Showing posts with label Self-direction. Show all posts
Showing posts with label Self-direction. Show all posts

Wednesday, February 18, 2015

Employer Authority

Danielle Skenadore
Human Services Manager


The Wisconsin Transition Conference is an annual opportunity for educators, professionals, families, and transition age youth to come together to share best practices. I have the wonderful opportunity to present “Who’s the Boss: Transition Age Youth and Employer Authority” at the 2015 Wisconsin Transition Conference in the Wisconsin Dells.

What is Employer Authority?
In a self-directed program, participants or members are granted the decision-making authority to recruit, hire, train, and supervise caregivers of their choice. The participant or member is the boss!

Why is Employer Authority so Important?
When we think about transition age youth, most of our discussions focus on community-based employment, independent living, and higher education. But for many, success in these arenas is directly connected to reliable caregiving. 

Young adults who choose to self-direct their supports take on a big responsibility.  Case managers and consultants can provide some guidance, but the real work lies with the individual or family.  

Educators, parents, and professionals must acknowledge the learning curve that exists and encourage young people to develop their Employer Authority skills early on by discussing things like personal care needs, caregiver preferences, activity schedules, and job descriptions. 

I am very excited to work together with young people, families, and educators to identify the tool kit, skills and support that will empower success in a self-directed program. 


Check out the slide below for a sneak peak of my presentation. 



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Wednesday, January 14, 2015

Resolutions for 2015

Amanda Cavanagh
Director, Research and Business Development


January is a time for New Year’s resolutions.  When I set goals for the coming year, I envision myself on December 31, 2015.  What do I want to look back on and be proud that I accomplished?

I recently met an amazing participant who receives support and services through one of the long-term programs iLIFE serves.  In the past, this individual’s caregivers took advantage of them.  Not only did they have to fit into the caregiver’s schedule, but they also had to deal with workers unwilling to perform specific tasks they needed done. This abuse of power by a caregiver is tragic.

We then talked about resolutions for 2015.  Although this person is striving to overcome poor caregivers in their past, they are determined to reach their goals.

“This year I will be able to live independently in my home.”

“Next year, I hope to be able to leave my home without assistance.”

This individual’s hopes and dreams exceed all limitations they currently face.  Their strength is an inspiration and reminds me that compassion is an essential part of long-term care programs.

Looking back at my first year working for iLIFE, the determination our consumers have to become independent makes me realize the limitless potential for my personal goals.

So, what is my goal for year two?  This year, I will be a champion for the people we serve.  I will start each day by asking myself, “what will I do today to make tomorrow better?”

That is a New Year’s resolution we can all commit to.



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Friday, December 19, 2014

2015: The Promise of Person-Centered Planning

Gerianne Prom
VP, Long Term Care Services


Throughout 2014, we saw increasing attention to the person-centered planning and self-direction requirements of the Affordable Care Act.  HCBS programs received guidance documents from a number of sources.  For many programs, these documents validated and further inspired the person-centered approaches already at the heart of their programs.  For others, they served as a wake-up call to let go of former practices and evolve their thinking and methodology.

As we enter 2015, we have an opportunity within our organizations and communities to build on the promise of person-centered approaches.  To make it possible for persons with disabilities to make real their meaningful life in their community.  To foster the realization of human potential.

The beginning of the year is an excellent time to recommit as professionals, as organizations, and as leaders to examine and evolve our best practices.  Some of the questions I’m asking to prepare for the year ahead are:
  • What can we do to further the culture of partnership, respect, and trust we build with the people we serve and the people important to them?
  • Are our practices empowering person-driven plans?
  • What are the staff development needs?
  • What are the mentoring and coaching opportunities?
  • What can we do to further community building and engagement?
  • What can we do to eliminate disparities?

The new year is a time for fresh inspiration and renewed commitment.  What are you looking forward to?  

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Tuesday, November 11, 2014

The Changing Landscape of Long-Term Care

Richard Zalewski
iLIFE Program Consultant


My, oh my.  How things have changed.

Thinking back to when our organization took its first steps into the financial management field, the landscape looked very different.  It was 1988.  While more options for services and resources were becoming available to people with disabilities, the practice of people self-directing their services was not widely implemented.

From the 1960s through the ‘80s, self-directed service models sprung out of the independent living movement.  These programs only served small pockets of our country, but they fostered larger principles that would eventually influence future policies and programs.

Now, federal regulations and requirements are driving the transformation of long-term care.  Of course, the Americans with Disabilities Act and the Olmstead decision have been huge.  However, additional financial incentives for states to decrease institutional spending are expanding community based service options.  In 2012, nearly half of the $136 billion Medicaid spent on long-term care went to home and community based services.

Wisconsin’s participant-directed supports program, IRIS, is an increasingly popular option for people wanting to exercise self-direction.  iLIFE is the fiscal employer agent for IRIS, which currently serves over 11,000 participants.  Additionally, veteran-directed service programs (VD-HCBS) have expanded across the United States.  iLIFE provides financial management services to VD-HCBS participants in Wisconsin, Illinois, and the Upper Peninsula of Michigan.

As more long-term care programs become available and self-directed options expand, financial management service providers are in a unique position to help people and their families better live and work in their community.

Over the past quarter century, there has been a great deal of change.  I hope this commitment stays the same.



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