Sole statewide case management organization for ID/DD waiver participants. Transitioned from from more than 200 individual case management companies to a single statewide organization serving approximately 15,000 waiver Participants
Participating member of a team which closed the last State ID/DD institution. Successfully transitioned former residents to community settings and continued to provide case management services for all who transitioned
Redeveloped Person Centered Planning applied throughout the State and introduced Essential Lifestyle Planning process
Allocation design and implementation
An active member of a cross-discipline team to design and implement acuity-based rate setting and resource allocation model, utilizing assessment information, for all state ID/DD Waivers
Developed “Risk Mitigation Tool” for collection, identification, assessment to support Health, Safety, Welfare planning process for those with ID/DD
QE and adverse event services
State contractor, providing Quality Enhancement and Quality Improvement services for ID/DD Waivers
Manage and process all ID/DD Incident reports equating to more than 75,000 reports annually, including all required performance reporting, escalations, follow-up information requests, and closures
Perform Mortality Reviews for all deaths of Participants. Reviews encompass triage, "others-at-risk" assessment, clinical evaluation, service quality review, development of written "brief" for all mortalities, escalation, recommendation(s) for provider service delivery improvement, and conduct of monthly Mortality Review Committee meetings
Provider certification reviews for all services and State approved ID/DD Waiver service providers including employee record and service delivery reviews.
Data analysis and production of comparative statistics for all providers including “T-Score” normal distribution analysis in support of provider re-approval process.
NCI and MFP services
National Core Indicator (NCI) Adult surveys for a valid, stratified sample of Waiver participants (approximately 800) for each year, including ODESSA data entry.
Money-Follows-The-Person baseline, year-1, and year-2 surveys on behalf of State ID/DD and Division of Aging.
Customized web-based solutions
Design, build, launch, host, adapt and manage a web-based information system tracking all Quality related activities, documentation, provider access/activity, and support for State Quality Improvement personnel, state-wide
Apply Advocare’s Incident Report Specialist services to process, categorize, probe, escalate, and report all incident information, both standard and critical