WELCOME March 23, 2016 Purchase of Service (POS) Data Report Fiscal Year Presenters: Gloria Wong, Executive Director Liz Harrell, Information & Training Unit Supervisor

ANNUAL EXPENDITURES OF PURCHASE OF SERVICES (POS) BY: ETHNICITY, AGE, DIAGNOSIS, LANGUAGE, RESIDENCE TYPE, AND INSURANCE-RELATED DATA ELARC 2014/15 FISCAL YEAR 2

Annual Expenditures by Ethnicity ExpendituresEthnicity Language Residence Diagnosis Expenditures Language Expenditures Diagnosis ExpendituresDiagnosis 3

No Purchase of Services No Purchase Of ServicesEthnicity Language Diagnosis No Purchase Of Services Residence Diagnosis No Purchase Of Services Diagnosis 4

Insurance-Related Expenditures Language Ethnicity Diagnosis Residence Insurance-Related Expenditures Diagnosis Insurance-Related Expenditures Diagnosis 5

Annual Expenditures by Residence Type HomeExpenditures ILS/SLS Expenditures Institutions Residential Expenditures Med/Rehab/ Psych Other Expenditures 6

Annual Expenditures by Language for Residence Type Home Expenditures ILS/SLS Expenditures Institutions ResidentialExpenditures Med/Rehab/ Psych Other Expenditures 7

Annual Expenditures for Consumers Living at Home Expenditures Living out of Home 8

AGENDA I. Welcome & IntroductionsGloria Wong 5 minutes II. BackgroundGloria Wong 5 minutes III. Data OverviewGloria Wong 40 minutes IV. Audience DiscussionPanel 65 minutes V. Closing RemarksElizabeth Harrell 5 minutes Gloria Wong 9

ELARC Demographics By Ethnicity By Age Group By Diagnosis 10

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Eastern Los Angeles Regional Center Total Annual Expenditures and Authorized Services By Ethnicity or Race Fiscal Year For All Ages Ethnicity Consumer Count Total Expenditures Total Authorized Services Per Capita Expenditures Per Capita Authorized Services Utilized Asian1,329$15,979,005$19,846,287$12,023$14, % Black/African-American182$4,493,830$4,861,682$24,691$26, % Filipino167$2,338,488$2,899,698$14,003$17, % Hispanic8,525$95,703,111$117,122,642$11,226$13, % Native American11$195,459$257,568$17,769$23, % Other Ethnicity or Race544$5,017,213$6,514,768$9,223$11, % Polynesian4$89,545$109,218$22,386$27, % White1,242$35,433,734$39,853,360$28,530$32, % Totals:12,004$159,250,384$191,465,223$13,266$15, % The expenditure data reported may not include payments made by the regional center to a service provider under a Contract. Typical services paid to a service provider under a Contract include, but are not limited to, Transportation Services, Transportation Assistant Services, and Supported Employment Program (SEP) Group Services. Total payments made by ELARC for contract services: $4,199,882 This amount not reflected in above figures. 16

Column # Actual approved actual approved 17

Total Annual Expenditures and Authorized Services By Ethnicity or Race 18

Per Capita Authorization (PCA) & Utilization (U) Comparison PCAU Hispanic$13, % Asian$14, % White$32, % PCAU Hispanic$13, % Asian$14, % White$31, % PCAU Hispanic$13, % Asian$14, % White$29, % PCAU Hispanic$12, % Asian$14, % White$28, %

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Total Annual Expenditures and Authorized Services For Consumers Living At Home By Ethnicity or Race Ethnicity Consumer Count Total Expenditures Total Authorized Services Per Capita Expenditures Per Capita Authorized Services Utilized Asian1,228$11,428,012$14,990,082$9,306$12, % Black/African-American115$845,667$1,048,482$7,354$9, % Filipino148$1,380,621$1,865,870$9,329$12, % Hispanic7,814$62,089,155$80,812,165$7,946$10, % Native American9$46,239$68,062$5,138$7, % Other Ethnicity or Race514$3,436,453$4,850,020$6,686$9, % Polynesian4$89,545$109,218$22,386$27, % White796$8,669,988$11,274,457$10,892$14, % Total10,628$87,985,678$115,018,355$8,279$10, % 23

Total Annual Expenditures and Authorized Services For Consumers Living Out Of Home By Ethnicity or Race Ethnicity Consumer Count Total Expenditures Total Authorized Services Per Capita Expenditures Per Capita Authorized Services Utilized Asian101$4,550,994$4,856,205$45,059$48, % Black/African-American67$3,648,163$3,813,200$54,450$56, % Filipino19$957,867$1,033,828$50,414$54, % Hispanic711$33,613,956$36,310,477$47,277$51, % Native American2$149,221$189,506$74,610$94, % Other Ethnicity or Race30$1,580,761$1,664,749$52,692$55, % Polynesian0 White446$26,763,746$28,578,903$60,008$64, % Total1,376$71,264,707$76,446,868$51,791$55, % 24

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Ethnicity Consumer Count # Consumer Living in Residential Placement Percentage # Consumer Living w/Fam. or Guardian Living w/Fam. Percentage # Consumer Living Independently Independent Living Percentage Hispanic8, %7, %2833.3% Asian1, %1, %231.5% White1, % % % Black/African-American % %2513.7% Other Ethnicity or Race % %91.7% American Indian or Alaska Native1100.0%981.8%218.2% Native Hawaiian or Other Pacific Islander300.0%3100.0%00.0% Total12, %10, %4964.1% Comparison of Residence Type by Ethnicity 26

Comparison of Residence Type by Ethnicity 27

Audience Discussion/Questions 1. How do you obtain information and what advice would you give other parents about how to obtain information about Regional Center services? 2. What is the role of parents in helping other parents understand information about Regional Center services? 3. How can the Service Coordinator play a role in helping families better understand Regional Center services? 4. What efforts can ELARC take to make information about services easier to obtain and understand? 5. How can various groups work together to help each other understand how to navigate the Regional Center system? 6. What are your ideas about why there is variance (a difference) between the different ethnic groups/languages? 28

POS Data on 29

POS Data on 30

POS Data on 31

Summary  Cultural differences Values Cost Drivers  System Complexities Service needs vs. Available Services  Next Steps Research Self-Determination Ongoing Communication/Discussion  Self-Assessment Annual Statement of Services 32

ELARC 33