DSHS-McKeon, Stacii DSHS-McKeon, Stacii

created Aug 26, 2013

updated Nov 23, 2016

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Goal 4: Healthy and Safe Communities
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3.2.b, developmental disabilities at home, dshs, developmental disabilities, supported people, quality of life, community-based services, in home settings
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Data Source
DSHS Developmental Disabilities (DD) EMIS Report data used to calculate the percentage for AD1.2-D; supplied by Susan Harrison, Management Services Division.
Data Definition
Numerator: All Developmental Disabilities Administration (DDA) clients receiving paid services who are not residents of the state-run Residential Habilitation Centers (RHCs). Denominator: All DDA clients receiving paid services. Community Clients count includes DDA clients living in community settings and receiving DDA paid services. This count does not include DDA eligible clients who receive only case management services. Calculation for Community Clients (Column D002) was updated as of August 2013. Previously this was calculated by subtracting all RHC clients including respite clients (D045) from all DD clients receiving paid services (D300). Now, the calculation subtracts all RHC clients EXCLUDING respite clients (D005) from all DD clients receiving paid services (D300). Thus, clients who receive occasional respite in RHCs are still included in the count of community clients. This new definition and calculation has been applied throughout all reported time periods. Total Caseload count is the community client caseload plus the RHC client caseload (excluding respite) for each report period.
Data Frequency
Quarterly data is based on the count of the last month of the quarter.
Target Rationale
At the end of June 2013, 96.2 percent of clients supported by DDA live in community based settings. This calculation is based on a total paid services caseload of 21,565 with 20,748 individuals receiving community-based supports and 817 individuals receiving services in a RHC. In the 2013-2015 budget, the legislature directed the DDA to expand capacity of the IFS program by 1,500 for clients who are waiting for paid services; and Basic Plus waiver to support 734 transition age individuals who are Medicaid eligible and interested in employment. If DDA achieved its target of enrolling 1,500 individuals from the No-Paid Services caseload onto the IFS program and if the number of individuals in the RHC remained the same, we estimated that we should be able to realistically achieve a 0.5% increase in the percentage of clients with developmental disabilities served in home and community-based settings. Factors that can influence this measure are: Increased requests from individuals for placement in a RHC, which is an entitlement; Attrition in the RHCs improves the likelihood of being able to reach this goal; and enrolling clients onto community-based services from the No-Paid services caseload.
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