Individual Service Plan Review - Indicators of Person-Centered Practices
The development of the Person-Centered Planning (PCP) approach
has been a large initiative within the program and a key
component for producing culture change in the way services
are delivered.
The Individual Service Plan (ISP) is used to work with an individual to identify their own goals and objectives, which in turn guide service delivery. The ISP is written as one indication of how well care coordinators are listening to individuals and providing person-centered service.
The Hallmarks of Person-Centeredness Evaluation Tool reflects indicators of person-centered practices and is used to review individual service plans written by care coordinators across the WNYCCP counties. This tool was revised in 2008 for use in the 2009 ISP reviews. Hallmarks of Person-Centeredness Evaluation Tool Version 2
2009 Analysis of Individual Service Plans (ISPs)
2008 Analysis of Individual Service Plans (ISPs)
2007 Analysis of Individual Service Plans (ISPs)
2006 Analysis of Individual Service Plans (ISPs)
2005 Analysis of Individual Service Plans (ISPs)
2004 Analysis (below)
A 10%
sample of Individual Service Plans were reviewed in all
participating counties for indicators of PCP. A survey was
developed
with a 4-point rating scale for the reviewer. The rating
is based on the degree of content in the record that reflects
a PCP approach in each Individual Service Plan (ISP). In
the 4-point scale, level 3 represents moderate content and
level 4 is the highest level of content indicating PCP.
Changes in level 1 and 2 are not reported here as the interest
is in looking at the trends toward the positive end of the
scale.
| Below are five (5) questions the reviewer
used for rating the person's ISP for PCP content |
% increase in the # of records reflecting
PCP content from 2003-2004
|
| |
Level 3 - Moderate
|
Level 4 - High
|
| Q1: The person's (enrollee's) dreams,
interests, preferences, strengths and capacities are
explicitly acknowledged and drive activities, services,
and supports (QOLSA and ISP). |
6% more records
|
31% more records
|
| Q2: Services and supports are individualized
and don't rely solely on pre-existing models (ISP). |
6%
|
28%
|
| Q3: The person has a presence in a variety
of typical community places. Segregated services and
locations are minimized (ISP). |
10%
|
17%
|
| Q4: Planning activiites occur periodically
and routinely. Lifestyle decisions are revisited (QOLSA,
ISP). |
33%
|
23%
|
| Q5: A group of people who know, value,
and are committed to the person remain involved (ISP). |
10%
|
22%
|
|