Staff and Partners of Iowa Vocational Rehabilitation

Services2013

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Working together to help Iowans WORK!

Employment outcome definition:

means with respect to an individual (job candidate), entering or retraining full-time or, if appropriate, part-time competitive employment in the integrated labor market, supported employment, or any other type of employment in an integrated setting, including self-employment, telecommuting, or business ownership, that is consistent with an individual’s strengths, resources, priorities, concerns, abilities, capabilities, interests and informed choice.

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In 2011, Iowa received a grant to focus on Employment First initiatives and subsequent objectives:

Policies and funding dollars align with integrated employment

Strong partnerships across agencies remove barriers to employment outcomes

Communication and collaboration among partners consider employment as the first and preferred option for Iowans with disabilities

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Includes a presumption that all people CAN work

Cultivates the assumption that integrated competitive employment is the norm to strive towards and the preferred outcome for persons with disabilities

Not enough to have an EF policy - states must have Olmstead Plan to serve people with disabilities in most integrated settings

Delivery of a service in the community (versus facility) is the expectation for services authorized by IVRS

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Develop a flexible, consumer-driven, outcome-oriented service delivery system

Implement a statewide system with quality core services and standardized payments

Improve IVRS/CRP collaboration and communication

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Statewide system Core services Standardized payments in FY15 Unique services

•Menu-based with outcome payments One payment made for defined outcome Payment not made until Quality

Indicators/Performance Measures achieved Length of service is determined by the outcome

•Three categories Discovery Assessment and Vocational Preparation Placement Activities

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Provides flexibility to counselors and job candidates in designing an individualized program tailored to an individual job candidate’s needs

Provides opportunities for payments to the CRP as services and outcomes occur

Enhances collaboration and communication among IVRS counselors and CRP providers

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Selects and arranges Menu services

Communicates and remains involved in the decision-making process

Makes certain job match is appropriate

Ascertains reports are on time and performance measures have been accomplished and arranges for timely payments

Promotes successful application of the Menu of Services partnership

Strives for flexibility to achieve success

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Ensures timely acceptance decisions are made and job candidate enrollment occurs based on CRP’s ability to meet their service needs

Advocates for job candidates

Communicates/collaborates with IVRS staff

Notifies IVRS before providing any service

Provides high-quality services

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Provides accurate, timely documentation of services

Documents completion of performance measure before billing IVRS

Promotes successful application of the Menu of Services partnership

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Makes informed choices

Works with team to identify service needs

Participates actively in programming designed to achieve employment outcome

Advocates for him/herself

Communicates with IVRS, CRP and other team members who are involved

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is not a required service is NOT as assessment – but an alternative that

goes beyond testing to identify the strengths unique to each job candidate

answers the question of “who is this person?” by getting to know the job candidate in settings where they are most apt to be themselves

is a person-centered approach that leads to generating information to design a pathway to a career that focuses on the individual’s interest, talents, and dreams (not limitations)

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results in a comprehensive profile of a job candidate to identify their unique needs and potential employment options including conditions required to retain employment

Two payment points: After the first meeting when accepted into

Discovery (D1A) Employment Analysis dialogue and documentation

(D1B)

Additional services may be authorized simultaneously

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Conducted in the community CRP arranges evaluation/assessment Business is an integrated setting Job Candidate’s wage subsidized Questions identified

Two payment points: Development of site Final report

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IVRS counselor and client identify questions Assessment administered or supervised by a

certified vocational evaluator Psychometric and/or situational assessments

Personality testing upon request

One payment point: Final Report

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Occurs at the facility or enclave

Used to determine the job candidate’s ability to work at a competitive rate, identify transferable skills, determine work habits and behaviors, and provide recommendations for employment

Payment approved when assessment questions related to general employability are answered

One payment point:

Final Report17

Process to research job opportunities to make an informed choice

Computerized and other media to explore careers

Two payment points: Development of site

to explore real jobs in real work settings in an integrated environment arranged for through a CRP with local business

Final report incorporates information from job shadowing and

career exploration and provides report

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Curriculum-based training program that teaches specific work tasks

Training provides strategies on job retention

Training translates to specific jobs within the community

Training included within the Iowa Model

One payment point: Final Report

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A training program that remedies negative work habits and behaviors

Training to connect the gap between skill level and job requirements (cannot be used as “assessment”)

Written report includes specific job placement recommendations for payment

One payment point: Final Report

May use as a trial work experience if done in the community

IVRS status 06 20

Teaches the job candidate how to use mass transit to get to and from work

One payment point: Final Report

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Only used for supported employment services Generally authorized in conjunction with other

outcomes expected Identification of long-term funder required for

supported employment job candidate

Two payment points: Supported Employment Placement Agreement

(D151) Written report upon job offer (D152)

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Employer Development (D15A)Employer Development (D15A)

One payment point: Final Report (includes job analysis)

Job coaching and follow-up not included

Long term follow-up agreed to prior to servicePayment tied with status 18-6 within IVRSJob Coach trains employer and co-workersNo job development includedJC works at commensurate wage at or above minimum wage

Four payment points: Job Coach Assessment Report (D20) Stabilization (D21) 45-day report after stabilization (D22) 90-day report after stabilization (D23) final payment

Payment tied with status 26 within IVRS

If jc loses job anytime prior to 90-day outcome, counselor and jc will determine the feasibility of pursuing another employment opportunity.

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http://www.ivrs.iowa.gov/partners/partners.html

Definitions (d-codes, standard costs)

Menu of Services Manual

Employment Analysis (form) Includes Discovery

Assessment and Vocational Preparation

Supported Employment Placement Agreement

Webinar & Recording Links for Discovery

http://www.ivrs.iowa.gov/

Customized Employment training polycom 12/5/13

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Questions? Comments?

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Lee Ann RussoPhone: 515.281.4144 Cell: 319.290.4526Email: leeann.russo@iowa.gov

IVRS510 East 12th StreetDes Moines, IA 50319

http://www.ivrs.iowa.gov/partners/partners.html

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