Heart of Central Heart of Central Texas Real ChoiceTexas Real Choice
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
A System TransformationA System Transformation Change: Change: to put or place (a thing) in place of to put or place (a thing) in place of
something else; to exchange; make different; altersomething else; to exchange; make different; alter Transform: Transform: to change the form or appearance; to change the form or appearance;
to change the condition, character or functionto change the condition, character or function A System Transformation: A System Transformation: Full Access and Full Access and
Freedom to Choose for all persons with disabilitiesFreedom to Choose for all persons with disabilities
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
OverviewOverview Project Scope & FundingProject Scope & Funding Aging & Disability Resource Aging & Disability Resource
Centers Centers Leadership TeamLeadership Team Tools and TechnologyTools and Technology Navigators/Legal AdvocacyNavigators/Legal Advocacy Super Community Resource Super Community Resource
Coordination Groups (CRCGs)Coordination Groups (CRCGs) Project ModelProject Model Outcome MeasuresOutcome Measures Partnership and Partnership and
CommitmentsCommitments
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Service AreaService Area
13 Counties: Bell, Bosque, Coryell, Falls, 13 Counties: Bell, Bosque, Coryell, Falls, Freestone, Hamilton, Hill, Lampasas, Freestone, Hamilton, Hill, Lampasas, Limestone, McLennan, Milam, Mills and Limestone, McLennan, Milam, Mills and San SabaSan Saba
Major Cities: Waco, Belton/Temple, Killeen Major Cities: Waco, Belton/Temple, Killeen and Hillsboroand Hillsboro
Population: 696,054Population: 696,054 Persons with Disabilities: 119,689Persons with Disabilities: 119,689 I-35 Corridor (40% of Texas population)I-35 Corridor (40% of Texas population)
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:Funding Funding
Texas Real Choice Texas Real Choice Funding: $294,000 Funding: $294,000 for 3 years for 3 years ($882,000)($882,000)
Older American’s Older American’s Act, State General Act, State General Revenue Funding, Revenue Funding, local revenuelocal revenue
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Aging and Disability Resource Centers Aging and Disability Resource Centers (ADRC)(ADRC) Central Texas ADRC: Co-Location Central Texas ADRC: Co-Location
of Area Agency on Aging (AAA) & of Area Agency on Aging (AAA) & Area Information Center (AIC), 2-3 Area Information Center (AIC), 2-3 Navigators, 2-3 Aging and Navigators, 2-3 Aging and Disability Resource Specialist Disability Resource Specialist (ADRS) and linkage to Heart of (ADRS) and linkage to Heart of Central Texas Independent Living Central Texas Independent Living Center.Center.
Heart of Texas ADRC: Co-Location Heart of Texas ADRC: Co-Location of ILC , AAA, AIC, 2-3 Navigators of ILC , AAA, AIC, 2-3 Navigators and 2 ½ ADRS.and 2 ½ ADRS.
One Stop Shopping for Persons One Stop Shopping for Persons with Disabilities and LTSS with Disabilities and LTSS Agencies (2-1-1 /1-800/Internet/ Agencies (2-1-1 /1-800/Internet/ walk-in)walk-in)
Personalized Service, Easy Access Personalized Service, Easy Access and Quick Response to Consumersand Quick Response to Consumers
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
2-1-1 Implementation2-1-1 Implementation
Central Texas – Central Texas – initiated December initiated December 20022002
Heart of Texas – Fall Heart of Texas – Fall 2003? 2003?
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Leadership Team (4)Leadership Team (4) Executive Director, Heart of Executive Director, Heart of
Central Texas Independent Central Texas Independent Living CenterLiving Center
Executive Director, Executive Director, CareLinc Network (AIC)CareLinc Network (AIC)
Director, Central Texas AAA Director, Central Texas AAA (AIC)(AIC)
Director, Heart of Texas Director, Heart of Texas AAAAAA
Hire and Supervise Project Hire and Supervise Project DirectorDirector
Advisory CommitteeAdvisory Committee Integrated Management Integrated Management
and Leadershipand Leadership Navigators/ADRSs in 4 Navigators/ADRSs in 4
AgenciesAgencies
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Common ToolsCommon Tools Prototypes: HHSC Summit (April 2001)Prototypes: HHSC Summit (April 2001) Intake and Referral FormIntake and Referral Form Release of InformationRelease of Information Withdrawal of Permission to Share InformationWithdrawal of Permission to Share Information Referral ProtocolsReferral Protocols Operational in 6 Counties (May 2002)Operational in 6 Counties (May 2002) Risk ScreeningRisk Screening Person/Family Centered Assessment and Person/Family Centered Assessment and
PlanningPlanning Reduces Fragmentation, Duplication, Barriers and Reduces Fragmentation, Duplication, Barriers and
ConfusionConfusion
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Regional Management Information Regional Management Information SystemSystem (ServicePoint ™) (ServicePoint ™)
Hardware Infrastructure Hardware Infrastructure CompleteComplete
150 User Licenses150 User Licenses Automation of Tools and Automation of Tools and
ProtocolsProtocols Web-Based Community Intranet Web-Based Community Intranet
SystemSystem Detailed Report GenerationDetailed Report Generation Secure Data EntrySecure Data Entry Tracks Changes in Consumer Tracks Changes in Consumer
StatusStatus Real-Time Data Sharing with Real-Time Data Sharing with
Other AgenciesOther Agencies Consumer Confidentiality and Consumer Confidentiality and
Privacy (Enhanced)Privacy (Enhanced) Aggregate Unmet Need DataAggregate Unmet Need Data
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Navigators (Barrier Busters)Navigators (Barrier Busters)
Comprehensive Consumer/Caregiver InterviewingComprehensive Consumer/Caregiver Interviewing Person/Family Centered Assessment, Planning and ImplementationPerson/Family Centered Assessment, Planning and Implementation Liaison to Key Partner Agency Staff (Super Community Resource Liaison to Key Partner Agency Staff (Super Community Resource
Coordination Groups)Coordination Groups) Brokering/Coordination of Traditional and Non-Traditional Community Brokering/Coordination of Traditional and Non-Traditional Community
Services and SupportsServices and Supports Consulting with Legal Advocacy Staff, Attending County CRCG’s, Consulting with Legal Advocacy Staff, Attending County CRCG’s,
Interface with ADRC StaffInterface with ADRC Staff Assisting with Paperwork, Accompanying Consumer to Agency Assisting with Paperwork, Accompanying Consumer to Agency
Appointments and HearingsAppointments and Hearings Assuring Follow-up, Cultural Sensitivity and Compliance with Assuring Follow-up, Cultural Sensitivity and Compliance with
Americans with Disabilities ActAmericans with Disabilities Act Information Provision for Informed ChoiceInformation Provision for Informed Choice
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Legal AdvocacyLegal Advocacy
Lone Star Legal Aid Lone Star Legal Aid ContractContract
Legal Back Up for Legal Back Up for NavigatorsNavigators
Consultation, Research and Consultation, Research and AdvocacyAdvocacy
Recommend Legal Recommend Legal RemediesRemedies
Americans with Disabilities Americans with Disabilities Act ComplianceAct Compliance
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Super Community Resource Coordination Super Community Resource Coordination GroupsGroups
Partner Agencies Commit Key Partner Agencies Commit Key PersonnelPersonnel
Key Staff Assign Key Staff Assign Staff/Authorize Expedited Staff/Authorize Expedited ServicesServices
Ongoing Access to NavigatorsOngoing Access to Navigators On-line Staffing Using On-line Staffing Using
Community IntranetCommunity Intranet Real-time Coordination and Real-time Coordination and
Resource AllocationResource Allocation Referral to County CRCG s Referral to County CRCG s
(Indigenous Resources)(Indigenous Resources)
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
System ModelSystem Model Agency Partners/ Agency Partners/
PublicPublic
Oversight/LeadershipOversight/Leadership AIC/ADRCAIC/ADRC
(Linking & Screening)(Linking & Screening)
Project DirectorProject Director NavigatorsNavigators County CRCG s County CRCG s
Super CRCGSuper CRCG
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Outcome MeasurementOutcome MeasurementConsumer Outcomes: relocations, diversions, Consumer Outcomes: relocations, diversions,
community/family participation, person/family community/family participation, person/family centered plans, health and safety, freedom centered plans, health and safety, freedom from abuse and neglect, independence, from abuse and neglect, independence, futures planning, and consumer satisfaction.futures planning, and consumer satisfaction.
System Outcomes: aggregate met and unmet System Outcomes: aggregate met and unmet need, consumers linked with resources, need, consumers linked with resources, barriers overcome, service duration and barriers overcome, service duration and intensity, institutional diversions/relocations, intensity, institutional diversions/relocations, services from multiple agencies, services from multiple agencies, ServicePoint™ usage, meeting participation ServicePoint™ usage, meeting participation and Super CRCG Participation.and Super CRCG Participation.
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Training CurriculumTraining Curriculum
Real Choice OverviewReal Choice Overview Person First LanguagePerson First Language System of Access and AssistanceSystem of Access and Assistance ABCs of Information and ReferralABCs of Information and Referral Person/Family Centered TrainingPerson/Family Centered Training Cultural DiversityCultural Diversity Service PointService Point™ Software™ Software Benefits CounselingBenefits Counseling Agency PartnersAgency Partners HIPAAHIPAA
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Serve on Advisory Committee:Commitments to Serve on Advisory Committee:
AAAHOTHill Country Community Action Assn., Inc.
CTAAA Consumer Advocate (Aging)
CareLinc Network Lone Star Legal Aid
HOCTILCKilleen Help Center (Bell County Human Services)
HOTRMHMR Milam County/CTCOG
TDPRS/APS HOT Workforce Board
CT Veterans Health Care System HOT Coalition for the Homeless
Region 12 Education Service Center HOT Rural Transit District
BellNet (Texas Agricultural Experiment System/Texas A&M) Central Texas Senior Ministry
CTCOG/Housing Division Limestone County Senior Services
CT Youth Services Bureau, Inc. Waco Housing Authority
CT Workforce Board/Information & Referral System United Way
Coryell County (County Judge) City of Waco
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice: Advisory Committee MembersAdvisory Committee Members
Central TexasCentral Texas Mr. Nick Serna, Lone Star Legal AidMr. Nick Serna, Lone Star Legal Aid Dr. Lucinda Harmon, Combridge, Inc.Dr. Lucinda Harmon, Combridge, Inc. Mr. Barry Fredrickson, TX Dept. of Human Mr. Barry Fredrickson, TX Dept. of Human
ServicesServices Mr. Ray Helmcamp, CCCMHMRMr. Ray Helmcamp, CCCMHMR Mr. Mike Mathis, TDPRS-APSMr. Mike Mathis, TDPRS-APS Ms. Rita Kelly, Killeen Help CenterMs. Rita Kelly, Killeen Help Center Honorable John Hull, Coryell County JudgeHonorable John Hull, Coryell County Judge Ms. Gloria Holle, Early Childhood InterventionMs. Gloria Holle, Early Childhood Intervention Honorable Jack Calvert, Mayor, City of Honorable Jack Calvert, Mayor, City of
LampasasLampasas Ms. Tama Shaw, Hill Country Community Ms. Tama Shaw, Hill Country Community
ActionAction Mr. John Kirchoff, HUD, BeltonMr. John Kirchoff, HUD, Belton Mr. Aaron Montemayor, United Way GFHA, Mr. Aaron Montemayor, United Way GFHA,
KilleenKilleen Mr. Steve Wick, Central Tx Youth Services, Mr. Steve Wick, Central Tx Youth Services,
BeltonBelton Ms. Mary H. Klentzman, Family AdvocacyMs. Mary H. Klentzman, Family Advocacy
Heart of TexasHeart of Texas Mr. Brian Dodd, Regis-St. Elizabeth CentersMr. Brian Dodd, Regis-St. Elizabeth Centers Mr. Harvey Fredriksson, Aging Consumer Mr. Harvey Fredriksson, Aging Consumer AdvocateAdvocate Ms. Barbara Tate, HOT Regional MHMRMs. Barbara Tate, HOT Regional MHMR Ms. Marietta Diehl, TDPRS-APSMs. Marietta Diehl, TDPRS-APS Ms. Dixie Skeen, TX Dept. of HealthMs. Dixie Skeen, TX Dept. of Health Ms. Greta Brown, TX Dept. of Human ServicesMs. Greta Brown, TX Dept. of Human Services Mr. Budge Kimble, TX Commission For BlindMr. Budge Kimble, TX Commission For Blind Ms. Judy Hicks, Region 12 Education CenterMs. Judy Hicks, Region 12 Education Center Mr. Doug Young, Central TX Veterans Health Mr. Doug Young, Central TX Veterans Health CareCare Ms. Camilla Bare, Association of Retarded Ms. Camilla Bare, Association of Retarded CitizensCitizens Ms. Melody McDermitt, Central TX Senior Ms. Melody McDermitt, Central TX Senior MinistryMinistry Ms. Stacie York, Providence DePaul CenterMs. Stacie York, Providence DePaul Center Ms. Gaylen Lange, TX Workforce DevelopmentMs. Gaylen Lange, TX Workforce Development Ms. Barbara Brewer, Salvation ArmyMs. Barbara Brewer, Salvation Army Ms. Ana Salinas, Waco Housing AuthorityMs. Ana Salinas, Waco Housing Authority
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Help Develop and to Provide Personnel SupportCommitments to Help Develop and to Provide Personnel Support
to CRCGs for Adults and Familiesto CRCGs for Adults and Families
AAAHOTKilleen Help Center (Bell County Human Services)
CTAAA HOT Workforce Board
CareLinc Network Region 12 Education Service Center
HOCTILCTemple Help Center (Bell County Human Services)
HOTRMHMR Christian Assistance Network
TDPRS/APS Bosque County Senior Services
TDHS Central Texas Senior Ministry
Early Childhood/CCCMHMR Freestone County Senior Services
CT Youth Services Bureau, Inc. Limestone County Senior Services
CT Council on Alcoholism & Drug Abuse Salvation Army
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Designate Key Staff to Represent Commitments to Designate Key Staff to Represent Agency, Interface with Project Staff and Consumers:Agency, Interface with Project Staff and Consumers:
AAAHOT Lone Star Legal Aid
CTAAAKilleen Help Center (Bell County Human Services)
CareLinc Network HOT Workforce Board
HOCTILC HOT Coalition for the Homeless
HOTRMHMR Central Texas Senior Ministry
TDHS Bosque County Senior Services
TDPRS/APS Waco Housing Authority
CT Veterans Health Care System Salvation Army
Bell County (County Government) United Way
CTCOG/Housing Division City of Waco
CT Youth Services Bureau, Inc.
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Use Common Intake:Commitments to Use Common Intake:
AAAHOTTemple Help Center (Bell County Human Services)
CTAAA Christian Assistance Network
CareLinc Network HOT Coalition for the Homeless
HOCTILC Central Texas Senior Ministry
TDHS Freestone County Senior Services
TDPRS/APS Bosque County Senior Services
Early Childhood/CCCMHMR Limestone County Senior Services
CT Veterans Health Care System Waco Housing Authority
CTCOG/Housing Division Salvation Army
CT Youth Services Bureau, Inc. United Way
Hill Country Community Action Assn., Inc. Caritas of Waco
CT Council on Alcoholism & Drug Abuse Compassion Ministries
Killeen Help Center (Bell County Human Services) Friend For Life
HOT Workforce Board Mission Waco
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Adhere to Standardized ReferralCommitments to Adhere to Standardized Referral
and Follow-Up Protocols:and Follow-Up Protocols:
AAAHOT HOT Workforce Board
CTAAATemple Help Center (Bell County Human Services)
CareLinc Network HOT Coalition for the Homeless
HOCTILC HOT Rural Transit District
CCCMHMR Central Texas Senior Ministry
TDHS Freestone County Senior Services
TDPRS/APS Bosque County Senior Services
Early Childhood/CCCMHMR Limestone County Senior Services
CT Veterans Health Care System Waco Housing Authority
CTCOG/Housing Division Salvation Army
CT Youth Services Bureau, Inc. United Way
CT Workforce Board/Information&Referral System Caritas of Waco
Hill Country Community Action Assn., Inc. Compassion Ministries
CT Council on Alcoholism & Drug Abuse Friend For Life
Killeen Help Center (Bell County Human Services) Mission Waco
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
Unprecedented PartnershipUnprecedented PartnershipCommitments to Use of Common Information Management System Commitments to Use of Common Information Management System
for Sharing Consumer Information, Consumer Tracking and for Sharing Consumer Information, Consumer Tracking and Adherence to HHSC Consumer Confidentiality Guidelines:Adherence to HHSC Consumer Confidentiality Guidelines:
AAAHOT Temple Help Center (Bell County Human Services)
CTAAA Christian Assistance Network
CareLinc Network HOT Coalition for the Homeless
HOCTILC Central Texas Senior Ministry
TDHS Freestone County Senior Services
TDPRS/APS Bosque County Senior Services
CT Veterans Health Care System Limestone County Senior Services
CTCOG/Housing Division Waco Housing Authority
CT Youth Services Bureau, Inc. Salvation Army
Greater Killeen Free Clinic United Way
Hill Country Community Action Assn., Inc. Caritas of Waco
CT Council on Alcoholism & Drug Abuse Compassion Ministries
Killeen Help Center (Bell County Human Services) Friend For Life
HOT Workforce Board Mission Waco
Heart of Central Texas Real Heart of Central Texas Real Choice:Choice:
SummarySummary 13 Counties 13 Counties Aging and Disability Resource CentersAging and Disability Resource Centers Area Information Center (AIC) Area Information Center (AIC)
IntegrationIntegration Integrated Management and LeadershipIntegrated Management and Leadership Regional Web-Based IntranetRegional Web-Based Intranet Navigators and Legal AdvocacyNavigators and Legal Advocacy Super CRCGSuper CRCG Outcome MeasurementOutcome Measurement