1. Action Tracker · Status Report | Bill MossOct 7, 2015 Assistant Secretary, Aging and Long-Term Support Administration Background Group Topic / Strategic Plan Goal / Commitment 2: Promote access to a variety of home and community-based service options Sub Topic / Strategic Objective: Ensure seniors and individuals with a disability who are in need of long-term services and supports are supported in their community. Measure # / Strategic Objective # : AAH.1/ 2.1 Measure Title : Percentage of long-term services and support clients served in home and community –based settings ID#Problem to be solvedStrategy/ApproachTask(s) to support strategyLeadStatusDueExpected OutcomePartners 2.1.1 Access to Qualified Providers Identify improvements that will streamline the application, training and certification process for Individual Providers. Conduct Lean Value Stream Mapping (VSM) to map current process, identify areas for improvement, and develop and implement improved process Andrea Meewes- Sanchez Complete10/31/15 Increase the number of qualified providers to which people have access Dept. of Health, DSHS Background Check Central Unit, Training Partnership, Home Care Referral Registry Implement improved process with rollout of IPI Andrea Meewes- Sanchez In progress1/1/2016 2.1.2 Client and Family Engagement Educate families of clients in facilities about HCBS to alleviate fears so they will understand how needs of clients can be met in less restrictive settings. Use existing Roads to Community Living (RCL) funding to do research and focus groups. Project currently underway: “Understanding Attitudes about Nursing Facility Transition.” A contractor and RCL Quality Improvement specialists are currently conducting focus groups and surveys of Home and Community Services (HCS) Division staff and nursing facility staff and residents. Liz PrinceComplete07/30/15 Increase our understanding of barriers to discharge and develop resources or strategies to mitigate these 2.1.3Documentation Tools Ease paperwork burden Purchase signature pads for use in field Rachelle AmesComplete06/30/2014 Increase accuracy of info received, decreasing rework and improving processing time 2.1.4Community Resources Develop and increase community resources Increase community beds/contractsTraci AdairIn progress12/31/2015Additional community resources to meet the needs of individuals relocating from nursing home settings Proposed Action Type of Status Report A3/Strategic Plan SO-2.1 ALTSA Clients in HCBS Last modified 10/07/2015 1

2. Action Tracker · Status Report | Bill MossOct 7, 2015 Assistant Secretary, Aging and Long-Term Support Administration Background Group Topic / Strategic Plan Goal / Commitment 2: Promote access to a variety of home and community-based service options Sub Topic / Strategic Objective: Ensure seniors and individuals with a disability who are in need of long-term services and supports are supported in their community. Measure # / Strategic Objective # : AAH.1/ 2.1 Measure Title : Percentage of long-term services and support clients served in home and community –based settings ID#Problem to be solvedStrategy/Approach Task(s) to support strategyLeadStatusDueExpected OutcomePartners 2.1.5Hospital Partnerships Work with hospitals to discharge individuals to community placements Educate about home and community-based services (HCBS) Work closely with Western State Hospital and Eastern State Hospital on community discharges to HCS settings Regional Administrators Complete07/01/2015 Increase number of hospital patients with access to home and community- based services Hospitals Contract with community hospitals for office space and funding for additional staff Regional Administrators In progress6/30/2015 2.1.6Staff turnover Investigate why staff leave, leadership training and staff engagement Review exit interview information and survey staff Kristin ByrneCompete8/01/2015 Decrease staff turnover by assessing and using information gleaned from exit surveys and staff survey to guide future actions Experienced a 3% increase in filled positions, from 96% in FY13 to 99% in FY15. Provide Excellence in Leadership training and workgroups for managers in leadership positions In progress12/31/ 2015Managers obtain tools and additional skills needed to support, empower and motivate employees 12/31/2016 Provide Transforming Performance training for managers and supervisors Staff engagement in statewide and regional strategic planning and improvement activities CompleteOctober 2014Staff gaining a collective understanding of the “why” of our work and how we should move forward to provide better services to clients. Note: This performance measure is directly impacted by several other ALTSA measures such as relocation of clients from nursing homes to the community, as well as timely determination and approval of client services among others. Subsequently, improvement activities such as ; the A3 report conducted late 2014 for nursing facility relocation, the May 2015 VSM on initial assessments and the VSM scheduled in the fall for financial applications positively impact ALTSA’s ability to meet the June 2017 target of serving 85% of clients in home and community-based settings. Proposed Action Type of Status Report A3/Strategic Plan SO-2.1 ALTSA Clients in HCBS Last modified 10/7/2015 2