesand families

• Needs to be trainable in a short period of time Needs to be trainable in a short period of time – Electronic/online entry capabilityElectronic/online entry capability

Oregon did not find a tool that completely Oregon did not find a tool that completely met the need and chose to develop.met the need and chose to develop.

1717

Oregon’s Functional Needs Oregon’s Functional Needs Assessment ToolAssessment Tool• Built on the SNAP (Support Need Built on the SNAP (Support Need

Assessment Profile) platformAssessment Profile) platform• The majority of the tool sections are based The majority of the tool sections are based

on SNAP questions for which we have on SNAP questions for which we have substantial experience.substantial experience.

• Most other components are based on a Most other components are based on a combination of existing Oregon tools for combination of existing Oregon tools for which we have substantial usage history, which we have substantial usage history, either in DD or other DHS programs. either in DD or other DHS programs.

• Some modifications have been made to Some modifications have been made to adapt language to work for in-home and adapt language to work for in-home and out-of-home service settings. out-of-home service settings.

1818

Stakeholder InvolvementStakeholder Involvement

• The initial draft was prepared by a The initial draft was prepared by a DHS team and shared with a DHS team and shared with a stakeholder group in late May.stakeholder group in late May.

• Adjustments were made to the overall Adjustments were made to the overall format and some content based on format and some content based on stakeholder feedback.stakeholder feedback.

• Additional feedback is being sought as Additional feedback is being sought as part of the testing processpart of the testing process

• Stakeholders will continue to meet and Stakeholders will continue to meet and provide input to the tool development. provide input to the tool development.

1919

Support Areas the tool Support Areas the tool measuresmeasures

• Activities of Daily Living (ADLs)Activities of Daily Living (ADLs)• Instrumental Activities of Daily Living Instrumental Activities of Daily Living

(IADLs)(IADLs)• Medical/HealthMedical/Health• Behavior and co-occurring issues that Behavior and co-occurring issues that

impact ADLs/IADLs or the manner in impact ADLs/IADLs or the manner in which support for ADLs/IADLs is which support for ADLs/IADLs is provided.provided.

• Employment SupportsEmployment Supports

2020

Using the Assessment ToolUsing the Assessment Tool

2121

The FNAT electronic file The FNAT electronic file

Microsoft Excel file with multiple Microsoft Excel file with multiple worksheetsworksheets

Data entry (no formulas or fancy function Data entry (no formulas or fancy function knowledge required)knowledge required)

Note: Form be built into eXPRS (ODDS’ Note: Form be built into eXPRS (ODDS’ payment & reporting system) during the payment & reporting system) during the next year and then tool will be next year and then tool will be completed online.completed online.

2222

Form layoutForm layout• Instruction: defines what is included Instruction: defines what is included

in the support need to be measuredin the support need to be measured• Description: PA/SC enters a brief Description: PA/SC enters a brief

narrative re: how the activity is narrative re: how the activity is accomplished, including any supportsaccomplished, including any supports

• Frequency/Duration (if applicable)Frequency/Duration (if applicable)• Level of Support (Home & Community)Level of Support (Home & Community)• PreferencesPreferences• Personal GoalsPersonal Goals• Acquisition, increase or maintenance Acquisition, increase or maintenance

of independenceof independence

2323

ADL SectionADL Section• Read the instruction for each topic.Read the instruction for each topic.• Discuss/review how the activity happens in Discuss/review how the activity happens in

the person’s life. Be sure to ask if the the person’s life. Be sure to ask if the need for support is different at home and need for support is different at home and in the community.in the community.

• For most ADLs, you will need to know how For most ADLs, you will need to know how often support is needed and how long often support is needed and how long support is needed.support is needed.– If support is not needed all of time, or only for If support is not needed all of time, or only for

some aspect, measure the amount of time the some aspect, measure the amount of time the person is receiving assistance, NOT the person is receiving assistance, NOT the amount of time the activity takes.amount of time the activity takes.

– Mark N/A if an individual is “independent” or Mark N/A if an individual is “independent” or the question does not apply (i.e. toileting, if the the question does not apply (i.e. toileting, if the person does not use the toilet) person does not use the toilet)

2424

ADL Section - childrenADL Section - children• Score supports needed due to Score supports needed due to

disabilitydisability• Do not score support need that is Do not score support need that is

essentially similar to a typically essentially similar to a typically developing child, such as:developing child, such as:– Incontinence or toileting assistance for a Incontinence or toileting assistance for a

child 4 or youngerchild 4 or younger– Feeding or altering food texture for a Feeding or altering food texture for a

toddler or baby toddler or baby – Monitoring/cuing support for any ADL that Monitoring/cuing support for any ADL that

is consistent with normal developmental is consistent with normal developmental milestones, even if it looks different for milestones, even if it looks different for the child with a disability.the child with a disability.

2525

ADLs - Bathing (scoring)ADLs - Bathing (scoring)

EXAMPLE 1: EXAMPLE 1:

Randy showers every morning on his Randy showers every morning on his own. He washes his own hair and own. He washes his own hair and body and without help.body and without help.

Frequency = A. “N/A” Frequency = A. “N/A”

Level = 1. The Individual can bathe Level = 1. The Individual can bathe and wash hair without assistance or and wash hair without assistance or supervision.supervision.

2626

ADLs - Bathing (Randy)ADLs - Bathing (Randy)Preferences: Preferences: Yes. Randy likes long showers (30 minutes Yes. Randy likes long showers (30 minutes

or more) and does not like tub baths.or more) and does not like tub baths.Goals: No. (narrative blank) Goals: No. (narrative blank) Acquiring, increasing, maintaining indep.: Acquiring, increasing, maintaining indep.:

No. No.

Note: Randy might have had a goal to Note: Randy might have had a goal to maintain his independence, particularly if maintain his independence, particularly if discussion had included indication that discussion had included indication that Randy’s ability to bath independently was Randy’s ability to bath independently was diminishing. In which case, the last 2 diminishing. In which case, the last 2 questions would have been marked “Yes”. questions would have been marked “Yes”.

2727

ADLs - Bathing (scoring)ADLs - Bathing (scoring)

EXAMPLE 2: EXAMPLE 2:

Todd initiates his shower every morning Todd initiates his shower every morning on his own. He attempts to wash his on his own. He attempts to wash his own hair and body, but needs cuing own hair and body, but needs cuing for completeness and adequate for completeness and adequate rinsing.rinsing.

Frequency = C. Daily 15 minutes or Frequency = C. Daily 15 minutes or less less

Level = 2. Individual requires minor Level = 2. Individual requires minor physical assist, monitoring, cuesphysical assist, monitoring, cues

2828

ADLs - Bathing (Todd)ADLs - Bathing (Todd)

Preferences: Preferences: YesYes. “Todd does not like . “Todd does not like anyone other than Mom in the anyone other than Mom in the bathroom with him”bathroom with him”

Goals: Goals: YesYes. “Todd wants to be able to . “Todd wants to be able to shower on his own without help.” shower on his own without help.”

Acquiring, increasing, maintaining Acquiring, increasing, maintaining indep.: indep.: YesYes. .

2929

ADLs - Bathing (scoring)ADLs - Bathing (scoring)

EXAMPLE 3: EXAMPLE 3:

Barb uses shower chair with safety strap. Barb uses shower chair with safety strap. Support needs to be within arms reach at Support needs to be within arms reach at all times when Barb is in the chair as she all times when Barb is in the chair as she slips/tips occasionally. She needs slips/tips occasionally. She needs someone to bath and wash her hair. someone to bath and wash her hair. Support needs to be within arms reach of Support needs to be within arms reach of Barb.Barb.

Frequency = D. Daily 16 minutes or more Frequency = D. Daily 16 minutes or more

Level = 3. Individual dependent on another Level = 3. Individual dependent on another person to bath and wash hair.person to bath and wash hair.

3030

ADLs- Bathing (Barb)ADLs- Bathing (Barb)

Preferences: Preferences: NoNo. None known. None knownGoals: Goals: YesYes. Barb wants alone time in the . Barb wants alone time in the

shower. shower. Acquiring, increasing, maintaining indep.: Yes. Acquiring, increasing, maintaining indep.: Yes.

Note: The PA/SC does not need to assess Note: The PA/SC does not need to assess whether a goal is realistic or what might be whether a goal is realistic or what might be needed to attain the goal. In this example, needed to attain the goal. In this example, it’s possible that with other equipment Barb it’s possible that with other equipment Barb would be able to have staff further than arms would be able to have staff further than arms reach. This is a discussion for service reach. This is a discussion for service planning.planning.

3131

ADLs - Bathing (scoring)ADLs - Bathing (scoring)EXAMPLE 1: EXAMPLE 1: Ellen bathes in the tub twice weekly. One Ellen bathes in the tub twice weekly. One

person must support Ellen’s body and person must support Ellen’s body and monitors tubing while the another washes monitors tubing while the another washes Ellen’s body and hair.Ellen’s body and hair.

Frequency = B. Less than daily Frequency = B. Less than daily Level = 4. Individual needs two people Level = 4. Individual needs two people

Note: Documentation is required to support the Note: Documentation is required to support the 2 person scoring, which may already be in 2 person scoring, which may already be in Ellen’s file, such as medical evals noting lack Ellen’s file, such as medical evals noting lack of trunk control, nursing assessments, safety of trunk control, nursing assessments, safety plans.plans.

3232

ADLs- Bathing (Ellen)ADLs- Bathing (Ellen)

Preferences: Preferences: YesYes. Ellen enjoys tub play and prefers . Ellen enjoys tub play and prefers her staff to splash with her before beginning her staff to splash with her before beginning washing. She does not like the shower chair.washing. She does not like the shower chair.

Goals: Goals: NoNo. (narrative blank) . (narrative blank) Acquiring, increasing, maintaining indep.: No. Acquiring, increasing, maintaining indep.: No.

Note1: Ellen might have had a goal to increase Note1: Ellen might have had a goal to increase independence, in which case, the last 2 questions independence, in which case, the last 2 questions would have been marked “Yes” and the goal would have been marked “Yes” and the goal described. described.

Note2: Not all individuals will identify goals for every Note2: Not all individuals will identify goals for every item. The PA/SC should encourage individuals to item. The PA/SC should encourage individuals to consider whether they have a desire increasing consider whether they have a desire increasing independence in the area addressed by the independence in the area addressed by the questions.questions.

3333

IADLs - IADLs - • Be sure to include assistance Be sure to include assistance

provided as a natural support in your provided as a natural support in your measurement of support needs.measurement of support needs.

• IADLs are not federally required for IADLs are not federally required for children. Oregon children. Oregon isis opting to assess opting to assess the IADL needs for children to the IADL needs for children to encourage development of life skills. encourage development of life skills.

3434

IADLs – what is an IADL?IADLs – what is an IADL?IADL = Instrumental Activity of Daily LivingIADL = Instrumental Activity of Daily Living

Such as:Such as:

• HousekeepingHousekeeping

• LaundryLaundry

• ShoppingShopping

• Money ManagementMoney Management

• TransportationTransportation

• Meal PreparationMeal Preparation

• Telephone (and other media)Telephone (and other media)

(Oregon may add to this list in the future.)(Oregon may add to this list in the future.)

3535

Health & MedicalHealth & Medical

• Safety related issues Safety related issues (communication, recognition and (communication, recognition and response to hazards, unsafe response to hazards, unsafe situations, fire/emergency situations, fire/emergency evacuation)evacuation)

• MedicationsMedications

• Health management Health management

3636

Health Management Health Management SupportSupport• General: everyday health maintenance and General: everyday health maintenance and

routine medical care, such as responding to routine medical care, such as responding to a headache or scrape, attending routine a headache or scrape, attending routine doctor visits, recognizing injury or illness doctor visits, recognizing injury or illness and respondingand responding

• Complex: dependence upon medical Complex: dependence upon medical treatment without which a life threatening treatment without which a life threatening situation would result (tube-feeding, situation would result (tube-feeding, ventilator, insulin dependent diabetes, etc.)ventilator, insulin dependent diabetes, etc.)

3737

Behavior and co-occurring Behavior and co-occurring issues issues • Identification of behavior concerns Identification of behavior concerns

and other issues that impact need for and other issues that impact need for support (or how support is provided)support (or how support is provided)

• Determine whether the person is safe Determine whether the person is safe without supervision or what level of without supervision or what level of supervision is needed when there is supervision is needed when there is no identified trigger or precursorno identified trigger or precursor

• Determine what level of supervision is Determine what level of supervision is needed once a precursor is identified needed once a precursor is identified or when a known trigger is presentor when a known trigger is present

3838

Night SupportNight Support• This sections measures how often the person This sections measures how often the person

needs someone to provide hands-on or eyes-on needs someone to provide hands-on or eyes-on supports during the night. supports during the night.

• Discuss sleep patterns and night needs to Discuss sleep patterns and night needs to determine how often the caregiver is needed and determine how often the caregiver is needed and must intervene or offer assistance.must intervene or offer assistance.

• If an individual needs someone staying in the home If an individual needs someone staying in the home with them in case of emergency, but the support with them in case of emergency, but the support person sleeps and is rarely needed, the support person sleeps and is rarely needed, the support level is considered “independent”level is considered “independent”

• A child under 12 needing a caregiver to respond to A child under 12 needing a caregiver to respond to typical childhood night issues such as occasional typical childhood night issues such as occasional bad dreams or enuresis the support level is bad dreams or enuresis the support level is considered “age-appropriate”. True incontinence considered “age-appropriate”. True incontinence may be scored if it is nightly or more frequent.may be scored if it is nightly or more frequent.

3939

EmploymentEmployment

• Record current type Employment (or Record current type Employment (or other day program)other day program)

• Record the individual’s Employment Record the individual’s Employment goals for the coming yeargoals for the coming year

• Assess the amount of (non-ADL/IADL) Assess the amount of (non-ADL/IADL) employment support (e.g. Job employment support (e.g. Job Coaching) the individual needs. Coaching) the individual needs.

4040

Double check:Double check:• Is there an accurate entry in each Is there an accurate entry in each

scored field? scored field? Note: Default is “independent”. Double Note: Default is “independent”. Double

check all “independent” scores before check all “independent” scores before finalizing the tool, to assure none are finalizing the tool, to assure none are oversights.oversights.

• Are narrative sections clear? Are narrative sections clear?

• Is the demographics page accurate Is the demographics page accurate and complete?and complete?

4141

Questions???Questions???

4242

Testing, testing…Testing, testing…

• ODDS needs to complete a rapid ODDS needs to complete a rapid testing of preliminary algorithms testing of preliminary algorithms

• June 20th – 21June 20th – 21stst

• Testers will use a modified version of Testers will use a modified version of the draft toolthe draft tool

• No narratives will be required for the No narratives will be required for the test assessmentstest assessments

4343

If you are asked to participate If you are asked to participate in the testing…in the testing…• You will receive a Test version of the You will receive a Test version of the

tool and minimal instructions (just do tool and minimal instructions (just do the best you can) from your CDDP or the best you can) from your CDDP or Brokerage management.Brokerage management.

• If possible, participate in the If possible, participate in the call-in call-in Thursday, June 20Thursday, June 20thth at 8:30 at 8:30 to ask to ask questions about any sections of the questions about any sections of the tool that you are unsure about, and tool that you are unsure about, and to hear other PA/SC questions and to hear other PA/SC questions and ODDS responses. ODDS responses.

4444

The test version is NOT the The test version is NOT the complete toolcomplete tool

• Test version includes only scored Test version includes only scored entries entries

• Missing elements include: description Missing elements include: description of how each activity is completed, of how each activity is completed, preferences, goals, need for skill preferences, goals, need for skill training/maintenance, identification training/maintenance, identification of behaviors/co-occurring issues and of behaviors/co-occurring issues and recording of equipment. recording of equipment.

4545

Completing a test toolCompleting a test tool

• Identify yourself & your Brokerage/CDDP Identify yourself & your Brokerage/CDDP • Identify the individual your selected (by Identify the individual your selected (by

initials)initials)The above items are necessary in case we The above items are necessary in case we

need to collect additional informationneed to collect additional information

• Identify how much support YOU believe Identify how much support YOU believe the person actually needs (in your own the person actually needs (in your own professional judgment.) professional judgment.)

4646

If you are asked to participate If you are asked to participate in the testing…in the testing…

For each section:For each section:

• Estimate the frequency/duration (if Estimate the frequency/duration (if applicable)applicable)

• Select the Level of Support based on your Select the Level of Support based on your knowledge of the person and what you can knowledge of the person and what you can find in the person’s recordfind in the person’s record

• Enter Selections by number or letter in the Enter Selections by number or letter in the YELLOW CELLS to the right of the YELLOW CELLS to the right of the questions.questions.

• Double check to assure you have a Double check to assure you have a response in EVERY yellow box.response in EVERY yellow box.

4747

4848

Return the test …Return the test …• Provide feedback if desired in the narrative Provide feedback if desired in the narrative

cells at the bottom of the test (these are also cells at the bottom of the test (these are also yellow)yellow)

• Your agency will submit tests Friday 6/21Your agency will submit tests Friday 6/21

• Late tests: go ahead and send back, however, Late tests: go ahead and send back, however, ODDS will begin compiling test results over ODDS will begin compiling test results over the weekend. Incorporation of late tests into the weekend. Incorporation of late tests into initial analysis will depend on time available. initial analysis will depend on time available.

4949

Questions???Questions???