MakingTransformativeChange:

MakingEmploymentFirstARealityGenni Sasnett

EFSLMPGuestSpeaker

DIVISION OF SERVICESFORPEOPLEWITHDISABILIT IES

2018 SPRINGCONFERENCE

JUNE14,2018

VIRIDIAN CONFERENCECENTER

Objectives

Toprovideanoverviewoftheessentialstepsoftheprovidertransformationprocess.

Toproviderresourcesforadditionalinformationontheprovidertransformationprocess.

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ChangeIsNotJustComing- ItsHere

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ImplicationsforServiceProvision

Community integratedemploymentasapriority.

Meaningfulcommunityengagementasanimperative.

Changeinthewayweoperateasinevitable.

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WeWanttoChangeButHow?

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OneAgency’sExperienceofTransformation

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TheWayWeWere

Averytypicalandtraditionalprogramprovidingthefollowingfacilitybasedservices:

◦EarlyInterventionforInfantsandToddlers◦ SchoolforChildrenandYoungAdultswithAutism◦ ShelteredWorkshop◦DayProgramforAdults◦Residentialservices(ICFs/MR)

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TheImpetusforTransformation

Theopportunity– begansupportingpeoplewithcomplexchallengestoemploymentin1987

Theimpact- observedsuccess- gainedinsightintotheaffectsofsegregationThecommitment– beganthechangetocommunityintegratedemploymentandother100%communitybasedservices

Theprocess– clarifyingvalues,planning,gettingtherightstaff,startingsmall,measuringandsharingsuccess,gettingbuy-in

Theoutcome– providing100%communitybasedemployment,pre-employmentandwrap-aroundservicesin5stateswithover900staff

UrbanSettings- Philly&DC

SuburbanSettings- FairfaxCo,VABartlett, TN

RuralSettings– Martin, TNNorthern VA

ProcessofChange

Becomealearningorganization- IDbestpracticeVisionyourdestination– beginoutreach/engagementASSESSwhereyouarenow- IdentifythegapDevelopaplan(s)– communication,finance,resource

reallocation,etc.BuildCapacityBeginImplementation- pilots,decentralization,scalingMeasureMarketAdvocate,Advocate,Advocate!

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BecomeaLearningOrganization

o LearnaboutbestpracticeinCommunityIntegratedEmploymentandCBDS

o Attendconferences,trainingsessions,webinars

o Subscribetojournals/membershipinorganizations

o Sharewhatyouarelearning– developforumsforsharing

o Seekoutknowledge– otheragencies

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BegintoVisionYourDestination

ØEngagestakeholdersØVisionwithoutconstraintsØ SketchoutservicedeliverystructureforCommunity

IntegratedEmploymentØTeaseoutneedsandchallengesinadvanceØEvaluateplansagainstmission,visionandvaluesØResearch/Study/Train

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AssessWhereYouAreYouhavetoknowwhere youare togettowhereyouaregoing

Transformationisnotjusttackingon,itschanginginall aspectsofyouragency.

Whereareyoutoday?

◦ Leadership (outreach,mission,communication,marketing)◦ StrategicPlanning(team,vision,strategies,finance,development)◦ CustomerFocus(referralprocess,expectations,personcentered

planning,individualoutcomes)◦ OperationsFocus(people,services,strategies,procedures◦ WorkforceDevelopmentFocus– staffdevelopment,deployment,

support◦ Results(QA,customerfeedback,quantitativemeasures◦ Measurement,AnalysisandKnowledgeManagement(data,benchmarking,decision-making)

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AssesstheGapBetweenWhereYouAreandWhereYouWantToBe

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DevelopYourPlan(s)CreateChangeManagementTeam(s)

Identifylongtermoutcomestobeachieved(bestpractice)

Developstrategiesandtimelines

Mayhaveseveralsupportingplans◦ Communication– internalandexternal◦ Marketing◦ Capacitybuilding◦ Resourcesreallocation◦ Funding diversification◦ HumanResources◦ Advocacy

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BuildCapacityØ Investinstaffandstaffdevelopment

Ø Createmanagementstructuresthatsupportcommunitybasedwork

Ø Developpoliciesandproceduresthatsupportstaffinthefield

Ø Developelectronicmeanstosupportfiledbasedservicesandthestaff thatprovidethem

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BeginImplementation

ThinkBig,StartSmall,ScaleQuickly!

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Piloting

Startsmallwithpeoplewhohaveaninterestbutmaintaindiverse population inthepilot

Staffwith“earlyadopter”staff– theywillpullothersalong

Determinewhatyouaretryingtoachieveinyourpilotandmeasureyourperformance

MakeadjustmentsbasedondatabasedinformationonlyUselessonslearnedtoimprove

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Decentralization

Manycurrentagencybusinessmodelsbasedonpeoplecomingtoagencyfacility(centralized)

Community integratedemployment– individualizedandeverywhereinthecommunity

Agencysupportprovidedtopeoplewheretheyare– nolongeratcentralizedplaces

Asignificantchangeinbusinessstructure– anytypeofbusinesswouldhavesignificantretoolingtoaccommodatenewapproach

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CentralizedBusinessModel

FACILITY(resources)

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMERCUSTOMER

CUSTOMER

CUSTOMER

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DecentralizedBusinessModel

Resources

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMER

CUSTOMER

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ResourceAllocation

Basedonstrategicortransformationplan

Identifyingthetypeandamountofresourcesyouwillneed

Determinewhenandwhereyouwillneedthem

Reconcilewithcurrentallocation

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Community-BasedPre-EmploymentandEmploymentBasedWrap-aroundServices

Communitybasednon-worksupport

Not infacility

Opportunityforexploringadditionalemploymentoptions

Reinforcementofworkbenefits

Relationshipdevelopmentandpursuitofinterests

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BringingintoFullScaleImplementation

Multi-yearplansforexpansionwithspecifictimelines–BUTstayopportunistic

Tryanotherway– alaMarkGold– goaroundbarriers

Keepeveryoneinformedandinvolved

Alteroradaptapproachestodifferentsituationsbutkeepwithinparametersofbeliefs

Begintoformalizeproceduressotheyworkacrosstheboard

Focusonqualityandindividualoutcomesforpeople

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Measure

Measures,methodsandfeedbackloopsfor:

Ø Performance – movementtoemployment,jobsobtained,successfulstrategies,finance

Ø CustomerSatisfaction- Individualsserved,staff,Family/Guardians,Employers,Funders

Ø GeneralComplianceStrategies

Ø OtherOutcomesfromStrategicPlan

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MarketingandGainingMomentum

Marketingoftenfocusesoncentersorfacilities

Communitybasedoptionsshouldcenteronpeopleandrelationships

Marketingisbothaninternalandexternaltask

Growthisdependentuponsharingsuccess–demonstratingoutcomes

Howdoyoumarketwhatyoucan’teasilysee?

IT’SALWAYSTHESTORIESTHATPROPELCHANGE!Collectthestoriesandshare

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Advocacy(theeternaltask!)

Preparetoadvocatefor:Appropriaterates

Supportiverulesandregulations

Whatyoubelievein

Thepeopleyouserve

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Summary

•Thereareagreatmanythingstotakeintoconsiderationwhenagencytransformationisoccurringanditcanfeeloverwhelming

•Youmustassesswhereyouaretobeginthechangeprocess

•Nothingcanorshouldbedonewithoutasolidplan(s)•Missionandvisionarethe“bricksandmortar”ofcommunitybasedservices

•Buy-inisessentialfromallparties

•Staffiseverything!•Structureandprocessesareessentialforstaffsupport,qualityoutcomesandmanagementcontrol

•Determinationgoesalongway!

AdditionalResources

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Ø Employment First Lead CenterØ ODEP EFSLMP InitiativeØ http://www.drivedisabilityemployment.

org/employment-first-resources/provider-transformation-manual

EFSLMPCommunityofPractice

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If you are not a current subscriber to ODEP's EFSLMP mailing list, you can register here.

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Contact

GenniSasnettGuestSpeaker

sasnettsara@outlook.com

2028124504

Questions?

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?