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NASDDDS
2009 Annual Conference
Changing the Rules of the Game
Hotel Monaco Alexandria
Alexandria, Virginia
November 9-11, 2009


Conference Presentations

To view a presentation file, click on the appropriate file name (e.g., MOSELEY.ppt). The presentations are in the format submitted by the presenter.

= PowerPoint Presentation
= PDF File


TUESDAY, NOVEMBER 10, 2009

Keynote Address I

"State Budgets: What We'll be Facing in the Next Ten Years"

Scott Pattison
Executive Director
National Association of State Budget Officers

Mr. Pattison provided an overview and prediction of what we should expect for state budgets in the next 10 years and how to best manage budgets and budget cuts by using data.

PATTISON.ppt (2688 KB)


Keynote Address II

Terry Pratt
Acting Director
Disabled and Elderly Health Program Group
Center for Medicaid and State Operations CMS

Ms. Pratt is responsible for Home and Community Based Waivers and State Plan services that support individuals in their homes and community.

Henry Claypool
Director
Office on Disability
Department of Health and Human Services

As Director of the Office on Disability, Mr. Claypool serves as the primary advisor to the HHS Secretary on disability policy and oversees the implementation of all HHS programs and initiatives pertaining to Americans with disabilities.


Award Luncheon

The NASDDDS Board of Directors honored Valerie J. Bradley, President, Human Services Research Institute with the Robert M. Gettings Compass Award for her contributions to individuals and state systems serving citizens with intellectual and other developmental disabilities. The NASDDDS Board of Directors also recognized Stanley Butkus, PhD, for his previous service as President of the Board.

BRADLEY.ppt (1028 KB)


Plenary Session

"Why Person-Centered Practices: System Transformation - the Benefits and the Challenges"

Michael Smull
Partner
Support Development Associates, LLC

Mary Lou Bourne
Partner
Support Development Associates, LLC

Laura Doutre
Director of Person Centered Practices
Tennessee Division of Intellectual Disabilities Services

Scott C. Pelham
Director
South Dakota DHS/Division of Developmental Disabilities

Developing a person-centered system offers clear benefits for the people who use the services. This session looked at the efforts required for successful transformation with an emphasis on the role of and requirements of state leadership. Learning from a six-state consortium will be presented. Details from two ways to approach the challenges were presented by representatives from Tennessee (a depth effort) and South Dakota (a breadth effort) and their experiences with evident benefits of incorporating person-centered practices.

SMULL&BOURNE-TheImportanceOfPersonCenteredThinking.pdf (1527 KB)

SMULL&BOURNE-PersonCenteredOrganizations.pdf (1043 KB)

PELHAM.ppt (2184 KB)


Plenary Session: Game Changers in Pennsylvania & Ohio

"Knowledge is Power in Choosing Supports: Provider Profiles"

Celia S. Feinstein
Associate Director
Institute on Disabilities - Temple University (Philadelphia, Pennsylvania)

Jeffrey B. Petraco
Bureau Director
Pennsylvania Office of Developmental Programs

This presentation described the process that is taking place in Pennsylvania to provide information at the provider and administrative entity (county) levels, to assist people with disabilities and families in choosing who will provide supports to them. Data emanate from a variety of places including Independent Monitoring for Quality which includes the National Core Indicators data. Provider profiles may also be utilized as one part of the state's responsibility to monitor providers under the waiver.

FEINSTEIN.ppt (951 KB)


"Ohio's Multi-Dimensional Approach Toward a Positive Culture"

John Martin
Director
Ohio Department of Developmental Disabilities

Ohio's Department of Developmental Disabilities led a statewide effort toward banning the use of prone restraint, and limited use of restraints in general, across all of Ohio's systems. Having persons representing prisons, state police, education, mental health and others, and using the language of the state's Positive Culture Initiative, was a unique experience offering opportunities to effect real change. A key effort in the State of Ohio was instilling ownership of the effort at the local level, rather than directed by the state, opening the door to a grassroots culture change.

MARTIN.ppt (137 KB)


TUESDAY, NOVEMBER 10, 2009

SPECIAL SESSION

"Responding to the H1N1 Influenza Pandemic: Issues and Concerns for State Agency Directors"

Charles Moseley, EdD
Associate Executive Director
NASDDDS

Mark E. Swanson, MD, MPH
Senior Medical Adviser
Lead Subject Matter Expert for Disability Team
Centers for Disease Control and Prevention (CDC)
Atlanta, Georgia

The widening spread of the Novel H1N1 influenza outbreak is raising concerns among NASDDDS member state agency officials with responsibility for assuring the delivery of supports for people with intellectual and developmental disabilities.

Chas Moseley provided an update on efforts the Association is taking to ensure NASDDDS members are kept informed on key topics related to the spread of the influenza virus, the vaccination of individuals receiving services, staff and families, the administration of Medicaid services, and other issues.

Dr. Swanson informed Association members on the current status of the influenza pandemic and the CDC's efforts to respond to and address the needs of individuals with intellectual and developmental disabilities during this nationwide health crisis.

MOSELEY.ppt (700 KB)

SWANSON.ppt (1191 KB)


Plenary Session

"A Clinic on the Ten Issues for States to Consider in Implementing Individual or Level-Based Budget Allocations"

Jon Fortune
Senior Policy Analyst
Human Service Research Institute (HSRI)

This was a clinic for policymakers who increasingly seek to restructure state resource allocation practices for individuals with developmental disabilities. They are doing so in response to various pressures, like increasing service demand, budget shortfalls, and a reliance on legacy systems, but are also seeking to achieve greater system efficiency and equity. Presented in conjunction with three states that have made significant progress in these areas, this clinic covered the major 10 issues facing states. What is the big picture? What have we learned from all the states? What do states have to think about if they go down this path?

FORTUNE.ppt (6645 KB)
Developing IBAs 8-31-09 Final.pdf (191 KB)

"Changing the Way We Manage Money"

Kathy H. Kliebert
Assistant Secretary
Louisiana Office for Citizens with Developmental Disabilities

Ms. Kliebert described the basic framework and steps that must be considered when moving toward individualizing resources. She gave an overview of Louisiana's journey in this process and detail some of the various technical, programmatic, and policy decisions that were made along the way. She also described some of the things learned in developing the model they are using and some of their initial experiences with implementation of the model.

KLIEBERT.ppt (1895 KB)

C. Lee Price, MS
Director, Office of Developmental Services
Virginia Department of Behavioral Health and Developmental Services

Mr. Price provided a review of how the Supports Intensity Scale has been used in Virginia to support person-centered thinking and establish a common means of establishing levels of support needed.

PRICE.ppt (2506 KB)

Bob Clabby
Director, ReBAR Program
Oregon Office of Developmental Disabilities Services

Oregon is one of the states referenced by the Human Services Research Institute (HSRI) that has been implementing a level-based budget allocation based on the SIS over the past year. This presentation provided more detailed information regarding Oregon's planning, development, implementation, and rollout strategies. Bob Clabby also discussed what has worked well, and what has been a challenge "when the rubber meets the road."

CLABBY.ppt (1286 KB)