• Accreditation
    • Systems Accreditation
    • Quality Assurances Accreditation
    • Person-Centered Excellence Accreditation
    • Person-Centered Excellence Accreditation, With Distinction
    • Network Accreditation
    • Accredited Organizations
    • Promoting Your Accreditation
    • Accreditation Inquiry
  • Training
    • Personal Outcome Measures® Training
    • Virtual Personal Outcome Measures® Workshops
    • Basic Assurances® Training
    • Person-Centered Training
    • Enhancing Supports Training
    • Accreditation Preparation Training
    • E-Learning Courses
    • Training Inquiry
  • Certification
  • Research
    • Research Projects
    • Research Articles
    • PORTAL Data System
  • Consultation
  • Tools
    • Personal Outcome Measures®
    • Basic Assurances®
    • PORTAL Data System
  • Resources
    • Articles
    • Capstone Newsletters
    • Guides
    • Manuals
    • Webinars
    • Projects
    • Events
    • Rights Conversation Cards
    • Sex & Relationships Conversation Cards
    • The CQL POST App
  • About Us
  • Partnerships
  • Pay Fees

A Decrease font size. A Reset font size. A Increase font size.

Contact Us
  • About Us
  • Partnerships
  • Pay Fees

A Decrease font size. A Reset font size. A Increase font size.

The Council on Quality and Leadership
Contact Us
MENU
  • Accreditation
    • Systems Accreditation
    • Quality Assurances Accreditation
    • Person-Centered Excellence Accreditation
    • Person-Centered Excellence Accreditation, With Distinction
    • Network Accreditation
    • Accredited Organizations
    • Promoting Your Accreditation
    • Accreditation Inquiry
  • Training
    • Personal Outcome Measures® Training
    • Virtual Personal Outcome Measures® Workshops
    • Basic Assurances® Training
    • Person-Centered Training
    • Enhancing Supports Training
    • Accreditation Preparation Training
    • E-Learning Courses
    • Training Inquiry
  • Certification
  • Research
    • Research Projects
    • Research Articles
    • PORTAL Data System
  • Consultation
  • Tools
    • Personal Outcome Measures®
    • Basic Assurances®
    • PORTAL Data System
  • Resources
    • Articles
    • Capstone Newsletters
    • Guides
    • Manuals
    • Webinars
    • Projects
    • Events
    • Rights Conversation Cards
    • Sex & Relationships Conversation Cards
    • The CQL POST App
Contact Us
Resources | Capstone Newsletter | Outcome-Driven At OPWDD: From Managed Care To Support Coordination
Outcome-Driven At OPWDD: From Managed Care To Support Coordination

The shift from output-driven to outcome-driven supports for people with disabilities

Share This Post

Outcome-Driven At OPWDD: From Managed Care To Support Coordination

Posted on December 21, 2015

Over the past four years, the Office for Persons With Developmental Disabilities (OPWDD) at the State of New York has been working to shift away from traditional output-driven services to person-centered, outcome-driven supports for individuals. This shift in thinking has or will touch all aspects of the service system from managed care (MC) to support coordination. In 2013, OPWDD formalized a partnership with CQL | The Council on Quality and Leadership, to use the Personal Outcome Measures® as a conduit to a change in values in service delivery. Although OPWDD does not require the use of the Personal Outcome Measures® or CQL Accreditation for community service providers, OPWDD has embodied the importance and value of putting individualized outcomes at the core of service delivery.

Personal Outcome Measures® In Managed Care

In 2011, OPWDD began taking the first steps towards a transition into Managed Care for Long-Term Services and Supports (LTSS), with expectations for the first implementation plan to be completed in April 2016. The move away from traditional fee-for-service payment and delivery to managed care has required OPWDD to think through the process of monitoring, reporting on and ensuring high-quality supports. As a result, OPWDD set up a quality design team to develop a comprehensive and proactive quality monitoring and quality enhancement plan for future Managed Care Organizations (MCOs).

One of the first goals for the team involved learning about outcomes that would be meaningful, measurable and person-centered under managed care. During this discovery period, the team began researching CQL’s Personal Outcome Measures®.

Kate Bishop, Director of Health and Community Support under the Division of Person-Centered Supports for the NYS Office for People With Developmental Disabilities states “It was through learning about the CQL Personal Outcome Measures® approach that we began to develop an understanding of those Personal Outcome Measures® as one way to begin to measure the effectiveness of a person-centered plan.”

To test the utilization and value of the Personal Outcome Measures®, OPWDD engaged a group of high-preforming agencies and asked CQL to provide training to the agencies to begin using the Personal Outcome Measures®. The output from the testing led Bishop and OPWDD to formally adopt POM in their planning process for managed care. Bishop wanted to ensure that quality monitoring in managed care not only went beyond health and welfare, but also focused on individual quality of life.

“We have seen those person-centered practices well-informed by the Personal Outcome Measures®”

Kate Bishop, OPWDD

“As we are working to implement a managed care system, one of the elements that became very clear in our planning processes is, as much of the measures that have been established for individuals in a managed care environment relate to health outcomes,” states Bishop, adding “And while health outcomes are extremely important, it’s also an expectation that within the managed care system, individuals with intellectual and developmental disabilities are supported with long-term supports and services, and that those supports and services are not just about the delivery of a service, but the impact that the services has on the outcomes and the desires that are most important to the individual.”

To formalize this approach, OPWDD plans to require that MCOs collect Personal Outcome Measures® interviews as part of the quality monitoring plan and review trend analysis data using POM to ensure service delivery aligns with what really matters to individuals.

CQL’s Role In The Community

OPWDD’s move towards the use of the Personal Outcome Measures® in managed care began what is now a strong partnership between OPWDD, CQL and community service providers across the state. After the adoption of the POM in managed care, OPWDD was awarded grant funding from the Centers on Medicare and Medicaid (CMS) under the Balancing Incentives Program (BIP).

The BIP funding released by CMS was provided to states to develop capacity for increasing and/or improving community-based services. OPWDD was provided a large grant from CMS to make systemic changes in service delivery. Through the BIP funding, OPWDD provided the opportunity for community service providers to apply for a portion of the available funds, while keeping some funding at OPWDD.

From this, CQL has engaged with 100 agencies across the state to build infrastructure for continuing person-centered approaches in service delivery. Within agencies, CQL is providing training, accreditation and consultation. The work with individual agencies helps to ensure the system that individuals access is best situated to provide the types of services that they really want. Beyond the work with individual agencies, CQL is also working alongside OPWDD’s Division of Quality Improvement (DQI) to implement person-centered approaches and values into the State’s policy for monitoring service quality.

To accomplish this, CQL is working hand-in-hand with DQI to:

  • Integrate components of the Basic Assurances® and POM into the state’s HCBS settings transition plan
  • Monitor and conducting training on POM for state staff
  • Train support coordinators on the importance of measuring and monitoring outcomes
  • Provide technical assistance to DQI for stakeholder engagement and communication
  • Implement additional components of systems change

The Future Of The Partnership

The relationship between OPWDD, DQI, service providers and CQL has flourished over the past 2 years into a comprehensive, holistic, person-centered, outcomes-driven and systems change initiative.

The partnership between CQL and OPWDD is relatively young, but the work which has been conducted to-date has already had an impact within the state. Bishop states, “There are numerous success stories that occurred as a result of some changed practices around understanding and listening to the individual receiving supports and services. I think it was really that success that was achieved pretty quickly with people, which drove a desire to embrace and implement those approaches in organizations around the state.”

As this partnership moves into the future, it will be exciting to see the true impact of this large, and extremely valuable initiative.

Additional Capstone Newsletters

The Fundamentals of Effective Policies

The Fundamentals of Effective Policies

December 6, 2022

How to create customized, meaningful, and actionable policies for human services organizations.

Capstone
Lightbulb Moments That Inspire, Inform, and Innovate

Lightbulb Moments That Inspire, Inform, and Innovate

October 27, 2022

CQL staff share a number of takeaways from the 2022 CQL Conference: Lightbulb Moments.

Capstone
Transformation Strategies in Human Services

Transformation Strategies in Human Services

January 31, 2022

Receive guidance and learn some basic action steps to help spark change at your organization.

Capstone
CQL Spotlight On 2021

CQL Spotlight On 2021

December 15, 2021

CQL celebrates some of the most notable moments we experienced in 2021.

Capstone
Creating Inclusive Boards And Committees

Creating Inclusive Boards And Committees

May 26, 2021

Ensure that people receiving services are not only on boards and committees, but are also active members in meaningful roles.

Capstone
CQL Spotlight On 2020

CQL Spotlight On 2020

December 15, 2020

CQL reflects on some of the major milestones involving our organization in 2020.

Capstone
Focusing On Possibilities Through Appreciative Inquiry

Focusing On Possibilities Through Appreciative Inquiry

November 24, 2020

Find out how Appreciative Inquiry shifts the outlook from a deficiency-driven approach to identifying and amplifying strengths.

Capstone
What If DSP Recognition Lasted All Year?

What If DSP Recognition Lasted All Year?

September 28, 2020

In this Capstone, we profile organizations with programs that make a meaningful impact on DSPs throughout the entire year.

Capstone
Americans With Disabilities Act: Promoting Integration and Inclusion

Americans With Disabilities Act: Promoting Integration and Inclusion

July 24, 2020

During the 30th anniversary of ADA, find out ways to improve integration and inclusion for people with disabilities.

Capstone
From Policy To Practice: Breaking Down The Basic Assurances®

From Policy To Practice: Breaking Down The Basic Assurances®

March 31, 2020

Learn about our recent Basic Assurances® webinar series and get 'Top Tips' from CQL staff

Capstone
View All Resources
Shoosh
Shoosh

Capstone e-Newsletter

Receive Best Practices In Your Inbox

Capstone Newsletter Sign Up

  • This field is for validation purposes and should be left unchanged.

CONTACT US

100 West Road, Suite 300
Towson, Maryland 21204

(410) 275-0488

CONNECT WITH CQL

NEWSLETTER SIGNUP

Expertise, insight and tips to help you improve the quality of your supports.
  • This field is for validation purposes and should be left unchanged.

CQL AFFILIATE

The National Leadership Consortium is an affiliate of CQL.

© 2023 The Council on Quality and Leadership Inc. All Rights Reserved. Designed by Top Floor

  • Privacy Policy
  • Terms of Use