Well, I hope you are right. But if you read some of my messages after this one you will know why I take this view. I don't think mega divisions is the answer to stream lining government or making it more efficient. We have already seen this in our schools that mega schools just don't work. There is a way to stream line government and make it more efficient but creating mega divisions is not the answer. What you will end up with is say something like calling customer service for a cell phone provider or customer service for a credit card or calling Dell customer service. You know what you run into there and with their sites. This is just not good. This is in my opinion is what happens when your government gets out of balance. When you have it all one sided. It don't matter which side is one sided. You are out of balance and have no check or balance. When this happens the little man, the helpless, the disable, the handicap and the needed is left out in the cold. Take this from someone that has been around and in politics most all his life. I have worked and still working for the Florida legislature so far. I have worked here in the legislature for over 30 years. I know what I am talking about. Just some thoughts from a seasonal veteran. Sign, JP ( Joe Plummer) joeplummer@xxxxxxx -----Original Message----- From: tabi-bounce@xxxxxxxxxxxxx [mailto:tabi-bounce@xxxxxxxxxxxxx] On Behalf Of Charles Atkins Sent: Thursday, December 09, 2010 3:14 AM To: tabi@xxxxxxxxxxxxx Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about if one agency should serve all disabilities... I feel the need for somebody to say something here and on one hand, Joe, you have. Though, my viewpoint is of a different point of expectation. I feel what you say is your sincerest effort to start to fix something you think is about to be broken in our state and is not mint to excite bad or contempt for the governor's, equally, sincere effort to repair what he feel needs it in Florida or the entire country for that matter. I feel though, that for, all, well intents and purposes, before we take off, fueled by speculation, agencies, already serving the blind, and other disabled populations, should invite the Governor as well as, encourage other state officials in dialogue aimed at ensuring we don't take a turn for the worse and head back in to that pit you fear may be opening to consume us in eternal worthlessness! A lot has been done, but, we still have more to do! Keep the faith people! We're not going backward! I think the Governor and everyone else knows, that's not the answer! Honest! Charles Atkins ----- Original Message ----- From: "Joe Plummer" <joeplummer@xxxxxxx> To: <tabi@xxxxxxxxxxxxx> Sent: Wednesday, December 08, 2010 6:19 PM Subject: [tabi] Re: Gov Scott's Transition Team may be thinking about if one agency should serve all disabilities... > This is the worst idea I heard of yet. This is aim at one thing and one > thing only that is cutting jobs out. This is also going to make waiting > lines extremely long and lots of red tape. It will have people that is in > a > job that have no idea what we need and are going thru. I have try to tell > you all that there Is terrible times coming to Florida and especially the > old, helpless the very young and the disable and the handicap. We are now > going to be treated like a charity case like someone standing in line for > a > bowl of soup. We the blind community is going to need medical care say for > our eyes and if you are depending on the blind services to do it you are > going to have to wait fro ever to get the help. If you need a screen > reader > to keep your job you will lose the job before you get the screen reader > approved. You just wait and see we are going to go backwards 100 years > before it is over. In my opinion this is the worst thing that could happen > to us just about. > > > > sign, > Joe Plummer (JP) > joeplummer@xxxxxxx > > -----Original Message----- > From: tabi-bounce@xxxxxxxxxxxxx [mailto:tabi-bounce@xxxxxxxxxxxxx] On > Behalf > Of Lighthouse of the Big Bend > Sent: Wednesday, December 08, 2010 3:56 PM > To: tabi@xxxxxxxxxxxxx > Subject: [tabi] Gov Scott's Transition Team may be thinking about if one > agency should serve all disabilities... > > Consumer groups of the Blind/VI may want to get involved, as it looks like > Gov Scott's Transition Team may be thinking about whether one agency > should > serve everyone with disabilities... > > 12-8-10 > Single Department Concept > A New Service Delivery System for the 21St Century > > The purpose of this proposal is to illustrate a method by which Florida > can > create a single, efficient, consumer driven and community > -- based service delivery system to provide services to the over 6 million > persons with disabilities in Florida. The ultimate goal is to reduce > administrative costs and increase access to services and service dollars; > create a more efficient, fraud resistant billing system and create an > economic stimulus creating new private sector jobs. > . Combining all of the programs and services for persons With > disabilities, including the Florida Medicaid Waiver programs, under one > department`-. will enable the State to move precious resources to actual > service delivery for persons with:.disabilities and seniors across the > disability spectrum and Recycle. > . This department can have one point of entry with a standardized > application, eligibility criteria, provider qualifications, and provider > rates for all services and programs. > . Creation of new jobs in the areas of core munity - based service > delivery and fraud prevention methods. This would mean the recruitment of > new entrepreneurial minded providers into the system statewide. > To accomplish this goal, certain units can be removed from current > departments and placed in the new departmental structure. Personnel > requirements will then be determined, based on the overall organization. > Departments effected: > . Agency for Healthcare Administration (AHCA), the > . Department of Health (DOH), the > . Department of Children and Families (DCF), the > . Department of Eider Affairs(CARES), the > . Department of Education (Vocational Rehabilitation and Division of > Blind Services), and > . The Agency for"Persons with Disabilities > As this new department is being physically formed, a new philosophy will > also be nurtured. A philosophy of ingenuity, creativity, and an > entrepreneurial spirit, where employees are encouraged to think "outside > of > the box" to solve the problems we will face in the coming years. We must > encourage unique, public - private partnerships at every level, in order > to > maximize our precious resources. This includes private entity investment > into not only service provision but employment opportunities for persons > with disabilities. It is only through this "rebirth" of the physical and > philosophical can we have a department that is truly responsive to our > citizens. > > In Florida, every day over 6 million persons, with identified or > self-reported disabilities study, live, play, and work. The vast majority > of > persons with disabilities can secure and maintain full or part -- time > competitive employment. They exhibit more courage and fortitude daily than > some people do in a lifetime. These Floridians do not want a hand out but > a > hand up, a chance to maximize their individual independence and to be as > included in their community as they wish, This untapped resource of ready > and willing potential employees should not be ignored. > > Having all disability programs and services, including Medicaid Waivers > located within one department, will: > > Streamline the application, eligibility, and acceptance process for > consumers and providers. > > Eliminate the "silo" effect, bringing all state organizations working with > persons with disabilities under one organizational plan and chain of > command. > > Reduce redundant administrative costs to include office space and other > such > equipment. > > Create new private sector opportunities for persons who become disabled as > adults. Require anyone wishing to file for federal disability programs to > register with Vocational Rehabilitation. Begin early working with the > person > focusing on ways to maximize his/her abilities. in many cases, it may be > possible for the person with the disability to emerge with a better, more > lucrative career. > > The department will maximize existing resources, such as using the > Clearinghouse on Disability Information to: > Maintain one website for all information on disabilities. > Operate a single toll-free phone number with accessibility built into the > system. Have a dedicated information referral system that not only serves > consumers, but providers and other state agencies. > > ? Allow the department to standardize the processes to determine > eligibility > (one assessment instrument), provider qualifications and enrollment, > service > limitations, rates of pay, nursing home transition initiatives, etc. > > ? Reduce or maintain turnaround time in billing to enable providers to > receive pay for services in a timely fashion, while cutting down on > potential fraud. > > Through a coordinated, functional needs based system, all individuals with > disabilities will have their needs assessed and identified by a Global > Assessment with a single Case Plan. > > Bryan F. Vaughan, MS Executive Director Commission on Disabilities > > 1217/2010 Page 2 of 4 > > .:. Adapt the existing iBudget algorithm across the disabilities spectrum > to > ensure a consistent and efficient distribution of scarce resources. > > :. Serve consumers and providers will be served in a timelier and more > consistent manner statewide. > One standardized assessment instrument to determine risk of > institutionalization and eligibility for waiver services would ensure > services are provided to those most in need and would reduce the number of > individuals currently on wait lists for the various waivers. > Provider qualifications and rate of pay will be consistent and allow them > to > serve all populations without having to apply to work with multiple > waivers > and organizations. The Legislature will only need to deal with one budget > to > fund all the waivers. The processes for being placed on a wait list will > be > standardized throughout all the individual waivers. > Funding for community-based, long-term care services would be more > equitable > for each of the disability groups competing for limited resources. > > > Note: Some agencies may be reluctant' to relinquish administration of > their > waiver programs. Consumers and providers currently being served by the > various waivers may be impacted if service limitations and rates of pay > are > standardized. Use of the iBudget algorithm will ensure a person's needs > are > met in an effective manner. Some individual disability groups may be > concerned about any change in the current structure which can be mitigated > through an appropriate public information program. > Evidence to Support Single Department > > The states of Illinois and Vermont have already gone to the single entity >system with good results. Real Choice Systems Change Grant Program, Third > Year Report: Progress and Challenges of the FY 2002 and FY 2003 Grantees: > (October 1, 2003 -- September 30, 2004) Final Report. > Consolidation > > The Governor's Commission on Disabilities, along with personnel from the > effected departments, advocates, and providers could work towards the > planning, development, and implementation of this single department. > > Planning & Timeline > Planning could begin to consolidate all programs and services, including > waivers under one department in the 2010 - 2011 fiscal year, with > implementation occurring in an on-going basis. Full consolidation could > take > until the 2011 -- 2012 fiscal year. > Estimated Potential Savings > ? A coordinated waiver program would require fewer administrative staff, > intake and referral staff, provider enrollment staff and fiscal staff to > moriitorexpenditures. > ? There would be a reduction in allocated office space, expenses;, and > equipment allocations for personnel due to consolidation into one agency. > Multiple websites dedicated to the various waivers would be > reduced.to>one. > This would also create a more user friendly, accessible system of > delivering > information. **g Consolidating multiple call-centers for consumers and > providers would still allow calls to be channeled from one line directly > to > the appropriate waiver specialist. > > > Florida currently has a great need for more community - based service > providers. Partnerships with Colleges of Business at our State > Universities, > as well as the Chamber of Commerce for Persons with Disabilities, can > promote an entrepreneurial effort to create these small provider > businesses. > > To reduce fraud, a "call and verify" system can be included as part of the > billing cycle. When a provider bills the department, a random verification > system will identify a consumer to be called and asked if helshe has > received the items or services as billed. This process will help prevent > discrepancies and false claims as are potential risks under the current > system. The department can either decide to use one or multiple verifying > agencies. This can be performed by workers from home (enabling persons > with > disabilities, seniors, or others who are transportation > disadvantaged) or a central location. > > > -- > Lighthouse of the Big Bend > Guiding People Through Vision Loss > 3071 Highland Oaks Terrace > Tallahassee, FL 32301 > (850) 942-3658 > www.lighthousebigbend.org > Check out the TABI resource web page at > http://acorange.home.comcast.net/TABI > and please make suggestions for new material. > > > > if you'd like to unsubscribe you can do so through the freelists.org web > interface, or by sending an email to the address > tabi-request@xxxxxxxxxxxxx > with the word "unsubscribe" in the subject. > > Check out the TABI resource web page at > http://acorange.home.comcast.net/TABI > and please make suggestions for new material. > > > > if you'd like to unsubscribe you can do so through the freelists.org web > interface, or by sending an email to the address > tabi-request@xxxxxxxxxxxxx with the word "unsubscribe" in the subject. > Check out the TABI resource web page at http://acorange.home.comcast.net/TABI and please make suggestions for new material. if you'd like to unsubscribe you can do so through the freelists.org web interface, or by sending an email to the address tabi-request@xxxxxxxxxxxxx with the word "unsubscribe" in the subject. Check out the TABI resource web page at http://acorange.home.comcast.net/TABI and please make suggestions for new material. if you'd like to unsubscribe you can do so through the freelists.org web interface, or by sending an email to the address tabi-request@xxxxxxxxxxxxx with the word "unsubscribe" in the subject.