Person Centered Planning Survey

July 2018

This survey is being sent to community provider and Independent Service Coordination (ISC) agencies on behalf of the Illinois Department of Human Services/Division of Developmental Disabilities (DDD). It is both voluntary and confidential. The information collected will be used to enhance the Person Centered Planning guidelines and documents.

We appreciate your input.

Question Title

* 1. What is your role within your organization?

Provider Agency Executive Director

Provider Agency Manager/Provider Agency QIDP

Self Directed Assistant

ISC Agency Executive Director

ISC Agency Program Manager

ISC Agency QIDP/Case Manager

Other (please specify)

Question Title

* 2. What additional information do you need about the Discovery Tool and process?
[The Discovery process is facilitated by ISC agencies and is designed to gather information about what’s important to and for a person. The information is recorded in the Discovery Tool.]

Please select all that apply:

How to complete the Discovery Tool

My role in the Discovery process

Time frames for completing the Discovery process

DDD written policy on the Discovery process

Federal Guidelines on the Discovery process

None

Other (please specify)

Question Title

* 3. What additional information do you need about the Personal Plan and process?
[The Personal Plan is the single, comprehensive vision for a person’s life.]

Please select all that apply:

How to complete the Personal Plan

My role in the development of the Personal Plan

Time frames for completing the Plan

Time frames and requirements for signatures on the Plan

DDD written policy on the Personal Plan process

How to develop outcomes

Bureau of Quality Management’s expectations and review process

Federal Guidelines regarding the Plan

None

Other (please specify)

Question Title

* 4. What additional information do you need about Implementation Strategies? [Implementation Strategies are developed by provider agencies and detail how service(s) will be provided.]

Please select all that apply:

The components of an Implementation Strategy

My role in developing an Implementation Strategy

How to address outcomes in the Implementation Strategy

Time frames for completing an Implementation Strategy

Time frames for obtaining signature(s) on an Implementation Strategy

DDD Policy on Implementation Strategies

Bureau of Quality Management’s expectations and review process

Bureau of Accreditation Licensure and Certification expectations and review process

None

Other (please specify)

Question Title

* 1. What is your role within your organization?

Question Title

Question Title

* 3. What additional information do you need about the Personal Plan and process? [The Personal Plan is the single, comprehensive vision for a person’s life.] Please select all that apply:

Question Title

* 4. What additional information do you need about Implementation Strategies? [Implementation Strategies are developed by provider agencies and detail how service(s) will be provided.] Please select all that apply:

Question Title

* 5. What suggestions do you have for strengthening the Person Centered Planning process?

* 3. What additional information do you need about the Personal Plan and process?
[The Personal Plan is the single, comprehensive vision for a person’s life.]

Please select all that apply:

* 4. What additional information do you need about Implementation Strategies? [Implementation Strategies are developed by provider agencies and detail how service(s) will be provided.]

Please select all that apply: