Job-Related TrainingsInformation to ensure a successful work experience.

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Service DefinitionsUnderstanding available services

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• The next slides indicate the services that are available under the Agency With Choice model.

• When providing a service, you should ensure that what you’re doing meets these definitions.

• If they do not, please feel free to contact your Managing Employer or our office.

Services Available

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• Direct service to assist in acquiring, maintaining, and improving skills necessary to live in the

community, to live more independently, and to participate meaningfully in community life.

• Assistance, support, and guidance in the areas of self-care, health maintenance, decision making,

home management, managing personal resources, communication, mobility and transportation,

relationship development and socialization, personal adjustment, participating in community

functions/activities, use of community resources.

In-Home and Community Supports

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• Carry out daily living activities

• Learn/develop good health and wellness

• Manage medical care (scheduling

medical appts)

• Manage mental health

diagnosis/emotional wellness

• Participate in developing service plan

• Managing home and resources

In-Home and Community Continued

• Communicate with others and develop

relationships

• Exercise rights as a citizen

• Participate in preferred activities

• Make decisions

• Utilize transportation

• Develop personal interests

• Identification of risks

• Parenting their child(ren)

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• In-Home and Community Supports Level 2 – This is where someone works 1:1 with an individual.

• In-Home and Community Supports Level 2 Enhanced – This is a 1:1 service where the worker has a specific

degree or license. There must be a behavioral or medical need for this service and it must be approved by

the county.

• In-Home and Community Supports Level 3 - This is where there are two workers for one individual due to a

medical or behavioral concern.

• In-Home and Community Supports Level 3 enhanced – This is where there are two workers for one

individual and one worker has a specific degree or license due to a medical or behavioral concern.

• Enhanced Communication – If someone has a diagnosis relating to being deaf or hard of hearing, they can

be eligible for this. The worker(s) would have to be proficient in sign language to qualify.

In-Home and Community Availability

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• Direct services for individuals 18 years old and over.

• Provide supervision and assistance to ensure the participant’s health, safety, and welfare or to

perform activities of daily living.

• Used when a habilitative outcome is not appropriate or feasible.

• Supervise, assist, or perform activities such as: grooming, household care, meal preparation and

planning, and ambulating.

• Sometimes used when the participant is sleeping and needs supervision/assistance with tasks not

requiring continual assistance (example: if the individual cannot safely evacuate during an

emergency situation).

Companion

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• If using for ages 18-20, the participant must require medically necessary personal care.

• Only available as a 1:1 service.

• Eligible for enhanced communication if the individual has a diagnosis relating to being deaf and

the staff are proficient in sign language.

Companion Availability

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• Direct services provided to supervise and support participants living in private homes on a short-

term basis for planned or emergency situations, giving the primary or legally responsible

caretakers relief.

• If a shift is 16 hours or less consecutively, it would be 15 minute respite.

• If a shift is 16.25-24 hours consecutively, it would be day respite.

• These are two separate services within an individual’s plan.

Respite

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• Respite – Level 3 – This is a 1:1 service.

• Respite – Level 3 Enhanced – This is a 1:1 service in which the worker holds a specific degree or

license due to a medical or behavioral concern.

• Respite – Level 4 – This is a service with two staff for one individual due to a medical or

behavioral concern.

• Respite – Level 4 Enhanced – This is a service with two staff for one individual where one staff

holds a specific degree or license due to a medical or behavioral concern.

• Eligible for enhanced communication if the individual has a diagnosis relating to being deaf and

the staff are proficient in sign language.

Respite Availability

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• Direct and indirect services provided in the community to support obtaining and sustaining

competitive integrated employment (an individual being paid minimum wage or higher).

• Cannot be provided to maintain a volunteer opportunity.

• Three components: assessment, job finding or development, job coaching/support.

Supported Employment

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• Person centered, individualized employment assessment to assist with identifying career options.

• Can’t be authorized for longer than 6 months.

• Includes:

• Gathering/conducting review of skills/interests.

• Situational assessments.

• Informational interviews.

• Developing the career assessment report.

Supported Employment – Career Assessment

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• Includes employer outreach and orientation, job searching, job development, resume preparation

and interview assistance, job seeking skills, job analysis, consulting with OVR and benefits

counseling agencies, or self-employment assistance.

Supported Employment – Job Finding/Development

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• Training the participant on job assignments, periodic follow-up, or ongoing support with

participants and employers.

• Must be necessary for an individual to maintain acceptable job performance and work habits.

• Also includes direct intervention with an employer, employment-related personal skills

instruction, support to re-learn job tasks, training to assist participants in using transportation

to/from work, worksite orientation, assisting with assistive technology, maintenance of

appropriate work behaviors, and technical assistance or instruction.

• A fade plan should be in mind.

Supported Employment – Job Coaching/Support

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• Direct and indirect service for those self-directing services.

• Includes tasks such as, but not limited to:

• Explaining Managing Employer paperwork.

• Assistance with recruiting/hiring workers.

• Determining pay rates.

• Developing schedules.

• Developing management techniques.

• Expanding informal, unpaid resources.

• Advising on problem solving, decision making, and achieving personal goals.

Supports Broker

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• Homemaker – Assistance with cleaning, laundry, meal preparation, and other general household

care.

• Can only be provided if no one else is able to or responsible for providing this service and the

individual is not able to.

• Chore – Assistance with heavy household chores such as washing floors, windows and walls,

tacking down loose rugs, moving heavy items, snow and leaf removal, yard maintenance.

• Can only be provided if no one else is able to or responsible for providing this service and the

individual is not able to.

Homemaker/Chore

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Service Notes vs. Progress Notes

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• The Office of Developmental Programs differentiates between Service Notes and Progress Notes.

• Service Notes include information collected at point/time of service by SSP, such as:

• Time in/time out, type of service (W code), name of Individual and SSP, etc.

• A narrative written by SSP.

• Progress Notes include information collected at specified intervals of time by ME, such as:

• Per service, type of service (W code) name of Individual and ME, etc.

• Describes progress on outcomes.

Service Notes vs Progress Notes

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Service NotesHow to adequately document the services provided

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• A good service note should:

• Require no changes/adjustments. It is extremely important that full attention is given to logging in and

out at scheduled shifts, choosing the accurate codes, as applicable and completing a good narrative in

the service note text box (see below). Any change is considered a "manual edit" which should be

avoided, specifically controllable edits. All edits are recorded, tracked and all state providers and SSPs are

expected to keep these to a minimum, allowing for the unusual uncontrollable times (system issue, etc.).

• Service Note text box: Sufficiently describe the activities, location and supports provided which should

relate to the goals/outcomes identified in Individual Support Plan for the type, frequency and duration of

the service being provided (i.e., Home & Community, Companion, etc.).

What Makes a Good Service Note?

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Progress NotesRelating progress to the ISP outcome

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Progress Notes are required to evaluate progress. It is a regulatory requirement that reflects

progress over a specified period of time, effectiveness of supports, and promotes analysis and

adjustments, if needed.

What is a Progress Note?

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MEs complete a quarterly PN and submit electronically the 1st – 5th of the following month.

Progress Note Submission

Services Provided Submission Period

• January through March April 1st-5th

• April through June July 1st-5th

• July through September October 1st-5th

• October through December January 1st-5th

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MEs and SSPs should maintain frequent communication and stay connected regarding supports and

progress. Recommended methods include:

• Establishing clear targets and expected outcomes.

• Making observations and having discussions with the individual or a designee.

• Having ongoing discussions regarding content or input at a frequency which gives MEs an acceptable

understanding.

Monitoring Progress

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Minimal requirements include:

• The service was provided in accordance with the plan.

• The service met the needs and preferences of the individual.

• Impact on the individual’s health, safety, well-being, preferences, and routine.

• Overall progress on achieving the desired outcome of the service provided.

• Verification through observations and discussions with the individual or designee.

• How lack of progress on a desired outcome will be addressed, if applicable.

Progress Note Requirements

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• All supports are based on an identified meaningful need which is connected to an outcome in the

Individual Support Plan (ISP).

• Just as we don’t judge ourselves on any one given day, progress notes allow a review of results of

each support over a period of time.

Importance of Progress Notes

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• Progress reviews allow for celebration or adjustments, depending on the results. We recognize

that individuals change, evolve, grow, develop, and experience life challenges and therefore, so

does the focus or goal. A progress review ensures we are on the right track to achieving

meaningful outcomes.

Celebrate

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QualityContinuous quality improvement

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To achieve quality in human services requires an unwavering focus on Person-Centered services

and supports.

Everyone plays a role in achieving quality.

• As an agency, we utilize a continuous quality improvement approach.

• As a Support Service Professional, Managing Employer or AWC Program Team Member, we obtain

knowledge and refine skills necessary to excel in our role.

Quality

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1. Ensure program compliance with regulations, requirements and standards.

2. Implement best practices.

3. Achieve service and person-centered excellence.

Note: A PathWays Quality Management Plan is updated, at a minimum, every 2 years which addresses agency goals and

incorporates the Office of Developmental Programs Everyday Lives Values and Actions.

Goals

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• Collect and utilize information to ensure organizational functions are performed accurately,

appropriately, timely, efficiently, effectively and with respect and care.

• Identify areas requiring improvement, strength, or systematic enhancements.

• Ensure a continuous process of assessment, analysis, and action for improvement.

Continuous Quality Improvement Approach – General

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• A continuous quality improvement approach can be utilized by each SSP.

• Educating oneself and understanding the person you support is the foundation.

• Gain/maintain knowledge of the requirements of your role to perform them accurately & effectively.

• Continuously assess the supports you provide for strengths and areas of improvement and take action

accordingly.

• Take time to celebrate achievements while steadfastly continuing to strive for excellence.

Continuous Quality Improvement Approach - Practical

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PaychecksTips to ensure accurate and timely paychecks

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By developing a routine and following instructions and processes, you can help to ensure that you will be paid for your dedication and hard work in a timely and error free manner.

PaychecksAlways use CellTrak to clock in and clock out.

If you forget to clock IN on CellTrak, clock IN as soon as you remember. Choose ‘Activity Needs Adjustment’ AT THE END OF THE SHIFT and accurately type the correct start time as well as a reason in the ‘Notes’ section, and there is no need for further action.

If you forget to clock OUT on CellTrak, clock OUT as soon as you remember. Choose ‘Activity Needs Adjustment’ AT THE END OF THE SHIFT and accurately type the correct stop time as well as a reason in the ‘Notes’ section, and there is no need for further action.

If you forget to clock IN and OUT, you must fill out a MISSED ACTIVITY FORM and a SERVICE NOTE and submit them within 24 hours of the shift. Both of these forms can be found at yourawc.org/evvresources/. It is very important that these forms are filled out accurately and completely. Email to awc@yourawc.org or fax to 724-225-4934.

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If you change service provided (i.e. hab to companion) or individual you are working with:

You must clock out from the first service/individual and clock back in for the second service/individual. It may be helpful to set an alarm as a reminder.

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