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Strategies To Ensure Quality of Client Services Within A Finite Budget

Statewide Managers’ Meeting November 5-6, 2014 Sandy Williams Barbara Burkett. Strategies To Ensure Quality of Client Services Within A Finite Budget. Objectives of This Session. I. Overview of Critical Issues A. SFY15 Budget-Williams 1 . SFY15 Basic VR Budget

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Strategies To Ensure Quality of Client Services Within A Finite Budget

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  1. Statewide Managers’ Meeting November 5-6, 2014 Sandy Williams Barbara Burkett Strategies To Ensure Quality of Client Services Within A Finite Budget

  2. Objectives of This Session I. Overview of Critical Issues A. SFY15 Budget-Williams 1. SFY15 Basic VR Budget 2. Carry Over SFY14 Budget 3. Monthly Distribution 4. Spending Goals Versus Actual Spending SFY15 Year to Date 5. SFY15 Predictions B. Supported Employment Expenditures-Burkett 1. Supported Employment SFY15 Expenditures Year to Date 2. Subcategories of Supported Employment Expenditures 3. Situational Assessment 4. Job Development 5. Placement and Training C. Over Authorizations-Burkett II. Strategies to Implement to Control Expenditures and Provide Quality Services -Discussion

  3. SFY 15 Basic VR Budget

  4. Carryover from SFY 14 Highest since 2008 (between 1.1M – 1.85)

  5. Breakout of Monthly Distributions

  6. SFY 15 Expenditures Goals vs. Actual

  7. SFY15 Budget Predictions • The budget for case services for SFY15 is 18.2M • If we continue to spend at the rate we have for the 1st quarter, we predict we would need 30M for SFY15

  8. Clients Currently Open As of November 3, 2014 = 19,983Compares to 18,331 Clients November 2013

  9. Comparison of Clients by Status November 2013 and November 2014

  10. Average Cost Per Client In FFY14 and Estimated Cost if System Were to Remain Static as of November 2014

  11. Supported Employment and Job Coach Training Account for 65.3% of All Expenditures Statewide With 4.5 Million Spent SFY15

  12. Subcategories for Supported Employment SFY15 By Region

  13. Currently there are 197 clients who have been in situational assessment 40 or more days at a cost of $811,867.59

  14. 1,057 Clients Currently Open Have Been In Job Development for 60 Days or More at a Cost of $2,723,581.42

  15. Currently 104 clients have been in SE Placement and Training for Over 100 Days Total Cost of $962,761.72 (Max = $21,875.84) • Example:

  16. Tools to Assist You In Decision Making • Vendor score card shows you average cost and time to successful closure for each vendor along with type of jobs clients receive. • 75% of our successful clients move from a supported employment service to “in employment status” within 4 months.

  17. Strategies To Keep In Mind • Should there be a maximum number of hours before case is flagged for some type of action? • If so when?

  18. Strategies • Would an AWARE alert/flag be of benefit? JCTS/SE Services Interrupted A checkbox could be added here

  19. Authorization V. Paid Amount SFY15

  20. Over-authorizing in Group Auth July 2014 $801K

  21. Over-authorizing in Individual Auths July 2014 $170K

  22. Over-authorizing in Group Auth August 2014 $783K

  23. Over-authorizing in Individual August 2014 $154K

  24. Over-authorizing in Group Auth September 2014 $811K

  25. Over-authorizing in Individual September 2014 $195K

  26. 1st Quarter Over Authorizing

  27. Exercise • What are some strategies to reduce spending for supported employment? • What are some strategies to reduce over authorizations? • Other thoughts?

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