Department of Health and Social Services Division of Developmental Disabilities Services Joint Finance Committee Hearing Fiscal Year 2014 Jane J. Gallivan Division Director February 21, 2013

Vision Valuing persons with intellectual and developmental disabilities, honoring abilities, respecting choice, achieving possibilities..... working together to support healthy, safe and fulfilling lives

Delaware Health and Social Services Intellectual Disabilities Autism Prader Willi Syndrome Asperger’s Disorder Disability Conditions Served by DDDS

Delaware Health and Social Services Age Distribution of DDDS Consumers

Delaware Health and Social Services DDDS Population by Service Settings 70% Living at Home

Delaware Health and Social Services Growth in Residential Program Placements by Type

Delaware Health and Social Services Governor’s Employment First Initiative Employment as a primary goal of day services

Delaware Health and Social Services Best Practices DDDS Collaborations with other agencies  DSHA (SRAP)  DSAMH (DOJ settlement)  DMMA (Medicaid HCBS waiver)  DSAAPD (Assisted Living)  DLTCRP (improved facility oversight)  DVR/DOE (Work First initiative)

Delaware Health and Social Services Quality Improvement CurrentPlanned Regulatory Compliance Licensing Surveys Performance Measures Service Outcomes Data and Trend Analysis Discovery and Remediation Quality Indicators

Delaware Health and Social Services Efficiencies Identified 94.6 DDDS FTE positions over the last 5 years for elimination (75.6) or transfer to other state agencies (19.0) Redeployed 67 FTE positions for purposes such as increasing case managers to support community clients Realigned professional staff across regions

Delaware Health and Social Services Efficiencies (cont’d) Redeployed 4.0 staff to provide increased information & assistance to families about day service options. Established the College of Direct Support as the primary source of basic training for DDDS and contract-agency staff and continued collaboration with DelTech on direct support workforce development. Continued development of performance measures for continuous quality improvement.

Delaware Health and Social Services FY 14 Governor’s Recommended Budget $472.9 Annualize FY 13 Special School Grads $1,396.5FY 14 Special School Grads $2,520.0Annualize FY 13 Community Placements $2,422.5FY 14 Community Placements

Delaware Health and Social Services Conclusion