1. { A WHOLE NEW WORLD Content Contribution provided by TBC SERVICES AND PROVIDER RESOURCES GROUP

2. THE WORLD AS WE KNEW IT

3. Not Many Changes – Very predictable income & expense Home BasedDay ServiceTransportationEmployment

4. WHERE IN THIS WORLD ARE WE GOING…

5. A marketing strategy that joins products or services together in order to sell them as a single combined unit. Bundling allows the convenient purchase of several products and/or services from one company. The products and services are usually related, but they can also consist of dissimilar products which appeal to one group of customers. DEFINITION of Bundling

6. One Call Does It All Building of the market footprint for the product (ie: transportation, HPC, employment) is the process that requires activities in different segments. During this process all functions within the company support the services. Building a successful footprint can be done in several different, but interlinked dimension.

7. NEW REVENUE STREAM Creative scheduling that looks @ the profit and loss margin Ensuring that it is in the plan Looking at realistic ratio and that special circumstances are accounted for

8. Non-Medical Transportation Lucrative money stream however, must be closely monitored Attendance of program participants – location & # of people Staffing – cross-utilized or single source/part-time Vehicle service and repair – best way to address Variety of vehicles – flexibility of purposes, interagency collaboration Per-mile versus per-trip billing

10. Employment Services Key ingredient of the future Moving through tiers quickly by thinking ahead to the next step Caseloads have to be managed Staff schedules & retention Barrier: OOD transportation typically two weeks then shifts to the person – creativity and collaboration w/CBDD and discussed right at the beginning

11. Employment Services

12. WHAT IS HPC……  CAN BE PROVIDED IN THE HOME OR IN THE COMMUNITY  1:1 SERVICES OR SMALL GROUPS (RECOMMEND NO MORE THAN 1:4 FOR THIS SERVICE)  CAN PROVIDE RECREATIONAL ACTIVITES AND OUTINGS  CAN BE PROVIDED OVERNIGHT  PAYS FOR AWAKE TIME AND SLEEP TIME AS NEEDED  VERY SUPPORTIVE SERVICE TO INDIVIDUALS WHO ARE WORKING AND LIVING ON THEIR OWN

13. EXAMPLES OF CURRENT PROGRAM IDEAS DAY, EVENING AND WEEKEND RECREATIONAL ACTIVITIES BEFORE AND AFTERWORK CARE DROP IN SERVICES ASSISTANCE TO ACCESS MEDICAL CARE WEEKEND DROP OFF SERVICES OVERNIGHT TRAVEL SHORT VACATION TRIPS AMUSEMENT PARKS AND SPORTING EVENTS

14. HPC TRANSPORTATION BILLED AS PER MILE CAN BE USED IN ADDITION TO NMT (but not @ the same time) CAN BE USED TO ACCESS ADS, SEE, SEC AND HPC SERVICES HPC STAFF HOURS AND HPC MILEAGE CAN BE BILLED AT THE SAME TIME MOSTLY PROVIDED IN SMALL VEHICLES OR EMPLOYEE VEHICLES

15. VERY PERSON CENTERED ABLE TO FOCUS ON WHAT THE INDIVIDUAL NEEDS AND WANTS CAN ASSIST INDIVIDUAL IN INCREASING INDEPENDENCE MUST BE IN THE PLAN AND RATIOS ARE GENERALLY SPELLED OUT IN THE PLAN SUBJECT TO PAWS LIMITS – NEED TO CAREFULLY MANAGE

16. What Does This Look Like?

17. Management – Financials Income and expenses classified by department Decisions MUST be based on financial data Financial forecasting and cash flow Systems to monitor – what works for you Staffing based on actual acuity and based on available authorized funds

18. TAKE AWAYS  FLEXIBLE AND NIMBLE  ABILITY TO MEET INDIVIDUALS NEEDS  ABILITY TO SUPPORT CMS STATUTES  ABILITY TO BE “IN” THE COMMUNITY  ABILITY TO PROVIDE SERVICES IN SMALLER SETTINGS/WAYS  ABILITY TO CROSS TRAIN STAFF USING ADS AND HPC  PERSON CENTERED  ABILITY TO BE CREATIVE IN CARE  ABILITY TO BE FLEXIBLE IN SERVICE TIMES (TRANSPORTATION)