May 2004 Volume 34, No. 5 www.ancor.org

An publication of private provider practice and federal policy issues. ANCOR Partners with DoL to Launch One-Stop Pilot Programs

esulting directly from ANCOR’s cessful, ANCOR has DoL’s commitment between a DoL-designated One-Stop team National Advocacy Campaign to launch the model throughout its One- and an ANCOR state team. We’re limiting efforts, the U.S. Department of Stop national workforce development net- the ANCOR team to no more than ten Labor (DoL) work, which would amount to a members, at DoL’s request. REducation and Training ANCOR National significant achievement in meet- Each state will select a city in which Administration’s Business Advocacy Campaign ing the goals of the National to conduct the pilot. The first kick-off Relations Group is partner- Advocacy Campaign. meeting is scheduled for May 19 in ing with ANCOR to con- ANCOR has already met Frankfort, Kentucky. Kentucky’s state duct a pilot program initia- with key contacts in each of the provider association has selected Louisville tive in the following states: four states selected, including as the One-Stop pilot site city. Kentucky, Maine, Arizona state provider association execu- In a second important partnership, By empowering people with disabilities, direct and New York. The objec- support professionals strengthen all of America. tives, ANCOR state representa- ANCOR has been recognized by DoL as a tive of the pilots is to devel- tives and Board members to dis- National Business Partner. DoL op an effective One-Stop cuss the parameters of an initial announced the partnership during their network program model that provides a launch in each state. A kick-off meeting presentation at the ANCOR Management flow of screened (career affinity and crimi- will be scheduled in each state and co- Practices Conference in New Orleans. This nal background checks) and trained (CPR hosted by DoL, ANCOR and the state partnership is significant. ANCOR is the and First Aid certification) direct support provider association(s). ANCOR has only national trade association listed candidates to private providers. encouraged each state to invite key state alongside major U.S. corporations. The states were selected by ANCOR MRDD, human services and labor officials ANCOR is also awaiting word from from a list of seven prospective states DoL and representatives from the governor’s DoL on a grant proposal to support com- assessed with the strongest networks. At office to the meeting. pletion of the College of Direct Support DoL’s request, ANCOR selected four The kick-off meetings will be followed states from that list based on assessment within a month by a planning session See Pilot Programs, page 21 of its network strengths. DoL has committed to the career and background check screening and training certifications and is also considering estab- ANCOR 2004-05 Resource Partners Guide lishing quota commitments from the One-Stops to provide a specific number ANCOR is proud to present its second annual Resource Partners Guide, of screened and trained candidates to which is formatted as a pull-out section in the middle of this issue of LINKS. The providers monthly. guide highlights a cross-section of consultants available to support your agency’s The model will bring together diverse operational, management and development needs and provides you with an the key components of the DoL public important agency resource right at your fingertips. workforce development network such as Our thanks to the Resource Partners featured in this edition. Their listings can One-Stop navigators, state coordinators, also be accessed on the ANCOR web site at www.ancor.org. and representatives from prospective workforce pools, including Native See Resource Partners Guide, Center Section Americans, Job Corps, and elder, migrant, young adult and displaced workers. If suc-

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 1 The American Network of Com- Contents munity Options and Resources (ANCOR) was founded in 1970 Resource Partners Guide – Special Section to provide national advocacy, ANCOR 2004-05 Resource Partners Guide ...... RG1 – RG20 resources, services and network- Announcement In the News ...... 12 ing opportunities to providers of ANCOR Partners with DoL to Launch private supports and services. One-Stop Pilot Programs ...... 1 Contributing Editor Links provides a nexus for the Catch 22 and the Field of Public Policy Update Developmental Disabilities ...... 13 exchange of information, ideas Senate Finance Committee Examines and opinions among key stake- Strategies to Improve Access to Medicaid Computer Technology holders. Home and Community-Based Services ...... 7 A Survey of Computer Usage Cleveland’s New Avenues Receives by DD Providers ...... 15 National Office $1.6 Million HUD Award That Opens Doors Renée L. Pietrangelo to Private Housing Market ...... 8 State Representative Profile ...... 17 Chief Executive Officer CEO Perspective ANCOR Member Highlight [email protected] Lessons from the Chambered Nautilus ...... 3 Keystone Human Services Suellen Galbraith Unveils Technology ...... 19 President’s Corner . Director for Public Policy ANCOR’s Quality Pledge ...... 4 [email protected] ANCOR Monthly Updates ANCOR Calendar ...... 3 Jerri McCandless Federal Wage and Hour Guidance Some Bonuses Must Be Included ANCOR Honor Roll ...... 4 Director of Member Services in Calculations of Overtime ...... 10 [email protected] ANCOR Welcomes New Members ...... 12 Leading Practices – Recruiting and Retention Marsha Patrick Developing the Right People ...... 11 ANCOR Technology Updates ...... 19 Director of Resource and Revenue Development Leading Practices – Services and Supports [email protected] New Assessment Tool Enables Persons with Intellectual Disabilities to Lead Fuller Lives . . . . .11 Cindy Allen de Ramos Finance and Office Manager Editorial Board Contributing Editors [email protected] Board Development Environmental Assessment Public Relations Michael Clancy Catherine Dunkelberger Yo Bestgen Bonnie-Jean Brooks Denise Patton-Pace Farmington, MI Technology and Communications Yo Bestgen Associates OHI Marketing Consultant Andrea Dixon Tuscon, AZ Hermon, ME Falls Church, VA Professor Manager (520) 299-5295 (207) 848-5804 (703) 845-1153 Department of Marketing College [email protected] of Business Administration Carol Mitchell Fundraising Risk Management University of Cincinnati Verland Cincinnati, OH Kara Freeburg Sewickley, PA Chris Stevenson John Rose Public Policy Analyst (412) 741-2375 Cedar Lake, Inc. Irwin Siegel Agency, Inc. Dale Dutton Louisville, KY (845) 796-3400 National Director [email protected] Challenging Populations (502) 425-5323 Employment and Community Strategic Planning Services Division Charles Li Joanna Cardinal Innovative Business Ron Wisecarver CARF Howell Child Care Practices Tuscon, AZ Membership Administrator/ Centers, Inc. PARC Database Coordinator LaGrange, NC Frank Capone Peoria, IL Jim Gardner, Ph.D., CEO (252) 566-9181 Liberty (309) 691-3800 The Council [email protected] Amsterdam, NY Towson, MD Systems Change Consumer Empowerment (518) 842-5080 Peggy Gould Tony Yu Ric Crowley President and CEO Terry Wisecarver Leadership Office Coordinator/Generalist Consultant MACROW Visions Center for Creative Edelstein, IL Michael Rench Denham Springs, LA Management Katonah, NY [email protected] (309) 274-5734 Hamilton County Board (225) 939-0344 Cincinnati, OH Amy Hewitt, Ph.D. Customer Service (513) 794-3300 Technology Applications Research Associate 1101 King St., Suite 380 Matt Fletcher Institute on Community John Hannah Program Quality Alexandria, VA 22314-2944 Champaign Residential Interhab of Kansas Integration Research and Enhancement Training Services, Inc. Topeka, KS phone: (703) 535-7850 Catherine Hayes Minneapolis, MN Urbana, OH (785) 235-5103 H&W Independent fax: (703) 535-7860 (937) 653-1320 Liz Obermayer Solutions Training The Council e-mail: [email protected] Employment Granada Hills, CA Tom Pomeranz Towson, MD (818) 368-7656 web site: http://www.ancor.org Peter Callstrom Universal LifeStiles, LLC Claudia Schlosberg Partnerships with Industry St. Louis, MO Partner San Diego, CA (314) 535-1027 Blank Rome LLP (619) 681-1999 Washington, DC Dennis Stork Management Consultant Hot Springs, VA Links brought to you with support from Therap Services, LLC—ANCOR’s Exclusive Articles, advertisements and other materials appearing in Links do not necessarily reflect the official opinions of or endorsement by ANCOR. Platinum Partner Links is copyrighted by ANCOR and cannot be reprinted or reproduced without express written permission. Contact Marsha Patrick at [email protected] for reprint permission.

2 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org CEO Perspective Lessons from the Chambered Nautilus Renee Piatrangelo Advertise in LINKS he chambered nautilus has captivated Contact Marsha Patrick of ANCOR. scientists, mathematicians, poets and Advertising rates are as follows: sea-loving fold for thousands of years. In its way, ANCOR strives to help its Tmembers cultivate the same unique combina- nautilus has survived and thrived in the face of Classified employment $0.70/word tion of characteristics found in the chambered profound changes in the world around it. It is a nautilus---growth, most adaptable creature, living in the extreme Display ads durability, adaptability depths of the ocean during the day and rising and distinctiveness. to the surface, where it eats, at night. The nau- Full page 71/2”wide x 10” tall $400* The nautilus’s most tilus easily adjusts to the extremes of pressure 3/4 page 71/2” wide x 7” tall $300* distinguishing feature is by changing the water and air pressure in its its spiral-coiled, cham- chambers. 1/2 page Horizontal: 71/2” wide bered shell. As it grows, Inside and out the nautilus represents an x 5” tall $200* the nautilus adds new appearance all its own---outside a creamy white Vertical: 33/4”wide chambers to its shell, shell accented with brown lines, and inside a x 10” tall $200* each one 6.3 percent larger than the last shell. lining of mother-of-pearl. The nautilus, which The shell’s mathematically perfect proportion--- dwells in the Pacific and Indian oceans, possess- 1/4 page Horizontal: 71/2”wide the Golden Ratio---reminds us that its growth es a beauty that has fascinated travelers to the x 21/2” tall $125* is intentional and part of nature’s plan, just as South Seas and inspired Oliver Wendell Vertical: 33/4” wide we as individuals need a life plan, and our Homes’ poem, “The Chambered Nautilus.” x 5” tall $125* organizations need a plan in order to grow and The chambered nautilus is also rare. As rare, develop. perhaps, as those individuals and organizations *$35 surcharge if not camera-ready. Sometimes considered a “living fossil,” the that unleash their potential.

ANCOR Calendar ANCOR AUDIO CONFERENCE 2004 W198 and Active Treatment: Are You Meeting the Needs of the May 19, 2004 Audio Conference Individuals You Serve? WI98 and Active Treatment: Are You Meeting the Needs Over the last months federal look-behind surveyors for CMS and state of the Individuals You Serve? surveyors have identified many people not in need of active treatment Speaker: Catherine Hayes, and issued the ICF/MR provider a citation under W198. This session H&W Independent Solutions examines some of the reasons for the focus. You’ll also receive info on designing habilitation plans that actively reflect the level of supports September 13 & Audio conference series you may be offering but have failed to document. You’ll also hear from October 18, 2004 Positive Behavioral Supports providers who have experienced a look-behind survey and addressed Speaker: Dr. Tom Pomeranz this issue in their plans of corrections. September 19-21, 2004 (Committee/Board of Directors SPEAKER: Catherine Hayes meetings September 18) H&W Independent Solutions 2004 Governmental Activities Seminar DATE & TIME: Washington Court Hotel May 19, 2004 2:00 p.m.-3:30 p.m. EDT Washington, DC COST: 2005 $60 ANCOR/ Siegel Agency • $95 Non-Member/Non-Insured (fee is per site not per person) • CD/Tape Available September 22 – 23, 2005 Disability Summit Alliance for Full Participation See www.ancor.org for registration information Washington, D.C. or contact Jerri McCandless, 703-535-7850, [email protected]. (Takes the place of the ANCOR GAS Conference in 2005) We Bring the Experts to You!

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 3 President’s Corner ANCOR’s Quality Pledge

Fred Romkema, President Honor is a highly desirable personal to achieve goals and objectives; goals with- trait and awarded the highest value by out action are no more fulfilling than recently had the opportunity to attend society. Honorable persons are held in action without goals. a Sigma Beta Delta induction ceremo- high esteem, considered to be trustworthy, Without aspiration on the part of wise ny at the local University for students and admired by others because they live a and honorable parents and leaders, change who are well above average and seem- life that is based on integrity and ethical would not have occurred. That is not to I ingly destined to decision-making. Therefore, they are free say further changes are not desirable or become outstanding of dishonor and tyranny. Honorable per- wanted, because they are. ANCOR is achievers in our soci- sons seek to do that which is right in the leading the way in aspiring to improve the ety. The Business face of opposition. They respect others lives of people with disabilities and the Honor Society rec- and are willing to provide leadership for people who implement positive changes. ognizes scholarship the benefit of society. ANCOR’s quality pledge aspires to and accomplishment wise and honorable principles. It is our among students in pledge to do what is right. May we all be business manage- successful as we aspire to be the premier ment and administration. It encourages provider organization, creating a world aspirations toward personal and profession- The principles of that values the full participation of all al improvement with a life distinguished stakeholders. by honorable service to society. As I wisdom, honor and watched the motivated students receive their awards and pledge to aspire, I aspirations complement thought how apropos this was for ANCOR and its members, particularly in ANCOR’s light of our development of a member quality pledge. vision to be the premier The principles of wisdom, honor and aspirations complement ANCOR’s vision provider association to be the premier provider association cre- creating a world that ANCOR Honor Roll ating a world that values the full participa- tion of all stakeholders. Here’s why: values the full he following agencies have submitted the According to Webster, Wisdom is participation of all Tnames of homes that have succeeded in defined as accumulated philosophic or having deficiency-free surveys, which quali- scientific learning, or the ability to dis- stakeholders. fies them for appearance on the ANCOR cern inner qualities and relationships. Honor Roll. ANCOR congratulates all of the staff Wisdom is knowledge gained over who make these honors possible. Send your submission for the Honor Roll to: Attn: time, analyzed, and used with discern- Tony Yu, ANCOR, 1101 King St., Suite ment. The wise person realizes the impor- Honorable people led the effort to 380, Alexandria, VA 22314. tance of continual learning and accepts the change the lives of people with disabilities. It took such people because change can be Please send supporting documenta- challenge to do so and gain a more com- tion of the surveys. plete understanding of new knowledge. a slow and difficult process. Wisdom is applied knowledge. The wise Arizona person seeks to apply knowledge to benefit Webster defines Aspiration as a strong A.I.R.E.S. society. desire to achieve something high or Highland group home The delivery of services to people with great. Sabino group home disabilities has improved over time, from Treat 2206 group home isolation and segregation to community To aspire to worthy goals sets people Treat 2210 group home involvement and inclusion. Cumulative of accomplishment apart from those who wisdom contributed to the changes. merely mark time with their lives. Aspiring to fulfill goals serving society and Ohio Webster defines Honor as a person of developing personally and professionally Sunshine Inc. of Northwest Ohio superior standing, or one whose worth results in a meaningful and satisfying life. Strayer Family Care Home brings respect or fame. People of wisdom and honor must aspire

4 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org ANCOR MEMBERS – MARK YOUR CALENDARS! This Summit will be in place of the ANCOR Governmental Activities Seminar in September of 2005.

Representatives from eleven national disability organizations, including ANCOR, have joined together to create the Alliance for Full Participation and to unite behind the common goal of making full participation a reality. The founding members of the Alliance are: • American Association on Mental Retardation • American Network of Community Options and Resources • Association of University Centers on Disabilities • National Association of Councils on Developmental Disabilities • National Alliance for Direct Support Professionals • National Association of Protection and Advocacy Systems • Self Advocates Becoming Empowered • The Arc of the United States • The National Association of State Directors of Developmental Disabilities Services • United Cerebral Palsy • The Council on Quality and Leadership.

VISION: The Alliance’s vision is to ensure that people with disabilities live meaningful, productive, personally satisfying and well-supported lives in communities of their choice. This vision requires adequate and appropriate service and support capacity and acceptance and opportunity for the full and unreserved partic- ipation of all citizens in our nation. Funding shortages, outdated program models and threats to the legal and social victories gained over the past three decades threaten this vision.

SUMMIT 2005: The Alliance is hosting a Summit on September 22-23, 2005, in Washington DC. The goal of the Summit is to proclaim a new strategic policy and social agenda that can be embraced by all stakeholders and that Is grounded in values that reflect the aspirations of individuals with disabilities and their families. Defines the broad vision, public and pri- vate, political and social, and the new energy and activism needed to implement these national goals. Recognizes, acknowledges and manages conflicting perspectives and priorities of various system stakeholders. ANCOR is proud to be a partner in The Alliance.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 5 The new Supports Intensity Scale helps everyone discover the true support needs of people with cognitive disabilities.

The Supports Intensity Scale (SIS) is a new planning tool for professionals with a unique, positive approach to determining support needs—not deficits—of people with cognitive disabilities. SIS helps you get all the practical information you need for life planning through an interview process that engages all stakeholders—the person, multidisciplinary staff, and family members. With SIS, you can develop individual support plans based on: Direct, reliable, valid measurements of supports required for 57 essential activities in home living; community living; life-long learning; employment; health and safety; social interaction; and protection and advocacy Results ranked by frequency, daily support time, and types of support required Evaluation of 15 medical and 13 behavioral conditions on For those of us who work tirelessly for overall support needs “self-determination and the full inclusion Percentile ranking of respondent’s support needs from of citizens with developmental disabilities national field test data in community life, our ship has arrived. Solid knowledge of needs and life goals identified — StephenStephen Hall, Executive Executive Director” The Resource Exchange, Inc.,The Colorado Resource Springs, Exchange, Colorado Inc. by the respondent Colorado Springs, Colorado The Supports Intensity Scale is the first scale based on the contemporary, supports-based definition of mental retardation. SIS was developed over five years by a panel of disability experts Four Easy Ways to Order! and is published by the American Association on Mental Phone: (301) 604-1340 Retardation. Email: [email protected] Here’s your opportunity to empower people with intellectual Fax: (301) 206-9789 disabilities to plan a life of their choice. Discover the Supports Mail: AAMR Publications, PO Box 25 Intensity Scale today! Annapolis Junction, MD 20701-0025 SIS set includes one Manual (128 pp.) and 25 interview forms (8 pp. each)—$125 Forms can be purchased separately for $38.75 ( The new Supports Intensity Scale includes 25 forms) and $147.25 (100 forms) a test instrument and a companion manual that includes 3 case studies and guidelines on how See sample SIS interview forms, case qualified professionals can integrate SIS into studies, FAQs, and much more at the person-centered planning process. www.aamr.org 6 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Public Policy Update

Senate Finance Committee Examines Strategies to Improve Access to Medicaid Home and Community-Based Services

enate Finance Committee Chairman Money Follows the Person Act would Charles Grassley (R-IA) convened a address this conflict by allowing individu- hearing on Wednesday, April 7th to als to live where they choose and obtain review current proposals to improve needed Medicaid supports. He urged swift Saccess to Medicaid’s home and community- Senate action on both bills. based services for people with disabilities and Harkin, along with Senator Specter the elderly. The hearing room proved too small (R-PA) introduced MiCASSA in May for the overflowing audience of hundreds of 2003. With Senator Gordon Smith people with disabilities, their family members, (R-OR), Harkin introduced the Money providers, and others who have waited for the Follows the Person Act in July 2003. opportunity to push for full access to Medicaid MiCASSA would require states to cover home and community-based services. Three personal attendant supports and services panels of witnesses discussed proposed under their Medicaid programs. Medicaid demonstrations in the President’s Currently, states are only required to pro- New Freedom Initiative and two legislative ini- vide access to nursing facilities while access tiatives pending in the Senate, the Medicaid to many home and community-based serv- Community-Attendant Services and Supports ices are offered under §1915(c) Home and Act (MiCASSA) (S. 971) and the Money Former ANCOR Board member and retired Community-Based Services waivers. The Follows the Person Act (S. 1394). executive director of Opportunity Village Money Follows the Person Act would In his opening statement, Chairman Gary Mrosko talks with Senate Finance authorize full 100% Federal funding for Grassley remarked that people with dis- Chairman Chuck Grassley (R-IA). A delega- states for one year to provide home and abilities and the elderly deserve a choice tion of Iowans—including representatives of community-based supports to individuals where they live. Commenting that while Opportunity Village, an ANCOR member who transition from institutions into their the nation’s long-term care system has seen agency—traveled to Washington in April to own homes and communities. After the major improvements over the years, the work meet with Chairman Grassley on several initial year, states would be responsible for is far from finished. His goal for the hear- pressing concerns, including the direct support matching payments at their usual ing, he continued, was to further under- workforce crisis and proposed Federal Medicaid matching rate. stand the kinds of successful, cost-effective Medicaid budget cuts. Dennis Smith, Director of the Centers and consumer-friendly systems of providing for Medicaid and State Operations at the home and community-based services to Centers for Medicare and Medicaid Medicaid beneficiaries. Grassley also urged stated that the federal Medicaid law and Services (CMS), and Carol Novak, a action on the Family Opportunity Act (S. the Americans with Disabilities Act are in National Council on Disability board 622), legislation he and Senator Edward conflict with one another—something that member, spoke on behalf of the Kennedy (D-MA) are sponsoring. FOA needs to change. Because current Administration’s New Freedom Initiative would expand access to Medicaid supports Medicaid law requires states to pay for proposals and the need to assist states in to children with disabilities in low- and institutional care but does not mandate increasing their efforts to offer home and middle-income families. payment for community-based services—it community based services. In identifying As sponsor of the Medicaid ends up that our nation’s law that provides the institutional bias inherent in the Community-Based Attendant Services and the preponderance of funding for long Medicaid statute, Smith also informed the Supports Act (S. 971) (MiCASSA) and the term services with it’s institutional bias, panel of how states have been using System Money Follows the Person Act (S. 1394), trumps the ADA—the nation’s disability Change Grants to begin reorganizing their Senator Tom Harkin (D-IA) testified civil rights legislation that establishes an long-term care systems. before the Committee and expressed the affirmative integration mandate and pro- Smith addressed initiatives included in urgent need for expanded access to home tects the right to live in the community. the President’s Fiscal Year 2005 budget and community-based services. Harkin Harkin stated that MiCASSA and the See Senate, page 9

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 7 Public Policy Update

Cleveland’s New Avenues Receives $1.6 Million HUD Award That Opens Doors to Private Housing Market Becky Seel

ew Avenues to Independence vouchers every year since located in Cleveland, Ohio, 2000. Last year, the received notice March 18, 2004 application process from the U.S. Department of became competitive rather NHousing and Urban Development (HUD) than a lottery process. of $1.6 million over five years which will Each year we have admin- support 50 Section 8 Mainstream housing istered Section 8 vouchers. These vouchers are in addition Mainstream, we have to the 75 that New Avenues is currently strengthened and administering. This ANCOR member improved our program. will now be able to assist up to 125 very Today, our Section 8 low-income individuals and families with Mainstream program is a disabilities in obtaining affordable, accessi- ‘high performer’ under ble, mainstream housing in communities HUD’s Section Eight in Northeast Ohio. Management Assessment New Avenues was one of the first Program (SEMAP). It is non-profits nation-wide awarded Section 8 very rewarding to know Mainstream vouchers in 1999 through a our hard work has paid lottery process. A Section 8 Mainstream off.” voucher is a tenant-based rental subsidy In addition to the that enables low-income individuals with rental subsidy, New disabilities to choose and lease safe, decent Avenues provides housing and affordable privately-owned rental search assistance, housing counseling, D. Cooper completes an application housing. On the Mainstream program, landlord recruitment, case management, for affordable phone service during a New Avenues pays a fixed amount based tenant/landlord mediation, accessibility site visit by New Avenues Section 8 on the tenant’s income and the tenant pays modification technical assistance to land- Mainstream program staff. between 30% and 40% of their monthly lords, and fair housing advocacy. Each adjusted income for rent. As a result, hav- New Avenues’ Section 8 participant is ing a Section 8 Mainstream voucher is unique – some will use all of those services The need for the Section 8 often the stabilizing factor in our tenants’ while others will only use the rental sub- Mainstream program is overwhelming. lives. After years of struggling, they now sidy. New Avenues opened its wait list in 2000 have housing that is affordable, accessible “This is the first time that many of for 75 vouchers and received 336 applica- and safe. And, they are no longer isolated the individuals that we support are living tions. Since that time, calls have come in from others but now a part of the commu- independently in the community,” said on a regular basis from individuals with nity they have chosen. It is because of this Rick Edwards, New Avenues’ Section 8 disabilities desperate for rental assistance. opportunity to empower individuals with Housing Coordinator. “They may be 25 Like every market across the nation, it is disabilities to become more independent or 55 years old. But they want to be inde- difficult for an individual receiving SSI to and to promote inclusion that we continue pendent. That is what this program is all rent an apartment in Northeast Ohio and to seek additional vouchers each year. about. They can afford to live in a safe meet other basic needs including food and “This is very exciting for the individu- and decent community of their choice. In medical. They will have to make a horri- als and communities we serve,” said Tom addition, we make sure that the supports ble choice between shelter and health, Lewins, executive director of New are in place, and remain in place, to make eventually getting behind in rent, face Avenues. “We have applied for additional it work.” eviction, and possible homelessness.

8 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org “I would be on the streets without Senate New Avenues and my Section 8. Or I continued from page 7 would have to live with someone I did not John Severtson, executive want to and that would cause problems. director of Opportunity They are so nice to me. They even call me Village, Clear Lake, IA, to make sure I am okay and to see if I and Suellen Galbraith, need anything. They help me so much,” ANCOR Director of said D. Cooper. Cooper, a Section 8 Government Relations talk Mainstream participant since 2001, has with Di Findley, executive taken advantage of several of the support director of the Iowa services provided by New Avenues--includ- CareGivers Association, fol- ing case management, tenant/landlord lowing her testimony on the mediation and fair housing advocacy. As a workforce shortage to the result of his participation in New Avenues’ Senate Finance Committee. Section 8 Mainstream program, he has Senator Tom Harkin (D- been reinstated with a county agency for IA) waits to speak with continuing support that had previously hearing witnesses and been removed from him. attendees. The two primary lessons that New Avenues has learned over the past four proposal that would expand people with children with disabilities as well as years is that (1) a Section 8 Mainstream disabilities’ access to home and communi- family members. She supported the voucher is an opportunity to assist individ- ty-based services. Smith discussed the Administration’s respite care demonstra- uals with disabilities become part of the Administration’s five-year Money Follows tion proposal, but also urged the Senate greater community and (2) landlords are a the Individual Rebalancing Initiative to pass more comprehensive legislation— “captive audience” for education related to demonstration designed to help states the Lifespan Respite Care Act of 2004 the disability field. Partnering with other rebalance their long-term care spending by (S. 538/H.R.1083) nonprofits is essential to the success of offering states 100% Federal Medicaid Di Findley, executive director of the New Avenues’ Section 8 Mainstream pro- grant funds for one year to pay for home Iowa CareGivers Association, discussed gram. It ensures timely response to meet- and community-based waiver services for the challenge facing the nation in ing individuals’ needs and addressing crises individuals who move from institutions to expanding access to Medicaid home and as they arise. Maintaining strong relation- the community. Harkin’s Money Follows community-based services given the ships with landlords is key to finding safe, the Person legislation is based upon this severe shortage of direct support workers. decent and affordable housing, especially Administration proposal. Access to or an expansion of home and for those individuals with no or poor cred- Smith also discussed the four demon- community based services is impossible it backgrounds. Landlords that work with strations proposed by the Administration, without access to a stable direct care work- New Avenues learn about working with including Community Direct Care Worker force, Findley stated. Findley urged the individuals with disabilities and often Demonstration to address shortages of Committee to place a high priority on the become their strongest advocates. community direct care workers. The workforce issues in seeking ways to demonstration project received $3 million improve or expand access to home and ANCOR congratulates Tom Lewins and New in funding last year, with the President community-based services. She called for Avenues to Independence in their creative requesting another $2.9 million this year. investment in addressing short-staffing, and innovative housing strategies to ensure Smith also testified on another proposal low wages, and lack of educational and that very low-individuals with disabilities overlooked in the Administration’s FY advancement opportunities rather than have the opportunity to live in typical, pri- budget proposal—LIFE accounts which wasting money on the high costs associated vate market housing in communities of their are savings accounts that individuals with with worker turnover. [S]tates need the choice. ANCOR was pleased when New disabilities could establish and save for resources to create and maintain …the Avenues was selected the very first year that future purchases that would increase their infrastructure to recruit and retain direct legislative and regulatory changes urged by independence and productivity without care workers. ANCOR allowed non-profits to receive these jeopardizing their Medicaid or A Kaisernetwork.org webcast of Section 8 Mainstream vouchers. It is Supplemental Security Income (SSI) eligi- the April 7th hearing, Senate Finance rewarding to see ANCOR’s national federal bility. Committee statements, and witness’ testi- legislative and executive efforts directly The final panel included individuals mony are available at www.ancor.org. enhance the lives of individuals with disabil- with disabilities, advocates and a family ities. caregiver who offered their perspectives on NOTE: John Severtson, executive director the need for increased home and commu- of Opportunity Village in Clear Lake, RESOURCE LINK Becky Seel is the Community nity supports, respite care services, and Iowa was on hand for the Senate Finance Relations Coordinator for New Avenues to efforts to address the community direct Hearing. The hearing provided John an Independence, Inc. For more information on New care worker shortage. Jan Moss, an opportunity to talk with both Iowa’s Avenues exciting Section 8 Mainstream voucher pro- Oklahoma parent, provided emotional tes- Senators and their staffs during his visit gram, contact Becky at (216) 481-1909 x294 or timony of the physical and emotional bur- to Capitol Hill. [email protected]. dens of being a long-term caregiver of her

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 9 Federal Wage and Hour Guidance Some Bonuses Must Be Included in Calculations of Overtime

Joni Fritz, Labor Standards their employer for a specific calculation of overtime when bonuses and Specialist period of time, have perfect other extra payments must be included in work attendance, or work the regular rate of pay can be found on t is important to assure that more efficiently, would have the U.S. DoL website at extra payments given to non- to include the amount of the www.wagehour.dol.gov in “Fact Sheet #54 exempt employees as “bonus- bonus in the regular rate of – The Health Care Industry and es” or “gifts” are handled pay. Only if such bonuses are Calculating Overtime Pay.” Iappropriately if they are not made without prior promise included in the “regular rate of or announcement and the Pseudo-bonuses and pseudo “percentage pay” for overtime purposes. decision as to the fact and bonuses” described by DoL. (Payments such as stipends for agreeing to amount of payment is in the employers’ Not surprisingly, the DoL has found be on-call or shift differentials must always sole discretion may the bonuses properly incidents in which “bonuses” were used be included in overtime calculations. See be excluded from the regular rate. as a method to evade overtime. Some pages 34-35 of the ANCOR Wage and Hour “Gifts, Christmas and special occasion employers are very creative in their efforts Handbook.) bonuses” are defined in CFR §778.212. to skirt federal labor law. Some of the To qualify for this exclusion, such payments ways “’bonuses” have been used illegally Most bonuses given to non-exempt to employees must truly fall within the are discussed in detail in CFR §§778.502 employees must be included when calcu- generally accepted nature of a gift. These and 778.503. lating overtime pay. payments may not be measured by hours worked, production or efficiency, or geared The only bonuses that need not be RESOURCE LINK in any way to wages and hours worked dur- For a thorough description of fed- included in the regular rate of pay for over- eral labor requirements applied to agencies that offer ing the bonus period. They may, however, time purposes are “discretionary” bonuses, community supports and in-home services, you can be paid with regularity so that employees and “gifts” or “payments in the nature of obtain a copy of the 2003 edition of the ANCOR Wage gifts on special occasions” like birthdays are led to expect the gifts, even when the and Hour Handbook. This publication of 121 pages and holidays; in other words, those that are amounts paid to different employees or includes revisions of many sections, with some gener- not promised to employees. (See Code of groups of employees vary with the amount al reorganization and simplification of material. Federal Regulations §778.208.) of the regular hourly rate, or according to Copies of a couple of additional U.S. Department of “Discretionary bonuses” are described the employees’ length of service, as long as Labor opinion letters are also included. It is available in detail in CFR §778.211. This section the amounts are not measured by or direct- to ANCOR members for $45 per copy, $65 for non-mem- of the regulations states that sums paid in ly dependent upon hours worked, produc- bers. To order a copy, send a check or money order in recognition of services performed during a tion or efficiency. An example of this kind the appropriate amount to ANCOR, 1101 King St, Suite given period need not be included in the of excludable holiday gift would be one 380, Alexandria, VA 22314; phone 703-535-7850. regular rate of pay if “both the fact that (not pursuant to a contract) in the amount AUTHOR LINK payment is to be made and the amount of of a week’s salary given to all employees, For further information, author Joni the payment are determined at the sole dis- with an equal additional amount for each Fritz can be reached at her home office in Colorado, phone 970-586-5804. Her new e-mail address is cretion of the employer at or near the end five years of service. As with discretionary [email protected]. Joni’s guidance is free to ANCOR of the period and not pursuant to any prior bonuses, these gifts may not be credited toward overtime compensation due. members and to those who attend a Wage and Hour contract, agreement, or promise causing the Workshop or participate in a teleconference. employee to expect such payments regular- Certain benefit plans, including ly.” (Employers are also reminded that these profit-sharing plans or trusts can also be payments are not to be credited toward excluded when DoL rules for such exclu- overtime compensation due.) sions are followed precisely. Remember, you can advertise your employment opening or post your job On the other hand, this section also Document available to help in the qualifications at no cost on the states that employers who announce to computation of overtime. ANCOR website: www.ancor.org in the their employees in January, for example, Bonuses that do not qualify for exclu- “Careers”section. If you have any that they intend to pay a bonus in June sion from overtime compensation must be questions regarding our website, have violated the discretionary requirement totaled in with other earnings to determine contact Catherine Dunkelberger at by making this promise. Similarly, employ- the regular rate of pay on which overtime [email protected]. ers who promise bonuses to newly hired pay must be based. A newly developed employees if they continue to work for 8-page DoL document that describes the

10 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Leading Practices—Recruiting and Retention Developing the Right People

t recent study by the GAMA the positives and negatives the job entails. hear from the organization’s leader as well. Foundation entitled, “Systems Successful leaders are also emphatic Successful leaders in other industries con- for Success: Building the Right about maintaining the integrity of their nect with new employees informally to dis- People,” presents research that agency’s culture. To get off to a fast start, cuss issues unrelated to performance, and revealsA that creating a high-performance, new employees need to be able to tap into use timed communications to signal their high-productivity environment is the result informal networks and camaraderie in order investment in the individual, such as per- of three key factors: to build support. If there is not a cultural sonal phone calls and visits, early-morning 1. Creating consistency in all aspects of “fit” this network is compromised. voice messages and late-night e-mails to training and interactions with new staff; Psychosocial support is about building signal their investment in the employee’s 2. Fostering connections and informal networks. Are new employees connected to success. learning networks across all levels of the their supervisors and their peers? Do they organization; and feel valued? Do they have a support system Mentoring and Collegiality 3. Demonstrating compassion and an to help manage the highs and lows of the Collegiality—the practice of experi- emotional investment in a new staff mem- career? enced staff providing assistance, support and ber’s success. A new employee’s relationship with counsel to new employees— is highly val- his/her supervisor is the lifeline that can ued by new employees. They value it so Assessing, Assimilating and Training New make or break their success. Leaders who much, in fact, that they often seek out role Employees value the importance of this connection models and mentors to emulate. Successful Hiring the right people means hiring nurture new employees through purposeful, leaders control this process by purposefully people who fit. Determining fit requires a high-touch relationships. They use daily engineering situations to help new employ- match between the values of the prospective interaction to establish trust, demonstrate ees identify and select role models and men- employee and those associated with your concern, and provide hands-on attention, tors, ensuring that the behaviors the new organization and the career. To help candi- supervision and training. employee models are representative of the dates you must provide a realistic view of It’s important for new employees to culture and norms of the organization.

Leading Practices—Services and Supports New Assessment Tool Enables Persons with Intellectual Disabilities To Lead Fuller Lives

he American Association on assessment, the SIS takes the needs—as professional gleans a comprehensive Mental Retardation (AAMR) opposed to deficits—of the person with an overview of the type and frequency of sup- released the Supports Intensity intellectual disability as the point of depar- port needed to fulfill required and desired Scale (SIS) in February, paving ture for planning supports and services. life activities in the areas of home and Tthe way for a major shift in the way servic- The positive, direct, and person-centered community living, lifelong learning, es and supports are delivered to persons focus of the Scale makes it a breakthrough employment, health and safety, social with intellectual disabilities. The SIS is a in disability services. activities, and protection and advocacy. unique planning tool that enables profes- The Supports Intensity Scale evaluates Two other features contribute to the sionals to assess the daily needs and life the needs of a person with mental retarda- uniqueness of the Supports Intensity Scale. goals of a person with an intellectual dis- tion in 57 key activities through a one-on- The SIS evaluates how certain pre-existing ability and identify practical support one interview process between a qualified medical and behavioral conditions com- strategies to fulfill them. Breaking away professional and the individual with a dis- monly associated with mental retardation from the traditional approach towards ability and those close to him or her. The See New Tool, page 14

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 11 The Future of Adult Services – In the News Managing New Directions in Uncertain Times – A telephone training series by TASH Two Virginia State Agencies and System (Co-Sponsored by ANCOR The American Network of Community Options and Resources and APSE The Association for Persons in Supported Employment) Stakeholders Join Together to Partner for he sessions are part of the Adult Presenters: Terry Pratt, Ed Hutton, Services Series, and take place Marguerite Schervish, Deidra Abbott, Increased Direct Support from 1:00- 2:30 PM Eastern Nancy Thaler, Mark Reed, Shawn Professional Training Time. See: http://www.tash.org/ Terrell, Anita Yuskauskas Tteleconferences/adult/ for session descrip- through the College of tions and registration. Thursday, June 10th – Recapturing Direct Support Person Centered Plans Thursday, May 20th – Creating High Presenters: P. Sue Kullen, Beth Mount, The Virginia Department of Energy Organizational Culture and Michael Smull Mental Health, Mental Retardation and Substance Abuse Services, the Supporting an Incredible Staff Tuesday, June 15th – Building Virginia Department of Business Presenter: Lynne Seagle Meaningful Daytimes: Assistance and system stakeholders are Organizational Change from partnering to kick off a six-month Thursday, May 27th – Out Sheltered Programs to Integrated interactive, web-based training pro- Maneuvering the System: Creative Life in the Community gram for direct support professionals Approaches to Succeed in Providing Presenters: Patricia Rogan, Jeffrey L. working for community services Progressive Supports Against the Odds Strully, James Meehan, Pam Walker, boards, state training centers and pri- Presenters: Pat Fratangelo, Patti Scott, Mark Vincent Joe Wykowski vate providers. This six-month Wednesday, June 16th – The Real demonstration program will provide Tuesday, June 1st – Using Self- Challenges (and joys) of Providing on-line courses through the College of Determination Tools to Achieve Individualized Supports Direct Support, a nationally recog- Flexible Supports Presenters: Scott Shepard, Gail Jacob, nized, validated training program Presenters: Jackie Golden, Tim Quinn, Fredda Rosen designed to enhance the knowledge and Jean Tuller and skills of direct service professionals. Tuesday, June 22nd – Paying With the assistance of the Virginia Tuesday June 8th – CMS's Customers Are Not Enough Department of Business Assistance, Independence Plus Initiative: What is Presenters: Dennis Harkins, John private providers across Virginia are this New Funding Option All About? O'Brien afforded the opportunity to participate in this valuable program.

RESOURCE LINK More information on the College of Direct Support can be found at ANCOR Welcomes New Members www.collegeofdirectsupport.com.

Great Lakes/East Region South Central Region Carol Mitchell, Regional Director Lisa Toth-LaTray, Regional Director Mid Hudson Coalition Sevier County Developmental FYI Gerrard Dohrenwend Center Irvington, NY Betty Edwards LINKS is being distributed in both elec- (914)-591-7300 De Queen, AR tronic (pdf) and hard copy formats. If you (870)-584-3416 prefer one over the other, please let us Great Lakes/West Region know. If you have no preference, you'll Thomas Lewins, Regional Director receive it electronically. Midwest Health Services, Inc. Questions? Joseph Knetze Contact Marsha Patrick at Massillon, OH [email protected] or 703/535-7850 [email protected]

12 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org ANCOR 2004-05 Resource Partners Guide InspireInspire •• Inform Inform • Connect• Connect

ANCOR’s Resource Partners can be found he Guide highlights a cross-section of on the following pages: consultants and firms available to support T the private provider industry’s diverse Ark Regional Services ...... RG2 operational, management and development Auer Company Consulting ...... RG3 needs as well as provide agencies with an Blank Rome, LLP ...... RG4 important agency tool and resource. Corporate Solutions ...... RG5 The consultants and firms featured in this Delta-T Group ...... RG6 Guide offer goods, services, and knowledge to Family Wellness Center ...... RG7 the private provider industry as well as expertise and experience in the following areas: Furniture Concepts/Furniture Associates ...... RG8 H&W Independent Solutions, Inc...... RG9 • Technology and Software Products Irwin Siegel Agency, Inc...... RG10 and Services Kathan Group ...... RG11 • Systems Analysis and Design Lakewood Manufacturing, Inc...... RG12 • Training and Facilitation • Organizational Consultation and Lighthouse Management Services, Inc...... RG13 Strategic Planning MRDD Solutions ...... RG14 • Quality Enhancement Noble Solutions, Inc...... RG15 • Online Incident Reporting OneCare ...... RG16 • Housing Solutions Ride-Away Handicap Equipment Corporation...... RG17 • Legal Support Services Salience Consulting, LLC ...... RG18 • Wholesale Furnishings for Residential Scioto Properties LLC ...... RG19 Care Facilities • Insurance and Risk Management Therap Services, LLC ...... RG20 Services • And MORE

Sincere thanks to each of the consultants featured in this American Network of Community Options and Resources edition. Their listings can also be accessed on the ANCOR web site at www.ancor.org. For more information A network of providers offering supports on how to become an ANCOR Resource Partner, to people with disabilities. call Marsha Patrick at ANCOR headquarters, 703/535-7850 or email her at [email protected] SPECIAL SECTION CLIFTONARK REGIONAL GUNDERSON, SERVICES LLP

J. Darryl Cooper

PRESIDENT AND CEO ARK REGIONAL SERVICES Ark Regional Services has provided a comprehensive array of services to adults and children with developmental disabilities in Wyoming since 1963. The Center for Professional Development focuses on the design, development, and delivery of training programs and curricula to support the ever increasing challenges of the direct support profession.

Three reasons why ANCOR mem- • Instructional Method bers should contact Ark Regional rk Regional Service’s Center for Professional Development is • A Sustain and Support System Services: prepared to work with agencies • Department of Labor to enhance their organization in Staff can assist organizations in Apprenticeship Program: Ark A any of the following areas: identifying their specific training needs; is available to consult with • Positioning for a Department of making recommendations on a systematic organizations who are interested Labor Apprenticeship Program: In instructional method; assisting in the in positioning themselves for an March of 2003, Ark was one of the first development of a competency- based Apprenticeship Program. agencies in the United States to develop performance system and curricula; and • Competency-Based and implement an approved Department providing strategies and techniques for Performance System (CBPS): of Labor Apprenticeship Program; its first sustaining their organization’s training Ark has developed a proven class of Direct Support Specialists was programs. competency-based program and certified in May 2004. This program can • Support in Supervisory can assist organizations in be modified to meet the needs of any Development: Ark has realized obvious designing and developing a agency working with people with benefits from their supervisory training similar framework or adopting developmental disabilities, particularly in approach. This position has impacted Ark’s program. the area of curriculum development and staff retention which Ark feels is a direct • Supervisory Development student assessment. result of building supervisor and staff Program: Ark has designed a • Development of a Competency support mechanisms into our training competency based supervisory Based Performance System: Ark’s process. A distinguishing factor of Ark’s training program to meet the ever training staff at the Center for proactive staff development approach is increasing challenges of Direct Professional Development has developed its competency-based system designed to Support Supervision. This and implemented a CBPS for direct enhance job satisfaction, competence, and program can be modified to meet support professionals over the past seven consistent performance in the direct the needs of other organizations years. Ark realizes the importance of support workforce. who desire to develop or refine establishing clearly defined performance The staff at the Center for Professional their own approach to supervisory standards that are concrete and Development can provide consultation and training. measurable, coupled with an instructional suggestions on establishing a supervisory method that supports staff skill development program. Ark Regional Services development. Our training program is 1150 North 3rd Street designed around the following five For more information on what Ark Laramie, WY 82072 Regional Services can offer your organiza- (307) 742-6641; Fax (307) 742-9203 components: www.arkregionalservices.org tion, contact: [email protected] • Organizational Philosophy J. Darryl Cooper, President and CEO • Evaluation of Training Needs (307) 742-6641 • Competency-Based Performance Skills [email protected]

RG 2 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION AUERCLIFTON COMPANY GUNDERSON, CONSULTING LLP

Michelle Auer

PRESIDENT AUER COMPANY CONSULTING Michelle is the principal partner in Auer Company Consulting. She has over 30 years of experience providing supports for people with developmental disabilities. Michelle has extensive experience in starting new services in both rural and urban areas.

he has developed and provided • Proposal writing and project oversight to new teams, started development. new services and contracts in a AUER • System development in compliance variety of states, and has worked S and policy and procedure. COMPANY at every level of support. Michelle has CONSULTING worked with agencies from 20 employees • Annualization and proposal for to thousands of employees implementing outsourcing operations. Three reasons why ANCOR mem- systems for internal growth and • Developing annual state plans with bers should contact Auer Company opportunities for leadership development. goals and timelines. Consulting: Michelle’s experiences include being a • Developing budgets which meet • You are needing to grow group home parent, foster parent, direct programmatic goals while ensuring sound your organization’s leadership. support professional, coordinator, fiscal management. • You are embracing a new director, state program administrator, mission and need facilitation. Chief Operating Officer of a non-profit • Ensuring relationship with • You need to start or grow agency, and consultant. Michelle has consumers are developed and methods for your organization across territory, worked in public sector as a State Pro- measuring satisfaction with stakeholders population, or funding source. gram Manager for the State of Arizona, as are implemented. a volunteer advocate with the Governor • Facilitating and motivating Auer Company Consulting Council on Disabilities and with boards relationships with employees. 3772 North Stone Point Ave of directors in the non-profit sector. Mesa, Arizona 480-283-3843 Michelle’s received a Bachelor of Arts [email protected] in Human Services from Prescott College, a Master of Sciences in Disabilities Services and Management from the University of San Francisco in which she graduated Phi Beta Kappa, and Doctorial studies in Non-Profit Leadership and Management from Capella University. Resources Michelle can provide for you and your organization include: • Facilitation in development of new contracts and service opportunities. • Assistance in relationship building with families, consumers, and funding sources. • Facilitating training in Mission, Vision and Values.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 3 SPECIAL SECTION CLIFTONBLANK GUNDERSON, ROME, LLP LLP

Claudia Schlosberg

PARTNER Blank Rome, LLP is a multi-practice law firm and government relations practice of more than 450 attorneys with offices in 11 cities including Philadelphia, New York and Washington, DC. Although the Firm has grown and changed over its 55 years, attorneys within the firm remain dedicated to its core value — cost effective, client-centered service.

cross the United States, demand experience in disability and health law for quality home and community focusing on federal and state regulatory based care is growing. Fueled by matters, waivers, long term care, managed A demographic changes, advances in care, behavioral health, quality oversight, technology and medical treatment, new Medicaid and Medicare, HIPAA and legal and policy imperatives including the disability rights. Prior to joining Blank Three reasons why ANCOR landmark decision in Olmstead v. L.C., and Rome, she served as a senior manager and members should contact us: budget realties, providers serving children policy advisor in the United States • Blank Rome’s Home and and adults with disabilities are working to Department of Health and Human Community-Based Health Care identify innovative, cost effective ways to Services working with the Department's Practice is dedicated to meet the health care, support and housing leaders to implement President Bush's addressing the specialized needs needs of children and adults who live with New Freedom Initiative. She also worked of health care providers serving serious disability. closely with CMS to promote home and children, adults and seniors with Blank Rome’s Home and Community- community-based services for children, disabilities in the most integrated Based Health Care Practice is specially adults and seniors. settings appropriate to their devoted and staffed to meet the Howard Burde, Chair of Blank Rome's needs. multifaceted needs of private providers s Health Law group, has extensive public • We understand the legal, upporting people with disabilities and their sector experience having served as regulatory and policy environment families. Whether your issues concern Pennsylvania's Deputy General Counsel in which you operate and are Medicaid reimbursement for waiver and for Health for two Governors, and as uniquely situated to bring together other community-based services, housing or Chief Counsel to the Pennsylvania multiple resources in health care program financing, HIPAA privacy and Department of Health. Mr. Burde focuses financing, housing, labor and transactions standards, non-profit or for- his practice on compliance, public and employment, immigration, profit business structuring, tax, employment, private financing, and managed care. government relations and other immigration, compliance, contracting, Nelson Diaz, a partner in Blank disciplines to achieve desired litigation or lobbying, our lawyers and Rome's Government Relations Practice results. government relations staff can provide you Group, focuses on public and affordable • Like you, we care about our with advice, strategic planning, and legal housing issues. From 1993, through 1997, customers and are serious about and policy advocacy to achieve your desired Mr. Diaz served as General Counsel of the quality and value. outcomes. United States Department of Housing and Blank Rome’s Home and Community- Urban Development. Blank Rome, LLP Based Health Care Practice draws upon the For additional information about The Watergate experience and knowledge of attorneys Blank Rome's Home and Community- 600 New Hampshire Avenue, N.W. throughout the firm. Staff ready to serve Based Health Care Practice, contact Washington, D.C. 20037 202-772-5800; Fax. 202-772--5858 you include: Claudia Schlosberg at telephone no: Claudia Schlosberg, a partner in the 202-772-5985, or Email: health law group, has over 18 years [email protected].

RG 4 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION CLIFTONCORPORATE GUNDERSON, SOLUTIONS LLP

Corporate Solutions

A DIVISION OF FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC. Corporate Solutions provides your organization with the skills and ability to meet pressing business needs. All seminars are led by distinguished facilitators who provide “hands- on” experience, assuring practical solutions to your problems.

orporate Solutions designs training seminars complete effective investigative reports to meet your specific needs. Seminars are provided on-site or at our facility when it is JOB RELATED STRESS Cconvenient for you. The following are sam- • Discuss the daily challenges inherent in FAMILY RESIDENCES & ples of available seminars but are not limited to this health care and human services ESSENTIAL ENTERPRISES, INC. list: • Learn how to turn potentially stressful situations into opportunities for success Three reasons why ANCOR mem- TOTAL QUALITY MANAGEMENT bers should contact Corporate • Assures a practical approach to meeting and NYS AMAP CERTIFICATION exceeding local, state, federal, and national Solutions: (Approved Medication Administration standards of compliance Professional) • You will gain a solid • Provides regulatory overview and audit • Twenty-eight hour course in accordance foundation of skills enabling you preparation specific to your program type with current mandates from OMRDD to effectively meet your goals. • Teaches you to develop an exemplary • Individualized instruction provided by • Your needs will be assessed internal auditing process Registered Nurses and a customized training will be EFFECTIVE MEETINGS TEAMBUILDING developed, which includes • Plan and conduct efficient and effective • Establish a solid team foundation coaching designed to maximize meetings • Develop partnership skills for team your productivity. • Communicate goals effectively cohesiveness • You will benefit from our • Earn the cooperation of others • Enhance your meeting style more than 25 years of successful TIME MANAGEMENT • Eliminate procrastination experience in the health care field. SUCCESSFUL SUPERVISION • Learn to prioritize and set realistic • Learn to motivate, delegate, communicate, personal and team goals For more information contact: organize, and monitor • Receive coaching for quality performance EFFECTIVE COMMUNICATION Rob Melnick, Chief Consulting Officer • Create a motivational environment • Identify barriers to communication (631) 273-1300 X3543 • Improve active listening skills 120 Plant Ave STRATEGIC PLANNING TOOLS Learn 6 steps to effective communication Hauppauge, NY 11788 • Plan for and attain measurable results • www.familyres.org • Understand the planning process • Identify barriers and opportunity CPR & FIRST AID CERTIFICATION • Link planning to operation • Attend classes provided by certified • Develop and monitor outcomes American Red Cross instructors • Receive individualized instruction INCIDENT MANAGEMENT • Develop and implement an effective SCIP CERTIFICATION (Strategies for incident review program through certified Crisis Intervention and Prevention) Incident/Investigative trainers. Two courses • Certification for direct line are offered: staff/clinicians Basics of Incident Reporting • Advanced Training – become a S.C.I.P. – Learn about regulatory overview, report certified instructor writing, tracking, trend analysis, staff and • Excellent student to trainer ratios consumer input and awareness • Consumer focused curriculum Advanced Investigations • Specialize in positive approaches – Gain skills to conduct investigations and

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 5 SPECIAL SECTION CLIFTONDELTA-T GUNDERSON, GROUP LLP

Joanne McAndrews

PRESIDENT DELTA-T GROUP The dedicated staffing professionals of Delta-T Group has provided more than 15 years of services to a wide range of behavioral healthcare clients throughout the country.

elta-T Group’s story began in Delta-T Group operates with the 1989 at the kitchen table of the understanding that employee recruitment founder and President, Joanne and retention are two of the most critical DMcAndrews. Working as a business issues affecting organizations Pharmacy Technician, Joanne realized today. Most agencies do not have the there was a strong need for professionals resources to hire staff, since it can affect like herself. Although Delta-T Group operating budgets necessary for consumer began life as a temporary-staffing agency programs and services. As an expert in primarily for Pharmacy-related providing behavioral healthcare Delta-T Group has a successful professionals, it quickly expanded to professionals, Delta-T Group can assist 15-year track record of placing include professionals in the behavioral your organization with covering healthcare field to address the demand. vacations, maternity leave, medical leave, qualified professionals in the With tremendous success in its initial short-term projects, new program starts, MH/MR, addictions and psychiatry Philadelphia-area market, Delta-T Group unexpected resignations and irregular fields nationwide. rapidly expanded into multiple work schedules. • Expertise: The first staffing geographic areas. In 1995, Delta-T The company has successfully placed services company to focus Group opened its first affiliate office in professionals in: exclusively on providing behavioral Northern New Jersey and within seven • Hospitals healthcare professionals continues years had grown into a national presence • Residential Facilities to deliver the expertise clients of 14 offices serving 16 markets across the • Community Centers require. country. • Correctional Facilities • Quality Assurance: Hands- As a staffing services provider, Delta-T • Managed Care Organizations on experience in screening every Group specializes in matching facilities • Rehabilitation Centers professional enables Delta-T with high quality behavioral healthcare • Vocational Centers Group to provide any level of professionals. These professionals are • Governmental Agencies credentialing requested. provided on a long or short-term basis, permanent or interim basis. Delta-T • Customer Service: Delta-T With over 150 employees and a Group strives to obtain the right fit for Group’s specialized staffing teams proprietary database of over 20,000 both clients and professionals, making the professionals. Delta-T Group has the are supplemented by an On-Call service unique and successful. To ensure Team that ensures timely service ability to meet your staffing needs consistency of quality, Delta-T Group successfully nationwide. to both clients and professionals only refers highly skilled independent through 24/7 access. contractors who are thoroughly screened Make Delta-T your “First Call” and credentialed to meet the needs of Delta-T Group is committed each client. to the Caring Professional! Delta-T Group refers professionals in the following fields: Delta-T Group, Inc. 950 Haverford Road • Social Work Bryn Mawr, Pa 19010 • Mental Health Toll Free (800) 251-8501 • Psychology (610) 527-0830; Fax (610) 527-0833 • Psychiatry www.delta-tgroup.com • Substance Abuse • Direct Care

RG 6 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION FAMILYCLIFTON WELLNESS GUNDERSON, CENTER LLP

Dr. Arthur Kurtz

MEDICAL DIRECTOR FAMILY WELLNESS CENTER Family Residences and Essential Enterprises, Inc. was founded in April of 1977 by a Group of parents and consumer advocates in response to the need for community residential alternatives to the institutionalization of people with mental retardation, developmental disabilities, and/or mental illness. Today we service the entire community with a full range of services.

he Family Wellness Center viding health care to individuals with specializes in meeting the medical, developmental disabilities. rehabilitation and mental health needs for individuals in the com- Richard G. Timo, Ph.D., Clinical FAMILY RESIDENCES & T munity as well as many other services now Psychologist ESSENTIAL ENTERPRISES, INC. being offered. Dr. Timo has devoted his over 20 year Our programs are located throughout career to meeting the needs of individuals Three Reasons why ANCOR Long Island, and, on an annual basis, well with developmental disabilities and mental members should contact the over 2,000 individuals and their families illness. He obtained his Doctoral degree Family Wellness Center: reap the benefits of our service delivery in Clinical Psychology from St. John’s • The Family Wellness Center system. University. His clinical training has staff has over 100 years of The Family Wellness Center is a clinic included work at Long Island Jewish – combined medical experience as whose philosophy is rooted in the Hillside Medical Center, Creedmoor well as a long standing realization of human potential. Human Psychiatric Center, Nassau County relationship with the community. potential can extend beyond our abilities, Medical Center, and an internship at • We are a full service medical wants, needs, and dreams, but this South Oaks Hospital. potential can also be diverted by physical provider offering a variety of and mental illness. The Family Wellness Denise Bronzino Donowitz, Ph.D., services such as Primary Medical Center services have been designed to Senior Psychologist Care, Podiatry, Dermatology, promote the physical and mental health of Dr. Denise Donowitz completed her Audiology, Neurology, all individuals and the community at large. Ph.D. in Clinical and School Psychology Endocrinology, Physical Therapy, We invite you to meet some of our at Hofstra University, and has practiced as Speech Therapy, Occupational staff: a clinical psychologist for over 12 years, Therapy, and Nutrition. serving adults and children in a variety of • We welcome all new Dr. Arthur Kurtz – Medical Director settings. She has worked in a variety of patients to provide you with a A graduate of the State University of inpatient and outpatient mental health convenient, less hectic and more New York Downstate Medical Center, Dr. settings, including South Nassau pleasant health care experience. Kurtz completed his residency in Internal Communities Hospital Mental Health Medicine at University Hospital at Stony Clinic, Bronx State Psychiatric Center, Family Residences Brook, as well as a fellowship in Allergy, United Cerebral Palsy Association of & Essential Enterprises, Inc. Rheumatology and Clinical Immunology. Suffolk, and private practice. Dr. Family Wellness Center He is Board Certified in the specialty of Donowitz joined Family Residences and David Nemiroff 120 Plant Avenue Allergy and Clinical Immunology and he Essential Enterprises in 2003, and Hauppauge, NY 11788 has additionally served as Medical currently coordinates all of the mental (631) 273-3810 Coordinator to the Maryhaven Center of health services provided at the Family Hope since 1990. Wellness Center. Her clinical specialties Dr. Kurtz has been in practice for many include the treatment of anxiety disorders years, and has extensive experience dealing and mental illness in individuals with with the unique problems inherent in pro- developmental disabilities.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 7 SPECIALSPECIAL SECTION SECTION FURNITURECLIFTON CONCEPTS/FURNITURE GUNDERSON, LLP ASSOCIATES

Keith A. Voigt

PRESIDENT FURNITURE CONCEPTS/FURNITURE ASSOCIATES The only thing stronger than our furniture is our dedication to customer satisfaction! Our people understand the needs of your residents and the realities of your budget. Our products make your residents feel right at home, while our prices allow you to only pay for what you truly need. Quite simply, we are not satisfied until you are.

urniture Concepts and Furniture delivery, inside delivery or full service Associates are proud to have a Vendor installation when required. Partnership with ANCOR. Members Providers of service balance many difficult F of ANCOR receive an extra 1% to 5% issues in their quest to provide quality discount, in addition to standard 50% off services. Furniture Concepts and Furniture pricing, when purchasing quality furniture Associates provide assistance to help you keep designed for group living environments. environments “homelike” but easy for staff to Three reasons why ANCOR Furniture Concepts and Furniture maintain. The company focuses on members should contact us. Associates have over 25 years of experience providing TOUGH STUFF – furnishings • As a Vendor Partner with furnishing MR/DD group homes, that are reasonably priced and durable, as ANCOR, Furniture developmental centers, residential treatment well as easy to maintain and repair. Products Concepts/Furniture Associates centers and transitional housing facilities. include almost every item needed to furnish offers ANCOR members an extra From beds and wardrobes, to sofas, chairs, the typical group living or community based discount in addition to standard dining tables, mattresses and more, the folks setting, from framed art to lamps and 50% off pricing. at Furniture Concepts and Furniture furniture for the living room, dining room, • Furniture Concepts/Furniture Associates are eager to fulfill your furnishing bedroom and staff offices. Associates is your exclusive needs with reliable service, on-time delivery Furniture Concepts and Furniture source for TOUGH STUFF-a and a fierce dedication to customer Associates understand the problems inherent collection of contract and satisfaction. in providing furniture used in residential care Furniture Concepts and Furniture settings, and have worked with both for- institutional furnishings with the Associates is your exclusive source for profit and non-profit providers of service look and feel of home. We TOUGH STUFF – a collection of contract nationwide. They’ve done the research so understand the needs of your and institutional furnishings with the look you don’t have to. Their recommendations residents and the realities of your and feel of home. TOUGH STUFF seating can often improve the therapeutic function budget. pieces and mattresses meet all applicable fire of the immediate environment, while • Over 25 years of customer ratings and are available with fluid-proof conserving capital expenditure funds, and satisfaction, on-time delivery, covers that look and feel like fabric. All wood facilitating repair and maintenance. interior design and service to the storage pieces are designed to be durable, Interior design services are offered MR/DD and human services warm-looking and easy to maintain. Better without charge, along with additional community assure you of yet, most furniture and mattresses can be custom options designed and created to meet purchasing furniture that truly customized to your specifications. the specific needs of the individuals served. fulfills your residents’ needs. Furniture Concepts and Furniture Products are backed by warranties ranging Associates is a third generation, family- from 5 years to 10 years. Furniture Concepts owned and operated wholesale distributor Feel free to call at 800-969-4100 with and Furniture Associates and manufacturer’s representative for a broad your comments or questions, or visit the 29225 Chagrin Blvd., Suite 110 variety of companies that supply furnishings website at www.furnitureconcepts.com. Pepper Pike, OH 44122 for hard-use environments. With existing Furniture Concepts and Furniture Associates Toll Free (800) 969-4100 (216) 292-9100; Fax (216) 292-7460 customers in every state, including Hawaii are eager to be of service, and look forward to and Alaska as well as Mexico, the Caribbean serving you. and Canada, the company provides dockside

RG 8 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION H&W CLIFTONINDEPENDENT GUNDERSON, SOLUTIONS, LLP INC.

Catherine V. Hayes, MA CO-FOUNDER AND PRESIDENT Mark Wiesel CO-FOUNDER AND VICE PRESIDENT

H&W Independent Solutions, Inc. is a nationally focused training and consultation firm offering individually tailored services to agencies in the disability community. Our goal is simple: contributing to the improvement and enjoyment of life for those who rely on others for assistance.

atherine started her career as a job • Training Delivery: Dynamic trainers on counselor to people with epilepsy a range of topics, including Management and moved into national and Supervision, Abuse & Neglect Cmanagement roles. She worked at the Prevention, How to Think Like a Surveyor, U.S. Center for Medicare & Medicaid Active Treatment—W198. Services as the ICF/MR team leader and then as branch chief for survey and Providing services to a variety Three reasons why ANCOR certification’s Continuing Care Providers. of customers, including: members should contact Catherine’s has experience as Director of • ANCOR and its members: Developmental Services Network, Mentor H&W Independent Solutions: Operations and trainer/surveyor for The Network, Private Providers Association of • Perspective: Multi- Council, as a provider and as a quality enhancement manager. Texas dimensional perspectives on Mark has over 20 years experience as a • The Quality Trust of Washington DC service delivery from experience manager of programs and projects, • The Nat’l Assoc. of P&A Systems as caregivers, volunteers, including aerospace hardware and software • CA Foundation for Indep. Living Centers provider, managers/administrator, development, training, non-profit annual • U. S. Department of Justice quality enhancement coordinator, plans and charity fundraising. For fifteen • CA Assoc. of Adult Day Services surveyor and regulator. years, he provided leadership in the non- • Disability Rights Center of Maine • Dedication: Adding value to profit health care arena, overseeing the • Texas Department of MHMR • Harbor Regional Center your organization by promoting development of a range of training quality and organizational materials. What clients have to say: improvement through training and Mark and Catherine also have experience H&W Independent Solutions are client with family members with disabilities, facilitation. centered and outcome focused. Whether it providing another unique perspective. • Systems: Ability to analyze be putting together a complete curriculum of on-the-job training sessions or facilitating and design systems promoting H&W has done and can do: innovation and organizational a diverse group discussion, they can be • Provider Consultation: Evaluating the counted on to achieve the goal you are competence. viability of abuse & neglect systems and looking for in an elegant manner.” developing quality enhancement plans; –Patricia Yeager, Exec. Director, CFILC H&W Independent Solutions, Inc. Conducting “Mock” surveys; Plans of 11024 Balboa Blvd., #273 corrections; Analyzing trends and "When Catherine was referred to me she Granada Hills, CA 91344 was described as a true professional with a (818) 368-7656; Fax (818) 360-3648 developing improvement plans; Reviewing [email protected] habilitation services and community strong history of expertise in the field. It was [email protected] placement efforts; immediately clear that Catherine was all • Training Curriculum Design: Custom that—and more. ... She added value to our curricula for courses, including learning operation. H&W is a wonderful resource objectives, agendas, deliverables, and that most people should have the schedules. Topics include Advocacy, Time opportunity to access." Management, Conflict Resolution and —Nancy Bargmann, VP Development, more. Western Region, Mentor Network

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 9 SPECIAL SECTION THECLIFTON IRWIN SIEGELGUNDERSON, AGENCY, LLP INC.

John Rose

VICE PRESIDENT OF RISK MANAGEMENT IRWIN SIEGEL AGENCY, INC. John Rose, former chair of AAMR’s special interest group on Direct Support Profes- sionals has received numerous awards for his leadership in promoting the importance of DSP. He currently serves as a Trustee on the ANCOR Foundation and is a founding member of OADD in Canada.

ince the beginning, the Irwin specific risk management program. Siegel Agency (ISA) has focused The Siegel Agency goes beyond irwin siegel on one core principal – providing resources and insurance when working Squality insurance products and with the Human Service Field. It works agency inc. services to the Human Service Field. In with many national associations such as insurance & risk management 1960, Irwin Siegel founded ISA in Rock AAMR, ANCOR, IAPSRS, NAATP, human service programs Hill, NY with the knowledge that it was SPAN USA, the National Safety Council difficult for human service organizations and various state associations in an effort Three reasons for ANCOR to find insurance, and near impossible to to improve the field and provide quality Members to contact us: find an insurance company that outcomes for the individuals served. • With over 30 years of human understood their special needs. The Siegel Examples of this unique involvement family and a handful of employees set service insurance experience, a include ISA addressing the Long-term forth to provide the first property and dedicated team of seasoned Care Task Force in Kansas regarding casualty insurance package tailored to the professionals, and a drive to quality and liability. New Mexico uses needs of nonprofit, human service ISA’s vehicle safety resources and provide the best possible service, organizations. recommends them to its providers. In ISA remains one of the leaders in Today the ISA ‘family’ has grown to Pennsylvania, the Deputy Secretary for the field. over 75 employees, all believing in Irwin’s MR/DD services consulted ISA regarding • ISA has a proven dedication mission from 30 years ago. Each a proposed system of service delivery. And to helping you reach quality employee has direct experience in his/her ISA is currently involved with projects in outcomes and improve supports to specialization, creating a strong Florida and Nebraska. individuals with disabilities. knowledge base from which to build a Authors of trade journals and grant • We do not stop with stable product. ISA currently provides proposals (Project Action), UAPMN and insurance! Every policyholder has insurance to Developmental Disability, the College of Direct Support have asked access to invaluable, relevant Behavioral Healthcare and ISA’s professionals to review their work. resources, extensive lending Community/Social Service organizations ISA is also involved in a series of library and interactive, online in 48 states. leadership symposia to develop the next trainings. Along with this quality insurance generation of leaders for provider product, the Risk Management associations. The Irwin Siegel Agency, Inc. Department is staffed with individuals The Irwin Siegel Agency has stayed 25 Lake Louise Marie Rd experienced in the human service true to its initial mission of providing Rock Hill, NY 12775 industry. They work with the carrier quality insurance and support to human Toll Free (800) 622-8272 Fax (845) 796-3661 Claims Department to analyze claim service organizations. It continues this www.siegelagency.com trends and loss data to create timely, mission with new resources and new [email protected] relevant resources for customers. This products built around the needs of proactive approach allows each customer providers. ISA will always offer the to use any combination of online products they need, the services they trainings, books, videos, seminars and expect and the acknowledgement they booklets to customize its own mission- deserve.

RG 10 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION CLIFTONKATHAN GUNDERSON, GROUP LLP

Kathryn Johnson CEO KATHAN GROUP Than Johnson COO KATHAN GROUP

Kathryn Johnson, RN,MBA has served in the human services field in positions of Nursing Directorship of ER and Cardiac Rehab. She has been a Nurse Training Consultant in the field of MRDD for medications administration. She is trained in Project Management in Healthcare.

s. Johnson provides expertise medicaid and has extensive knowledge in in team building and the current medicaid environment of assessment of management active treatment and tag #198. KATHAN Mand supervision styles. She is Mr. Johnson has served on many also a Training Consultant for various non-profit boards and offers training GROUP hospitals throughout the country in for non-profit boards on roles and accreditation. evaluations. In working for a 17 member Three reasons why ANCOR Ms. Johnson has extensive experience non-profit Board for over 20 years and on members should contact Kathan in managing system change projects numerous other non-profit boards as a Group: within the healthcare setting. She trustee, Mr. Johnson offers practical and • If you need an assessment provides expertise in setting goals, technical experience for a successful of team strengths and objectives, time lines, progression CEO/Board relationship based on compatibility to assist with charting to ensure timely and accurate concepts of trust, communication, and completion of projects vital to an organizational improvement and shared governance. organization's success. project management assistance. Than Johnson is CEO of CRSI, a • If you need assistance in the multi-county non-profit direct support challenges and rewards of provider. Since Mr. Johnson became 'following your customers' as our CEO, CRSI has grown to become one field moves from facility-based to of the largest direct support providers in consumer-driven supports Ohio. It serves as one of the leading • If you need a non-profit agencies in consumer driven supports board assessment to assist with and also maintains quality programming board development and in the ICFMR program. leadership enrichment. Mr. Johnson is the past President of ANCOR. He has experience in moving Kathan Group from facility based services models to Than Johnson consumer directed supports models. He Kathy Johnson has implemented inter-agency models for 153 Pinetree Urbana,Ohio 43078 consumer satisfaction assessment and [email protected] internal quality assurance. Mr. Johnson 937-776-5515 has presented at various national and state conferences and conducted training at both levels. He serves on various state and national committees in areas of

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 11 SPECIAL SECTION LAKEWOODCLIFTON MANUFACTURING, GUNDERSON, LLP INC.

Angela M. Barbati

CONTRACT SALES MANAGER LAKEWOOD MANUFACTURING, INC. Residential Care Furnishings with Satisfaction Guaranteed • 32 years of experience in interior design and furnishings • Strong personal commitment to the field of MR/DD • The strength of a world-class manufacturer

iability issues necessitate that • Buy direct from the manufacturer – furnishings and mattresses used in either pine or oak is available residential care environments meet • Extensive inventory ready for L or exceed flammability standards immediate shipment nationwide Three reasons why ANCOR used in typical homes. Ideally, selections • Pine is available with either oil based members should call: will appear “homelike” while utilizing stain or catalyzed lacquer as a standard • ENERGY. Angela is materials and construction techniques • Any size residential quality mattress, committed to community based that contribute to reasonable cost and with contract quality fluid proof cover residential environments. She easy maintenance in difficult • Fabric availability includes trained as an interior designer, environments. customer’s own material or hundreds of operated a Supported Living group We understand the unique standard covers home, and directed a non- profit considerations of your difficult • Residential Care Furnishings built MR/DD housing corporation. environment and the special needs of contract tough for years of hard use • EXPERTISE. We are your residents, as well as the challenging dedicated to teaching customers budgetary constraints that providers of PAST CUSTOMER COMMENTS: about construction methods and service deal with on a daily basis. We • “recommendations consistently are knowledgeable about flammability maintenance issues so that demonstrated a broad scope of experience standards, physiological and behavioral with and understanding of the needs of purchases for furnishings can be issues, and ADA guidelines. Our this unique population” made from a position of strength recommendations can improve the • “creative problem solving and instead of need. therapeutic function of the immediate sensitive to budgetary constraints” • EXPERIENCE. Angela has environment, while conserving capital • “has repeatedly proven to be created several ongoing strategic expenditure funds, and facilitating professional, knowledgeable and accessible business-to-business alliances for ongoing repair and maintenance. as a resource and consultant in health care providers. These Interior design and layout is offered coordinating the purchase of specialized programs demonstrated real cost without charge. equipment and furnishings” reductions in capital expenditures, Lakewood Manufacturing has • “goal was not to sell furniture, but standardized the selection of specialized in solid wood commercial rather to assist in providing a homey purchases and decreased grade furnishings for almost 20 years. environment, even though locating items maintenance costs. Our furniture is engineered and built for which were comfortable, attractive, and longevity, designed to be durable, stylish, cost effective was difficult” Lakewood Manufacturing, Inc. and easy to maintain. We have extensive • “every person who came in contact 1241 New Windsor Road Westminster, MD 21158 ability to customize items based on with Angela commented on ability to “get Toll free 800-344-1616 specific requests. Primary markets things done” and the degree of her Fax Request for Quote to 410-857-9712 include the Federal Government, schools, professionalism” www.Lakewood-Manufacturing.com camps and all types of social service • “each item and detail was thoroughly Angela M. Barbati agencies. Lakewood currently ships Home Office 440-951-3303 researched to achieve the absolute best furniture to every state, as well as Europe, possible pricing and décor suited to our Japan, and Korea. clients’ needs”

RG 12 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIALSPECIAL SECTION SECTION LIGHTHOUSECLIFTON MANAGEMENT GUNDERSON, LLPSERVICES, INC.

Kathleen Stocker, MBA

CHIEF FINANCIAL OFFICER LIGHTHOUSE MANAGEMENT SERVICES, INC. Kathleen Stocker brings 27 years of financial management experience to Lighthouse Management Services. Her recent accom- plishments include the restoration of financial stability to a regional community mental health center serving 4,000+ consumers annually. Kathleen’s expertise will guide your organization through its financial management issues.

ighthouse Management Services, that your valuable staff people are receiving Inc. was established following the the support and guidance they need to LIGHTHOUSE realization that affordable, reach your organizational goals. management L specialized management services for Lighthouse Management provides services, inc. non-profit corporations were nearly services to non-profit corporations without impossible to acquire. In an effort to fill prejudice, and maintains the that void, Lighthouse Management confidentiality of all it serves. In all Top three reasons you should call Services, Inc. was formed. instances, Lighthouse Management Lighthouse Management Services: Our organization educates, supports, Services provides the best possible • Lighthouse Management promotes, and encourages not-for-profit education and support services to its Services can give your corporations to achieve their charitable constituency. organization and staff the gift of purposes in the least expensive, most time to focus on the charitable efficient manner. In the constantly Available services are: services you provide. changing funding environment of non- ACCOUNTING, FINANCE & • Lighthouse Management profit agencies, one constant among all ADMINISTRATION Services provides affordable, funding sectors remains the same: all hope • Accounts Payable/1099s/Receivable specialized, management services to see that the organizations they fund are • Payroll Services utilizing their resources efficiently. for non-profit corporations. • Account Analysis Lighthouse Management Services • Lighthouse Management • Annual Reports identifies and promotes distribution of • Audit Management Services staff people have public dollars to the charitable purpose of experience and background in • Banking & Cash Flow the organization being served by • Bank Reconciliations non-profit administration, so they identifying and saving dollars in • Budgets understand the unique challenges administrative and general management • Balance Sheets that you face. services wherever possible and practical. • Profit & Loss Statements For more information about By opting to have some of the services • Forecasting how Lighthouse Management noted below provided by our organization, • General Ledger Services can help save your you will be able to offer your organization • Loan Analysis & Processing organization time and money, and staff the gift of time to spend on the • MIS charitable services for which your please contact Kathleen Stocker • Multi-Corporate Books organization was designed. at: • Preparation & Review of Budget Section Lighthouse Management Services works of Grants and Proposals Lighthouse Management Services, Inc. with volunteer board members, staff, and Forum Court, Suite 1 other interested parties in all matters of RISK MANAGEMENT 113 Crosby Road oversight including financial, • General, Auto, and Liability Insurance Dover, New Hampshire, 03820 programmatic, and other management • Workers’ Compensation (603) 749-4015; FAX: (603) 743-3244 issues necessary for effective and efficient leadership. We understand that effective HUMAN RESOURCES and efficient leadership is key to ensuring • Benefit Administration

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 13 SPECIAL SECTION CLIFTONMRDD GUNDERSON, SOLUTIONS LLP

Jeffrey A. Rutledge

MANAGER OF BUSINESS DEVELOPMENT MRDD SOLUTIONS

MRDD Solutions™ assists MR/DD agencies in slashing the cost of administration of services while increasing the timeliness of managerial reporting. This is accomplished by leveraging technology with integrated software systems that eliminate redundant data entry of accounting, payroll, HR, and consumer management information.

RDD Solutions assists providers business department. The software and in becoming more efficient in the services from MRDD Solutions paid for everyday tasks of administration itself the first year and provided a 58.1% Mof services. Their solutions return on investment (ROI). We saved at include an “integrated” MR/DD software least $100,000 in the first year, not to system focusing on accounting, payroll, mention having an accurate picture of our Founding Gold Sponsor billing, consumer management, human finances for the first time ever.” resources, fund raising, incident tracking, The Integrated Software Series© is the Three reasons why ANCOR and other functions. The system shares data flagship product. It is a series of 15 modules members should contact us: electronically and eliminates redundant that can be run individually with your exist- • More than 60 agencies in entry of the same data in unrelated software ing systems or in an integrated series. over 14 States have proven that programs. Other focuses include an These modules include: automated forms processing service that our products work. Expect our Core Accounting eliminates manual data entry for common concepts to pay for themselves • General Ledger processes such as payroll and billing. within six to eight months and • Accounts Payable Few software systems on the market are provide generous returns in the • Accounts Receivable suited for the specific needs of a MR/DD • Payroll first year. provider. Historically, providers are forced to • System Manager (HIPAA compliance) • We live and breathe MR/DD! run disconnected systems for accounting, We are uniquely tailored for your payroll, billing, and management of clients. Consumer Management industry with a perspective that no These industry generic systems create • Service Billing (Waiver as an example) other vendor can offer. inefficiencies due to the lack of electronic • Incident Trending and Analysis • “Profit” is not a dirty word. communication with each other and the • Client Personal Funds Management For profit or non-profit, our workarounds created in order for the • Client Assessment professionals will show you software to operate in a MR/DD • Client Demographics technology that will let you earn environment. The incredible levels of • Vocational inefficiency come with the high price tag of more revenue with less Agency Management administrative costs and the lack of adequate • Human Resources administrative expense. managerial reporting. These problems can • Employee Requirements (manages be solved by using the products from MRDD Solutions requirements i.e. training) MRDD Solutions. 1290 North Shoop Avenue • Fixed Assets Larry White, ANCOR member and Suite 100 • Fund Raising Wauseon, Ohio 43567 Executive Director of Anne Grady Center, [email protected] best describes the results obtained by Other services include: 419-335-1280 Extension 11 MRDD Solutions’ customers by saying, • ASP service for use of the software via the www.mrddsolutions.com “We were expanding in services, staff, and Internet (connects remote sites/users) revenue, but could not tell which services • Fiscal consultation and interim finance were making money. We contracted with professionals (CFO, controller, etc.) MRDD Solutions to install the Integrated • Automated data collection for time, Software Series© and help us streamline our attendance, and billing

RG 14 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION CLIFTONNOBLE SOLUTIONS,GUNDERSON, INC. LLP

Dale Dutton AFFILIATE Sherry Beamer AFFILIATE

Sherry and Dale would like to introduce you to Noble Solutions – Your single point of entry for professional consultation in Human Services. Noble’s goal is to improve your organization’s ability to delight your customers!

Your success begins with a full range of top expectations. We know you wouldn’t be specialists… satisfied with anything less! ouldn’t you like to be able to turn to a single organization At a reasonable cost… for the majority of your outside By serving as a single point of contact, we Wconsultation? That’s why can help you organize your time and efforts Noble Solutions was created. Many clients more efficiently. Most importantly, we’re have told us that working with just one or dedicated to helping you take advantage of two consultants is limiting. They would Noble’s size, strength, and depth at a rather have easier access to a larger and reasonable price. We can do this because we more versatile team of the best outside designed our organization to be flexible. You Three reasons why you should experts available to serve the full scope of benefit by receiving timely consultation and contact Noble Solutions: their needs. paying only for the services you need. • Individual, personal contact with Dale and/or Sherry to help With impressive credentials… Consistent with the Noble principles and guide you to the right decisions By bringing together an alliance of satisfaction guarantee… for your consultation needs. experts, who also have their own individual Noble Solutions focuses on agreed-upon • A wide variety of individual businesses, we can offer you a far broader customer outcomes as well as solid planning range of services. Our seasoned talent and experience available and management to reach those outcomes, professional affiliates have years of solid and ready to work with your team truthful reporting of performance, and experience working with profit and non- or to form an outside team to continuous improvement--all with a profit organizations, public education guarantee from Noble of customer accomplish your goals. systems, advocacy, employment, and health satisfaction. You must be delighted with our • Proven Results - Guaranteed care organizations. They hold degrees in results! performance! business, law, psychology, education, public health, and social work. Many are users and So why not call and find out more about us? Noble Solutions, Inc. providers of Direct Support services. Long Beach, CA We think you’ll agree that Noble 866-251-7171 Solutions has just the right network of talent Fax 800-852-5817 Able to meet your unique needs… and imagination to successfully collaborate Noble’s commitment is to serve as your with you. Our toll free number is 866-251- portal to professionals who meet your 7171, our web address is www.NobleS.biz, unique performance needs exactly. The and we are: outstanding consultants Noble provides have knowledge and skills in a wide variety • Sherry Beamer, 818-841-1088, of areas including: assessment, strategic Cell 818-521-5698, or planning, hiring and performance email [email protected] improvement, accreditation, organizational • Dale Dutton, 415-461-7218, development, information systems, agency Cell 415-717-1945, or culture, and customer service. Our goal is to email [email protected] help drive your organization to exceed

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 15 SPECIAL SECTION CLIFTON ONECAREGUNDERSON, LLP

Mike Terry

ONECARE BUSINESS DEVELOPMENT MANAGER CLIFTON GUNDERSON, LLP Mike Terry should be the first person you call if you are considering changing your business management software. With over 20 years of consulting experience Mike can guide your company through the software evaluation process to determine which product best suits your needs.

ased on the flexible design of the • Sophisticated analysis reporting using Microsoft Navision Software, Business Intelligence and OLAP tools OneCare™ can accommodate all • GL, AR, AP Top Three Reasons You Should Btypes of human services activities • Fixed Assets Call us Now: including: In Home Care, Residential Care, • Job Costing Vocational Training and Job Programs as • OneCare™ provides a fully • And more! well as other unique services. integrated single system for all of Customer Relationship Management the business needs of a Human OneCare™ Features Listing: Services organization. About Clifton Gunderson, LLP • As one of the leading Solution Consumers Founded in 1960, Clifton Gunderson • Consumer Care requirements, functional Centers for Microsoft Navision LLP (CG) has grown to be the 12th largest software, we provide a full limitations and preferences tracking CPA and consulting firm in the United breadth of services including: • Care Plan functionality States. We look back on our history of – Pre-sales consulting • Task checklist for services growth and success with pride, but what’s – Systems analysis & design most satisfying is that it coincides with the – Software customization Billing growth and success of our clients’ – Implementation • Flexible multi-payer billing businesses. Clifton Gunderson builds – Training • Unlimited payers with flexible billing trusting relationships that last. Our business software and technology – Support rules experts can plan, deliver and support a full • Clifton Gunderson Technology • Credit collection and tracking • Track referrals and authorizations suite of services using a wide range of Solutions is a leading provider of products developed specifically for Business Management software Resources commercial and industry niche markets. for organizations of all sizes, Our methodology for delivering across several industries. We have • Set up user-defined resource types (staff, contractor, family, etc.) Technology Consulting services ensures extensive experience in the that the quality and timeliness of the MR/DD Human Services field, and • Resource qualifications and attribute track- ing services you receive from our team of serve the nation from offices in • Remote time entry via telephone, web- dedicated, expert professionals will not 13 states. browser, hand-held devices or time sheets just meet your needs, but exceed your expectations. Clifton Gunderson • Fully integrated Human Resources and Technology Solutions Payroll modules This breadth of skills and depth of staff 1860 W. University Drive are your long-term resource for software Suite 108 System Wide selection and implementation, Tempe, AZ 85281 customization and report writing, training Toll Free (866) CGTECH1 • Facilitates HIPAA Compliance and support. (480) 784-1622 • Provides document management and www.onecare.net storage capabilities for scanned images & e-documents

RG 16 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIALSPECIAL SECTION SECTION RIDE-AWAYCLIFTON HANDICAP GUNDERSON, EQUIPMENT LLP CORPORATION

Mark Lore

PRESIDENT RIDE-AWAY HANDICAP EQUIPMENT CORPORATION Not only does Ride-Away provide all types of vehicles for organizations that work with people who have disabilities, but their staff

Top Three Reasons To Use Ride- is very involved in many organizations just like yours. Away For Your Transportation President Mark Lore has served as Treasurer and Chairman Solutions: of the Board for a variety of non-profits while supporting • One phone call gets you chassis acquisitions, handicap others at Ride-Away to get involved. Ride-Away is also a equipment, financing or leasing long time employer of people with all types of disabilities options, re-sale of existing equipment and a total needs including those with developmental disabilities. analysis. This ensures you get the right vehicle at the right price. n 1986, Ride-Away was started in Chassis Acquisition • We come out and measure order to provide high quality vehicle • New and used your clients’ wheelchairs to make modifications to people with • Ford, General Motors, Dodge and others sure the equipment fits your Idisabilities. Today, they are the largest • Full size- or mini-vans operation. We demand positive provider of vehicles for people with • Cash paid for trade-ins outcomes for our clients and disabilities on the East Coast. Ride-Away’s ourselves and will settle for no success is based on several premises. First, Handicap Equipment Modifications less. In addition, we provide offer the best products and service at the • Braun or Ricon complete passenger assistive best possible price. Second, give back to • Side entry / rear entry technique training so that your the communities in which you serve. That • Many vehicles in stock – new and used direct care staff handles the seems so trite and simple, yet most • IMS, VMI, Viewpoint, ElDorado, Braun clients and the equipment businesses don’t do it. The reason they • Conversion vans and transporters properly. don’t is because it is much easier to talk about quality than it is to live it every day. • 24 hour service, loaners, Financing Ride-Away hires people with disabilities and rentals, all modifications meeting • In house financing department supports and encourages its staff to get Federal Motor Vehicle Safety • Many leasing options involved in the organizations that we work Standards and much more – it is • Rentals – daily/weekly/monthly with. In 2003, Ride-Away had over 70% our job to eliminate transportation employee participation in community problems from your people and service and that number is expected to rise. Service organization. Ride-Away has Ride-Away and its management team have • 24 hours a day – everyday become the leader by not just been the recipients of many awards and • Loaner vehicles talking about quality, but living it recognitions by a multitude of human • Pick-up and delivery every day. service organizations, but we do not do it • Needs assessment for the recognition – we do it because it • Passenger assistive technique training Corporate Headquarters adds to and enriches our lives, and the lives Ride-Away Corporation 54 Wentworth Avenue of those around us. Londonderry, NH 03053 In addition to serving, Ride-Away offers Toll Free (888) Ride-Away a complete line of vehicles and vehicle [email protected] modifications for people with disabilities www.ride-away.com and the organizations that support them. Other Locations Include: Connecticut, We live the commitment, to be the best Maine, Maryland, Massachusetts, every day, every year, every one of us! Vermont, Virginia Please try our services – we usually keep our customers for life!

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 17 SPECIAL SECTION SALIENCECLIFTON GUNDERSON, CONSULTING, LLP LLC

Thomas G. Schramski, Ph.D.

PRESIDENT SALIENCE CONSULTING, LLC Salience Consulting, LLC provides consultation, training and other specialized services to diverse human service and health care organizations. Our focus is improving quality and customer outcomes by encouraging a sustainable increase in leadership effectiveness. Our goal is to build organizational strength for today and tomorrow’s challenging marketplace.

om is the co-founder and former and choices for consumers and families, CEO of Community Psychology & translating into increased opportunities and Education Services (CPES), based in challenges for providers of service. We T Tucson and Phoenix, Arizona. He believe these trends will continue, and that was instrumental in building CPES from Salience Consulting can bring a focus to two employees, six consumers and $50K the unique needs and aspirations of your revenue in 1980 to a successful organization organization. Our services include: with 700 employees, 800 consumers and Three reasons why ANCOR mem- $22M revenue in 2004. • Organizational Consultation bers should contact us: Along the way CPES was awarded a including identifying specific organizational • Strategic Focus: Ability to Federal demonstration grant for dual goals/objectives, with a strong value emphasize organizational diagnosis (MR/MI) services, a “Best foundation for assessing company structure, vision/strengths, help build or Practices Award” by the State of Arizona systems and management, and recommend- update a strategic plan that and a national “Creating a Culture of ing potential interventions for change. embraces all areas of an Ownership” award, among other • Strategic Planning including analyzing organization, and engage recognition. With Tom’s leadership the current plans and outcomes, assisting in the employees in moving forward with company has grown to include creation of updated or new plans, and a positive view of the future. comprehensive services and supports helping to structure action that increases • Experience: Demonstrated for individuals with severe challenges. employee involvement, including open success in leading the development Since 1980 Tom has provided both book management. of a premier organization with organizational/management and national recognition and assisting psychological consultation (as a Licensed • Specialized Consultation including other organizations in their Psychologist) to local, state and national executive coaching, developing unique progress. organizations. Management consultation projects/proposals, initiating new services • Creativity: Innovative has focused on organizational strength with and providing short-term executive collaboration and flexibility in visible, positive outcomes for customers, “turnaround” assistance. maximizing available resources in employees and other stakeholders. • Training including an array of a world of limited public funding. Psychological consultation has included leadership, management and psychologically developing specialized supports for related topics. Salience Consulting, LLC PO Box 89985 individuals with dual diagnosis (MR/MI). Tucson, AZ 85752 Salience Consulting also works with a (520) 219-7960; Fax (520) 877-3345 What Salience Consulting Offers number of other national organizations that [email protected] From our perspective, today’s dynamic can provide related services geared to your marketplace has created improved options specific needs.

RG 18 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org SPECIAL SECTION CLIFTONSCIOTO GUNDERSON,PROPERTIES LLC LLP

Tim Vogel CO-FOUNDER SCIOTO PROPERTIES LLC David Potts CO-FOUNDER SCIOTO PROPERTIES LLC

With 25 years combined experience in the mental r etardation and developmental disability industry, Tim Vogel and David Potts understand the challenges providers face in obtaining quality real estate. That’s why they started Scioto Properties LLC, with a sole mission to provide housing solutions for people with disabilities.

Scioto Properties Provides ownership is another provider need not New Solutions For Housing easily met. When Progress, Inc. of esidential service providers require Tennessee faced this challenge, Scioto the ability to do what they do best – Properties was there to help. provide services and assistance for “For many years in Tennessee Rpeople with disabilities. The loca- residential supports were provided in tion, quality, configuration and ability Group Homes,” said Sally Mills, Director to provide client choice in housing can of Fiscal Services for Progress, Inc. “In the have a significant impact on the quality of current supported living environment, the Three reasons why ANCOR services. home is either rented or owned by the Scioto Properties has the financial individual being supported, instead of the members should contact Scioto wherewithal to serve any provider and its agency, and those individuals make any Properties LLC: housing solutions fit all sizes and types of and all decisions about their home. It can • Scioto’s housing solutions providers: for-profit, not-for-profit, sole present a conflict of interest for provider can improve the quality of life for proprietors and governmental agencies. agencies who own the home when an clients and increase agency One challenge providers face is individual decides to change their operational flexibility. obtaining the financial resources to expand residential provider.” • We can reduce capital services. Through purchasing existing “Progress owned several such homes. needed to expand services. properties and leasing them back, Scioto We needed to form an ongoing, long-term • Scioto Properties makes a Properties assists providers by turning their relationship with a buyer that would insist commitment to give back to the accumulated equity into capital for growth upon the same quality of housing that we industry by contributing to or additional services. provide,” added Mills. “Now individuals provider associations, conference “We have 43 homes throughout Texas that we support lease their homes directly sponsorships and affiliate and had invested in purchasing about half from Scioto while we provide their memberships in states where we of those,” said Mason Morgan, CFO of residential and day supports, the thing that do business. Daybreak Community Services, Inc. “We we do best. It’s a win-win for everyone.” were able to sell half of the homes we Providers and the people they serve Scioto Properties LLC operated to Scioto, lease them back and 5970 Wilcox Place, Suite H have benefited from working with Scioto reinvest the money back into our Dublin, OH 43016-6808 Properties. For more information on how Toll Free 800-930-2892 company. Scioto Properties provided a Scioto Properties LLC can assist your Fax 614-889-5202 long-term solution for property organization or community, contact us at www.sciotollc.com acquisitions, allowing us to reinvest capital [email protected] (Fran Wesseling) 800-930-2892 or visit our website at in expanding services.” sciotollc.com. The ability to find and outsource home

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 RG 19 SPECIAL SECTION CLIFTONTHERAP GUNDERSON, SERVICES, LLC LLP

Therap Services, LLC was founded to improve the quality of life for people with MR/DD by providing cost-effective information, communications, and technology services tailored to the specific needs of service providers, service managers, health professionals, and regulators.

Therap’s Integrated Online Services and we have a very strong record of Therap’s rapidly expanding suite of helping our customers apply rapidly integrated, online offerings includes: changing new technologies to new • Online Incident Reports with applications and services. automatic verification, notification, and tracking The Role of Technology • Online Emergency Individual Data Technology plays a critical role at ANCOR members who are MR/DD Forms including photographs and critical Therap in efficiently delivering our industry leaders and who want to information for emergencies and other products and services to you, in driving be part of the future of online unusual situations down costs while increasing quality, and in information management should • Online Medication Error Reports rapidly scaling our operations to meet contact Therap to assist in • Online Event Tracking including increased demand from providers. We use designing an integrated suite of Behavior Plans, Events, Tracking, and “industrial-strength” Sun computer systems, online services that meets YOUR Analysis Cisco equipment for Internet and security, needs in • Online Reporting and Access via voice and Oracle databases, in a high availability or web-enabled cell phone configuration to ensure reliable and secure • improving quality of care, access to your information. We also • reducing costs, and Benefits for Providers support the Samsung i600 cell phone to • managing your risk and Our reliable, secure, and cost-effective access our online services. compliance. online service offers the following benefits Therap Services, LLC for service providers: ANCOR Sponsorship 562 Watertown Avenue, Suite 3 • Providers need only a computer with As ANCOR’s Exclusive Platinum Waterbury, CT 06708-2240 Internet access or web-enabled cell phone. Sponsor, we are very pleased to have the Toll Free (866) 843-7270 • There is no software or hardware to opportunity to work with the ANCOR Fax (203) 757-5116 www.therapservices.net purchase, maintain, or upgrade. members and staff to advance the goals [email protected] • Direct care staff can self-train. of people with mental retardation and • The system is designed to be HIPAA developmental disabilities. Exchanging compliant. information with industry leaders is extremely important to Therap. We will The Therap Team continue to work closely with the leaders We have brought together a team of in the MR/DD community, including professionals with an extraordinary private providers, associations, and combination of talent and experience in government agencies to develop additional the MR/DD field as well as in designing features and services that not only meet and building complex, successful, secure, regulatory requirements, but also improve and reliable technology-based systems and the quality of care, reduce costs, and services. As a team, we have created four manage risk and compliance for ongoing, successful high-tech ventures, individuals with MR/DD.

RG 20 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Contributing Editor Catch 22 and the Field of Developmental Disabilities

Margaret J. Gould

ave you ever felt like you were balls I was walking around with, not and significant paradigm shifts. We talk caught in a chapter of Joseph crab apples, and that they were in my the talk, but the forces that keep things in Heller’s Catch 22—where the hands, not my cheeks. It was a good place are extremely strong. logic is “systemic logic”, and story. But I never knew if it got across As a result, in reality more stays the Hfrom the system’s point of view it all makes or not, since it’s pretty tough to make same than changes; that’s because the peo- sense. But from the person’s point of view, people understand you when you’re talk- ple in charge have more to gain by main- it doesn’t seem reasonable? ing to them with two crab apples in taining the status quo than by implement- your cheeks.” ing change. We have assets, such as large My daughter posed a simple question workshop buildings, that we need to pro- to me on reading Catch 22: “Do you have Sometimes we do the same thing, tect or dispose of while maintaining the Catch 22s at work? It became increasing especially in the area of consumer goals. fiscal bottom line. This curtails innovation clear that there were multiple areas where A prime example is the tooth-brushing and locks us into ensuring our “cotton” is “Catch 22” applies to us. We all talk goal—a goal that people often have for used. “You might start a trend, and then I’ll about self-determination and personal years and years and years. We have to have never get rid of all this goldarned cotton.” choice, yet they are applied within the a good story to tell, and we want to pro- says Milo to Yossarian. We claim to sup- context of regulation and funding models. port the independence of people with “I’m sorry. It’s a system requirement!” is disabilities. Yet as a system we often main- often the ultimate response. tain the consumers’ dependence on us. “I’m 86 years old, and I don’t want to Although we talk the talk, we often create go to a day program any longer. I want to For anyone offended by systems that bind the consumer to us; and retire. Don’t most people my age retire and this article, let me remind we offer explanations as to why the con- stay home if they want?” “I’m sorry,” sumer would never want to leave us. responds the House Manager, “You are in you that the world is full of an ICF/MR home, and you have to have a “I’m going to run away,” Yossarian day program. It’s a requirement under Catch 22s. We own our announced in an exuberant, clear federal regulations.” share, as most systems do. voice, already tearing open the buttons “I try and try to catch up,” says the of his pajama tops. Service Coordinator. “Just when I do, However, it’s recognizing “Oh, no” Major Danby groaned, and they change the rules and the paperwork began patting his perspiring face rapid- requirements.” “I’m sorry,” says the the Catch 22s and doing ly with the bare palms of both hands. Director, “We have to follow the state and “You can’t run away. Where can you federal rules; and the system seems to con- something about them run to? Where can you go?” stantly want more and more and more.” that truly creates “To Sweden.” And what’s in a name? Major Major Major wasn’t a Major; they thought he was self-determination and “But you just can’t turn your back on all a Major because of his name. Is a Personal your responsibilities and run away from Circle really a Personal Circle, or is it an personal quality of life for them.” Major Danby insisted. “It’s IDT with another name? such a negative move. It’s escapist.” Then there is the Orr scenario. It’s the people we serve. Yossarian laughed with buoyant scorn and about having a “story to tell” and protect- shook his head. “I’m not running away ing your reputation. from my responsibilities. I’m running tect our good reputation by demonstrating to them. There’s nothing negative Orr sniggered as he shook his head. “I that active treatment is being provided. about running away to save my life. did it to protect my good reputation in So, we develop consumer goals and create You know who the escapists are, don’t case anyone ever caught me walking a “screen,” claiming that our actions are you Danby, Not me and Orr.” around with crab apples in my cheeks. really providing active treatment. With rubber balls in my hands I could Perhaps one of the most striking parts By the way, running away to Sweden deny there were crab apples in my of Catch 22 raises the issue of change and for a person with a disability might prove cheeks. Every time someone asked me how little change really occurs because the highly beneficial, given their reputation as why I was walking around with crab system cannot or will not respond to one of the most progressive systems sup- apples in my cheeks, I’d just open my change. It is often not to the systems hands and show them it was rubber advantage; therefore, the system resists real See Catch 22, page 14

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 13 Catch 22 “How do you feel, Yossarian?” new. In addition, the SIS also assesses the continued from page 13 “Fine. No, I’m very frightened.” help a person with an intellectual disability “That’s good,” said Major Danby. “It requires to advocate for his or her own porting personal choice and inclusion! proves you’re still alive. It won’t be rights. Sample tasks evaluated in category For anyone offended by this article, fun.” include, managing personal finances, let me remind you that the world is full of Yossarian started out, “Yes it will!” obtaining legal services, and protecting Catch 22s. We own our share, as most oneself from self-exploitation. systems do. However, it’s recognizing the Reference: Joseph Heller, Catch 22, “With the Supports Intensity Scale, the Catch 22s and doing something about Simon and Schuster, New York, 1989, major focus is on what types of supports a them that truly creates self-determination pp. 9-463. person with an intellectual disability needs and personal quality of life for the people to participate in the community, assume we serve. We will persevere; and while we AUTHOR LINK Peggy Gould is President/CEO of The normal social roles, and experience greater persevere, we need to create a system that Visions Center for Creative Management which offers a satisfaction and fulfillment in life,” says lets go and fosters consumer independ- diverse number of training programs specifically for Doreen Croser, Executive Director of the ence. Personal quality of life is not a the field of disabilities. She can be reached at AAMR. “The SIS represents a significant “thing” but an adventure. Our role is to 860.521.7684 or [email protected]. achievement for the disability community support the emergence of quality of life worldwide.” and eliminating as many Catch 22s as pos- The SIS will be used by agencies and sible. So, I close with this last quote. individuals who provide services for people New Tool with mental retardation and related devel- continued from page 11 “Goodbye, Yossarian,” the chaplain called. opmental disabilities. The manual, plus “And good luck. I’ll stay here and per- affect the overall support requirements of a 25 interview forms, is priced at $125.00. severe, and we’ll meet again when the person with mental retardation. This fighting stops.” combined assessment of medical condi- RESOURCE LINK For more information, call AAMR at “So long, Chaplain. Thanks, Danby.” tions and daily support requirements is 310-604-1340 or email [email protected].

14 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Computer Technology A Survey of Computer Usage by DD Providers John Ashbaugh

ollowing are the results of a national mental disabilities; 7.8% are public agen- Conversely, the percent with only low- survey of computer usage among cies (mostly counties) with both service speed (phone line) connections is relatively 270 agencies serving persons with delivery and system administration respon- high among the smallest providers, 36.2%. developmental disabilities. Survey sibilities; of these, half report annual However, the percent drops dramatically as Fresults are reported by agency size and revenue of less than $5 million. agency size increases: 8.5% for providers reflect the number of agencies with high- Just over two thirds of respondents with annual revenues between $5-10 and low-speed Internet access, websites, and (68.3%) reported annual revenue of less million; 5.5% for agencies with annual number of employees with e-mail accounts. than $10 million. Most (63.2%) report revenues between $10-20 million; and 0% Also reported are the number and type of annual revenues of over $10 million—half for those with annual revenues over $20 of these, over $20 million. A small per- computers in use; the number of on-line million. centage (3.6) are public agencies providing and networked sites; the number of agen- Just under 40 percent of employees of direct services and supports; an even small- cies using different types of application soft- agencies with annual revenues under $10 er percentage (2.4) are national offices of million are reported to have agency e-mail ware and services; and the average number multi-state providers. These offices charac- accounts. The percent rises to just over of staff devoted to IT systems support. teristically administer some centralized 45% for agencies with annual revenue of In this day and age, it is reasonable to software applications for their many sites. $10-20 million and to just over 50% for assume that most every agency of any size The number of staff/consultants employed agencies with annual revenues above $20 serving persons with developmental disabili- by the agencies varied as a function of million. It is important to note that these ties is making some use of computers. The agency size: percentages do not include employees question is how and how much. This is Number of staff having access to personal email accounts. more than a question of general interest. Under $5 million <100 (75.2%) Indeed, a number of agencies reported that Computer systems represent a major invest- $5 to10 million 101-250 (76.6%) employees were encouraged to sign up for ment for agencies. In the under-funded $10-20 million 251-500 (65.5%) free email services (e.g. hotmail, Yahoo). world of developmental disabilities, agencies Greater than As one respondent commented, “all who must maximize their use of limited funds $20 million: >500 (69.2%) need email connections have them.” and get a good return on their technology investment dollars. Internet Usage Websites One way to get a sense of what a sensi- Over 99% of respondents have connec- 78.3% of the agencies participating in ble investment strategy might be is to con- tions to the Internet. Most respondents the survey have a website. A number of sider the nature of the IT investment being regardless of size have high-speed connec- others made note that a website was under made by similar agencies. This is true even tions (T1, DSL, cable or satellite). The development. though few agencies are ever wholly percent having high-speed connections was satisfied with their information systems. lowest among the smallest agencies, 63.8%. Websites by size: Computer systems are invariably works in The percent with high speed connections Under $5 million: 65.4% progress; most of the agencies responding to jumps to over 90% for agencies with over $5 to10 million: 89.4% the survey expect to make major improve- $5 million in annual revenues: 91.5% for $10-20 million: 94.5% ments in their systems within the next two agencies with annual revenues between $5- Greater than $20 million: 92.3% years. 10 million, 96.5% for agencies with annual The survey is based on 270 valid revenues between $10-20 million, and The safe assumption is that agencies responses. Survey results were analyzed by 100% for agencies with annual revenues reporting no support staff are receiving the agency size (annual revenue) in order to dis- above $20 million. See Survey, page 16 pel concern regarding over- or under-repre- sentation of agencies based on this critical variable. Respondents were classified into four size/annual revenue categories: Support The average number of in-house technology support staff (IT FTEs) increases with Under $5 million agency size and number of software applications. $5 to10 million $10-20 million Range of IT FTEs Average IT FTEs Greater than $20 million. Under $5 million: 0-4 .44 $5 to10 million: 0-4 1.04 Most (86%) of the respondents represent $10-20 million: 0-8 1.51 private agencies contracted to provide serv- Greater than $20 million: 1-26 4.65* ices and supports to persons with develop- *Average is 3.8 if the two outlier agencies reporting an exceptionally high number of FTEs are excluded.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 15 Survey $5 to10 million: billing services, related or unrelated to the continued from page 15 14.9% have fewer than 25 PCs; 46.8% software, was the same as the percent have 26-50 PCs; 31.9% have 51-100. using accounting services, 16.8%. As in support required through contract. The the case of accounting services, the per- number of support staff reported for the $10-20 million: centage of respondents using billing serv- largest providers is difficult to interpret not All report having at least 25 PCs; ices doesn’t appear to vary as a function knowing just how large the agencies in this 16.7%t have 26-50; 42.6% have 51- of agency size. category are, and knowing that some pro- 100; 27.8% have 101-200; 13% have Human Resources software designed vide centralized support for many agencies over 200. to manage employee information is also across a state and even in multiple states. used by half (50.4%) of the respondents, Greater than $20 million: 53.8% have with the percentage increasing with Workstations over 200; 38.5% have 101-200 agency size from 25.2% for the smallest All respondent agencies reported hav- to 92.3% for the largest. The percentage ing personal computers. A smaller number, The average number of sites reported using related human resources services, 6.7%, also reported having MACs; and an increases with agency size as well. 4.9%, is quite small. Time and atten- even smaller number, 3.4%, reported hav- dance software, which may or may not be ing other computers (mostly RIS). The Number of Sites a part of the human resources software, is percent of agencies with revenues under Under $5 million: 5.4 used by 34.6% of the respondents, rang- $5 million having MACs was only 1.6%; $5 to10 million: 12.6 ing from 20.6% for the smallest to whereas the percent among agencies with $10-20 million: 25.3 59.4% for the largest . annual revenues above $5 million ranged Greater than $20 million: 60.2 Case management software designed from 10 to 13%. The small percentage of to manage client information is used by agencies having other types of workstations The percentage of sites with comput- 45.1% of the respondents, ranging from was much higher for those agencies with ers is high for all categories, ranging from 30.7% for the smallest to 87.2% for the annual revenues over $20 million (10.3%) 86.1% to 90.9%. A number of agencies largest. compared to 1.8 to 2.3% for agencies in commented that the number of sites Thirty-one percent of the respon- the other three size categories under $20 reported didn’t reflect the supports pro- dents use fundraising software, ranging million. These are generally less expensive, vided at many in-home and at-work sites from 17.3% of the smallest agencies to low-performance, “thin client” computers neither owned nor leased by the agency. 46.2% of the largest. Manufacturing soft- designed to be used in client/server or ware is used by 14.7% of the respondents web-based systems where the performance Application Software that operate some form of manufacturing load is borne by the servers rather than the Over 99% of respondents utilize enterprise in which clients are employed. PCs. word processing software; nearly 97.9% Respondents reported a variety of The percent of personal computers utilize spreadsheet software. 92.2% have other types of application software in use reported to be networked with other com- database software, with the percent including presentation software (e.g. puters for the purpose of sharing pro- increasing with agency size—from 85% Microsoft Powerpoint), email software, grams, files and Internet connections for the smallest to 100% for the largest. desktop publishing software, statistical increased with agency size. Similarly, 92.9% of the respondents packages, telephony programs designed reported using accounting software, with for the computer input of time and relat- Under $5 million: 63.5% the percent increasing with agency size— ed encounter information by telephone, from 86.6% for the smallest to 100% for client trust fund administration, mailing $5 to10 million: 74.6% the largest. About 19% of the smaller list management, purchasing, facility and $10-20 million: 79.9% agencies report using related contract fleet maintenance, package tracking, Greater than $20 million: 81.8% accounting services, while the percent of photo-editing, nursing, and HUD certifi- larger agencies using accounting services cations. The percent of PCs reported to be drops to 10.3%. Only 4.9% of the respondents use Pentiums was 85.8% for all agencies. By Payroll software is also used by a application service providers (ASPs) for the comments, most of the agencies having high percentage of respondents at 78.4%, human resources, 5.2% for case manage- computers built on non-Pentium micro- again increasing with agency size, from ment services and 2.6% for fundraising processors are planning to replace them 72.4% for the smallest to 94.9% for the services. This relates in part to the limit- with Pentiums. However, as indicated largest. The percentage using related ed offerings available in these areas and to above, some knowingly purchase comput- contract payroll services, 40.7%, is much the current value of these offerings. It is ers with less expensive, lower-speed micro- higher than the percentage using contract clear that these services have a long way processors for use in “thin client” comput- accounting services, 16.8%; and the per- to go to match the value agencies feel ers. cent doesn’t appear to vary as a function they receive from the payroll services and, The number of agency PCs does of agency size. to a lesser extent, billing services. increase with the size of the agency. Billing software is also used by a There is no telling how many of these high percent of respondents, 76.9%— applications have been developed in- Under $5 million: 67.2% have fewer than with the percent increasing by agency size house using database and spreadsheet 25 PCs; 92.2% have fewer than 50 from 67.7% for the smallest to 92.3% for programs, e.g. Microsoft Access, PCs. the largest. The percent using contract Visualbasic, FilePro, and other database

16 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org software. Hopefully the results of the survey as reported in this article will pro- State Representative Profile vide agency administrators with a better understanding of where their agencies are along the technology/computerization continuum and improve their IT invest- ANCOR Representative: ment decisions. However, the picture provided isn’t nearly as detailed and informative as it could be. Karin Stockwell, Minnesota A significant number of respondents made clear that they would like to have State Representative more detailed information for bench- marking purposes, and to that end would be interested in participating in a more entered St. Olaf College to pursue detailed survey. More than the types of either a career in theatre or to application software/ services used, they become a psychologist. While in would like to know the names of the college I worked as a volunteer Icoordinator for the Lutheran Volunteer application software used and feedback on its functionality, performance and Corps. This organization organized cost. high school students to live and work at More than the numbers of comput- Woodward State Hospital for the ers, they would like to know about Developmentally Disabled in Iowa dur- agency use of hardware, peripherals (e.g. ing the summer months. personal digital assistants (PDAs), and I gained a wealth of knowledge that infrastructure (networks). More than the became the foundation for much of my number of Information Technology (IT) philosophy and values about working full-time equivalents (FTEs), they would with persons with disabilities. This expe- like to know the level and types of con- rience was invaluable to me, even tract support being used, the performance though at the time I did not recognize and cost thereof. They would also like to that this summer job was laying the path have more definitive information on the for my career. nature of agency operations. After college, I worked for different In response to this feedback, a more residential and day service providers in expansive survey and analysis is planned. the Twin Cities for three years until a friend suggested I apply to Dungarvin to It will include a larger number of agen- employees and agencies on a monthly be a program director of several residen- cies. Only those agencies participating basis through the excellent articles, bul- tial sites. I was very pleased to have will have access to the results. If your letins, conferences, and alerts. been hired. During my eleven plus years agency would like to participate, email ANCOR fosters an environment of with Dungarvin, I have been a program the author. support, sharing, and learning by con- director, director, and am now senior necting with our peers across the director for the multi-county division of AUTHOR LINK John Ashbaugh is currently the Vice nation. The ANCOR staff have been our Minnesota services. President, Director of U.S. Operations for Danic an excellent resource for Dungarvin as I have served on our Minnesota- Technology, Inc. He can be reached at (781) 400-1110 well as for me personally. They are provider association’s board (ARRM) for or by email at [email protected] available for questions and clarification the past three years and have been on on technical issues and have been very the executive committee as treasurer for helpful in connecting me to the appro- two of those years. ARRM has had a priate resources. Being a member of long and valuable relationship with ANCOR is vital to keeping up with the ANCOR. I was given the opportunity ever-changing environment of our to be Minnesota’s state representative to industry. I appreciate the opportunity ANCOR in the fall of 2003 and have to represent our provider organization, been thoroughly enjoying my new role. I ARRM, and Dungarvin. I hope others VISIT US have met many wonderful new people can benefit from my contributions to by attending the conferences and partici- ANCOR as much as I have benefited pating in sponsored events. from theirs. ON THE WEB ANCOR provides a vast amount of information about national issues to providers and association members. At AUTHOR LINK Karin Stockwell works for www.ancor.org ARRM and Dungarvin we find relevant Dungarvin Minnesota, Inc. and can be reached at issues that impact our services, industry, 651-699-6050 or [email protected].

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 17 Whose Fault Is It When Administration Of Services Is Inefficient?

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18 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org ANCOR Member Highlight MARK YOUR CALENDAR

ember Highlight is designed to recognize and showcase ANCOR member agency achievements and significant community and other initiatives of Washington is note. We are featuring an ANCOR member Magency in each issue of LINKS, so please forward your highlight Waiting for You! story to Marsha Patrick at [email protected]. Our May ANCOR Member Highlight is Keystone Human Services of Harrisburg, PA under the leadership of Sr. Vice President, Charles Hooker III. ANCOR’s 2004 Governmental Activities Seminar Keystone Human Services Unveils Technology: Enhancing Quality SEPTEMBER 19–21, 2004 Initiatives and Increasing Financial Committee Meetings Sept. 18 Board of Directors Sept. 18-19 Effectiveness Board of Reps Sept. 19 A new resource is now available to enhance the work Washington Court Hotel of Keystone’s direct support Washington, DC professionals and agency Brochure/registration available shortly administration in recording, evaluating and managing quality indicators, tracking the achievements toward the ANCOR Technology Updates personal goals of the individ- uals we serve, and managing Have You Visited ANCOR’s Action Center? financial information. In Powered by, CapWiz™, the nation’s first and foremost online 2002 Keystone Human advocacy solution that will connect you with elected officials, Services joined Pressley Ridge agencies and organizations. You can e-mail members of in their collaboration with Congress, the President, other government officials or any Estream, a prestigious soft- recipient of your choosing. Find members by ZIP Code or ware company, to jointly Charles Hooker, III name search. When you see an issue you feel strongly about, design a tool for human serv- you can send pre-written messages that ANCOR suggests, or ices. This partnership resulted in Total:Record. Since that time compose your own. Capwiz™ brings ANCOR’s advocacy Total:Record has been expanded into a web-based billing and issues to your fingertips and allows you to make a difference service tracking software product that is proving its worth in in legislative efforts. the critical world of human service. Keystone and Pressley Ridge shared a common vision of ANCOR’s Action Center: using technology as a way of “getting to the point of human • Notifies you when your voice is needed to influence services.” Charles Hooker III, senior vice president of Keystone Congress and federal Agencies; Human Services stated, “Putting timely information into the • Knows to whom you should be sending your letters. hands of our staff improves the quality of our services, increases Simply enter your zip code and Capwiz™ does the work for the time available to focus attention on personal outcomes for you; • Offers suggested language or letters containing the appro- the individuals we serve and improves the functioning of our priate information to help you communicate effectively; and agency overall”. • Is fast and intuitive, so you can educate yourself and For more information on Total:Record contact Charlie understand ANCOR’s issues quickly. Hooker at 717-232-7509, [email protected] or visit the web site at : www.keystonehumanservices.org. Don’t wait, Take Action Today! Visit www.ancor.org and click on ANCOR Action Center link.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 19 TheArcLink.org

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20 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Pilot Programs A FEW OF DOL’S NATIONAL BUSINESS PARTNERS continued from page 1 curriculum and the implementation of a national apprenticeship program based on successful competency-based direct sup- port apprenticeship models already devel- oped and focusing on the creation of a definitive career ladder for direct support professionals. These key partnerships are a major step toward achieving the goals of ANCOR’s National Advocacy Campaign, which include: • Obtaining wage and benefit enhancements for direct support profes- sionals. • Creating a national policy to address the workforce crisis. • Demonstrating the critical role direct support professionals play in enhancing the lives of American’s with dis- abilities. • Securing incentives for solidifying a career path for direct support professionals. • Building public awareness about the value and challenges of the career. For more information about the ANCOR National Advocacy Campaign, visit www.supportnac.org.

ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org Links/May 2004 21 ANCOR National Advocacy Campaign Contributors

e wish to extend our sincere appreciation to the following members, The Adirondack ARC McGuire Memorial Wwho have made a contribution in support of the ANCOR National The Arc Northern Chesapeake Region Midstream, Inc. Advocacy Campaign launched in September 2001. Their contributions to The Centers for Habilitation Mission Mountain Enterprises, Inc. date total $928,460.93. The Resource Center Mission Road Developmental Center United Cerebral Palsy of Los Angeles & Montana Association of Independent AGENCY CONTRIBUTION Community Access Unlimited Ventura Counties Disabilities Services $40,000 AND ABOVE Community Living United Cerebral Palsy of New York City, Nebraska Association of Private Inc. Resources Community Living Association American Habilitation Services Volunteers of America, Inc. Northview Developmental Services, Inc. Community Living Concepts, Inc. Mosaic (Bethphage/Martin Luther Northwest Missouri Learning Center, Community Living Opportunities Homes Society, Inc.) AGENCY CONTRIBUTION Inc. ResCare, Inc. Community Partners, Inc. $0-999 OAHE, Inc. The Mentor Network (REM, Inc./The Community Psychology & Education Oakridge Homes, Inc. Mentor Network) Services ADDP ONCOR Creative Care for Reaching Independence Aditus Inc. Orion Corporation of MN AGENCY CONTRIBUTION Creative Networks LLC Anne Grady Corporation PAKS Developmental Services $15,000-39,999 Crystal Run Village, Inc. ARC of the Bluegrass, Inc. Pella Rolscreen Foundation DEH Operating Company ARCA ARF of Indiana, Inc. Phoenix Residential Centers, Inc. Delaware County ARC Autism Services Center, Inc. Babcock Center Pine River Group Home, Inc. Developmental Services Network AXIS, Inc. Champaign Residential Services Portable Practical Education Preparation, Danville Services DSNWK Benedictine School for Exceptional Inc. Children, Inc. Dungarvin Exceptional Persons, Inc. Prarie View Bost Human Development Services, Inc. John F. Murphy Homes Faith, Hope & Charity, Inc. Putnam County Comprehensive Services BRASS Liberty Families Plus, Inc. Quality Life Concepts California Association of Health Facilities Sunrise Community Friendship Community Reach, Inc. CAPOW, Inc. The Chimes, Inc. Friendship Community Care Rehabilitation Enterprises of Washington CARC, Inc. Verland Futures Unlimited, Inc. ResCare, Inc. (CA) CareCo Homes, Inc. Good Shepherd Communities Resident Home Association for Mental AGENCY CONTRIBUTION Hammer Residences CARF Retardation of Greater Dayton $5,000-14,999 Hope Haven, Inc. Catholic Community Services Residential Management Systems, Inc. AAPPD Imagine! CCLS, Inc. Riverbrook Residence, Inc. AIRES, Inc. In Home Support Service, LLC CDC Resources Scioto Properties, LLC Christian Opportunity Center Independent Options, Inc. Center for Community South Central Behavioral Services DDMS, LLC InterHab Central Aroostook ARC SPARC Evergreen Presbyterian Ministries, Inc. Intermountain Centers for Human Christole, Inc. St. Giles Living Centers, Inc. Fairbanks Resource Agency Development COF Training Services, Inc. St. John Valley Associates, Inc. Home of Hope Irwin Siegel Agency, Inc. Communicare Day Services St. John's Community Services Independent Opportunities (OK) Keystone Service Systems Community Alliance of Providers of Starkey, Inc. Wisconsin Lynch Community Homes, Inc. Koinonia Homes, Inc. STEP LIFE, Inc. Community And Residential Services Lynch Management Services Association Sunny Oaks LifeSkills, Inc. Mains’l Services, Inc. Community Connections (AK) Tennessee Network of Community Magdala Foundation Organizations Mainstream Living, Inc. Community Connections, Inc. (SD) Miami Cerebral Palsy Residential Maine Association for Community Texas Sunrise Services, Inc. Service Providers Community Providers Association of Services, Inc. Oregon The Arc of Iroquois County New Avenues to Independence Maryland Association of Community The Arc of Schuyler County Services Community Residential Services New Hope Community, Inc. Association The Association for Community Mercer Human Resource Consulting OHI Community Support Services, Inc. Living, Inc. Mitchell Area ATC Rainbow of Challenges dba School of Delta Projects, Inc. The Charles Lea Center, Inc. Mount Olivet Rolling Acres, Inc. Hope Desert Area Resources & Training The Coastal Workshop Nemaha County Training Center South Dakota Association Of Disability Supports of the Great Plains, The Colonial Insurance Agency, LLC Community Based Services New Hope Village Inc. The Verland Foundation The Institute of Professional Practice, North Central Human Services Disabled Citizens Foundation Tobosa Developmental Services Inc. Northern Hills Training Center Young Adult Institute, Inc. Discovery Living, Inc. Transitional Services, Inc. NYSACRA FEGS Utah Association of Community Services AGENCY CONTRIBUTION Ohio Provider Resource Association Greater Kansas City Foundation Vermont Council DMHS $1,000-4,999 Omega Home Harry Meyering Center, Inc. Volunteers of America of Oklahoma, Inc. Opportunity Living Acumen, Inc. Heartland Homes, Inc. WCI Opportunity Village Heartstrings Community Foundation Willows Way Inc. ADDCP PAR Adelante Development Center Herkimer County Chapter A.R.C. Woodfords Family Services PARC Hope Haven Zachary House, Inc. AIM Services, Inc. Potomac Center, Inc. Ann Storck Center, Inc. Hope Haven Area Development Center Region IV Family Outreach, Inc. ARRM Hope Residence, Inc. NATIONAL ORGANIZATION Residential Support Services, Inc. ASKAN Corporation Howell's Child Care Center, Inc. ENDORSERS Rimland Services NFP Association for the Help of Retarded Independence Association, Inc. The Arc of the United States Rose-Mary Center Children Independence Residences, Inc. American Association on Mental Avenues to Independence Santa Maria El Mirador Independent Opportunities (KY) Retardation Bios Corporation S. L. Start & Associates, Inc. INSIGHT, Inc. CARF---The Rehabilitation Accreditation Camp Horizons, Inc. Special People In Northeast, Inc. Job Connection, Inc. Commission Carmel Community Living Corporation Spruce Villa, Inc. Kansas Elks Training Center for the National Association of State Directors of Developmental Disabilities Services Cedar Lake Foundation, Inc. St. Dominic’s Home Handicapped, Inc. Chesterfield County BDSN St. John’s Villa Kent County Chapter RIARC The Council on Quality and Leadership Stone Belt Arc, Inc. Kentucky Opportunities The National Alliance of Direct Support Christian Concern, Inc. Professionals Support, Inc. Lincoln Self Reliance, Inc. Colorado Association of Community United Cerebral Palsy Centered Boards T.E.R.I., Inc. Live, Inc.

22 Links/May 2004 ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org ANCOR—A national network of providers offering supports to people with disabilities.—www.ancor.org LinksLinks//AprilMay 2004 23 Quality Outcomes Experience

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ANCOR Mission: ANCOR Vision: To empower providers and people with disabilities To be the premier provider association creating to celebrate diversity and effect change that a world that values the full participation of all ensures full participation. stakeholders.

PRST. STD U.S. Postage American Network of Community Options and Resources Inspire – Inform – Connect PAID Manassas, VA 1101 King Street, Suite 380 Permit No. 77 Alexandria, VA 22314-2944 703-535-7850 www.ancor.org