Olmstead Plan Chronology

Department of Administration Governor's Council on Developmental Disabilities
July 1, 2019

2021

January 21, 2021

The Subcabinet met to discuss 2021 Olmstead draft plan amendments, the public input process for the 2021 plan amendments, the Olmstead Implementation Office website, and to hear an update on the Big Six workgroups.

The meeting opened with roll call and a question for Subcabinet members on what piece of President Biden's new COVID Relief Plan best supports their agency as it relates to people with disabilities. Several members mentioned vaccine distribution, including expanding the pool of eligible individuals, and increasing equity in distribution. Others discussed transit, housing and extended health care benefits.

The Subcabinet heard an overview of the Plan amendment process, which included no change to 12 of the 47 goals. The Subcabinet agreed to extend the overall goal date and to reset targets for 20 plan goals. Of those 20, 10 were reset to continue progressing from the current target, while 10 were reset based on current performance. The Subcabinet agreed to extend the overall goal date in order to achieve current targets for seven goals, and eight goals were discontinued or would continue to be monitored. The amendments were accepted and will be posted for public comment.

The December 21, 2020 Subcabinet meeting included highlighted 12 goals due to their importance or due to their lack of sufficient progress.

Transition Services 2 (Awaiting discharge from AMRTC) and Transition Services 3 (Leaving MSH to integrated setting ): goals are being adjusted.
Employment 1 (VRS/SSB employed), Employment 2 (Medicaid recipients employed), and Employment 3 (students employed): the goals are being extended and the targets reset.
Education 1 (Integrated classroom): new strategies are being added to this goal.
Positive Supports 3 (Reports of mechanical restraints): a new measure is being developed, and will be available in the next round of edits.
Positive Supports 4 (Students restrictive procedures) and Positive Supports 5 (Reports of restrictive procedures): the goals are being extended and targets reset based on new baseline.
Crisis Services 1 (Children stay in community after crisis) and Crisis Services 2 (Adults stay in community after crisis): the goal dates are being extended to achieve the current targets.
Preventing Abuse 4 (Student maltreatment): the goal is being extended and targets reset based on new baseline, and new strategies are being added.

Three public meetings to gather input on the Plan amendments are planned to begin on or around February 22, 2021. The meetings will be hosted on Zoom. Comments will also be collected through the website starting January 28, 2021.

OIO's new website will have pages dedicated to each of the Big 6 workgroups. Meetings will begin in April 2021, with a social media campaign to coincide with the rollout of the workgroups.

The Subcabinet also discussed two questions:

How can we improve the 2022 Olmstead Plan that results in outcomes that reflect the desires of people with disabilities?
How can we improve the 2022 Olmstead Plan to show systemic improvements over time?

Items under improvement for the 2021 Plan that reflect the desires of people with disabilities, subcabinet members talked about a person-centered approach, public understanding and input, using lessons learned from the pandemic in regard to using online tools, and returning to a focus on relationships and integration. Other members mentioned transportation access, wages, equity, and engagement.

As to how to improve the 2022 Plan to show systemic improvements over time, subcabinet members again mentioned lessons that could be learned from changes made during the pandemic, as well as a way to note that while it may be difficult to put some of the office's work into a positive light, there are many places the system is performing better than it used to. Other suggestions included using more general language and creating a broad outline of future plan with more specific information provided on a year-to-year basis.

March 22, 2021

The Subcabinet met to discuss the February 2021 Quarterly Report, raft plan amendments for three measurable goals and review of the 2021 Olmstead Plan, and temporary suspension to the launch of workgroup Adults with Disabilities and the Criminal Justice System.

The meeting opened with roll call and a question for Subcabinet members on what their agency's success will look like in two years as it relates to the Olmstead Plan. Subcabinet members mentioned getting people out of institutions and into their own homes in the community, as well as keeping people in their homes; increased employment, investigation of discrimination complaints, abuse prevention and Crisis Intervention Training, increased wellbeing and a person-centered approach to design and delivery of services.

The subcabinet reviewed and approved the February quarterly report, including data through January 31, 2021. This report included goals related to:

Movement of people with disabilities from segregated to integrated settings (n = 541).
Movement of individuals from waiting lists.
Quality of Life measurement results.
Increasing system capacity and options for integration.

Most of the Olmstead Plan measurable goals (22 of 25) were met, on track to be met, or in process. Notable successes included:

Progress on movement of people with disabilities from segregated to integrated settings
- During the last four quarters, 86 individuals left ICF/DD programs to more integrated settings. This exceeds the annual goal of 72. (Transition Services Goal One A)
- During the last four quarters, 915 individuals with disabilities under age 65 in a nursing facility longer than 90 days moved to more integrated settings. This exceeds the annual goal of 750. (Transition Services Goal One B)
- During the last four quarters, 1,190 individuals moved from other segregated settings to more integrated settings. This exceeds the annual goal of 500. (Transition Services Goal One C)
Timeliness of Waiver Funding Goal One
- There are fewer individuals waiting for access to a DD waiver. At the end of the current quarter 66 percent of individuals were approved for funding within 45 days. Another 27 percent had funding approved after 45 days.
Increasing system capacity and options for integration
- The utilization of the Person Centered Protocols continues to show improvement. During this quarter, of the eight person centered elements measured in the protocols, performance on all elements improved over the 2017 baseline. Five of the eight elements achieved 97 percent or higher. (Person-Centered Planning Goal One)
- The adherence to transition protocol continues to show improvement. During this quarter, 50 percent of case files adhered to transition protocols. (Transition Services Four)
- The number of individuals experiencing a restrictive procedure is lower, at 193 individuals this quarter compared to 210 in the previous quarter. (Positive Supports Goal One)
- The number of reports of use of restrictive procedures is higher, at 702 reports this quarter compared to 650 in the previous quarter. (Positive Supports Goal Two)
- The percentage of students receiving instruction in the most integrated setting increased 0.04 percent to 62.83 percent. (Education Goal One)
- Accessibility improvements were made to 16 accessible pedestrian signals, and 5.6 miles of sidewalks. (Transportation Goal One)
- On-time performance for Greater Minnesota Transit improved to 92.63 percent. (Transportation Goal Four B)
- The number of students experiencing emergency use of restrictive procedures and the number of incidents were greatly reduced, although this was substantially affected by COVID-19 school closures. (Positive Supports Four and Five)
- There were 13 fewer individuals who experienced a repeated abuse or neglect repeat episode. (Preventing Abuse and Neglect Goal Three)

The following measurable goals have been targeted for improvement:

Transition Services Goal Two to decrease the percent of people at AMRTC who no longer meet hospital level of care and are currently awaiting discharge to the most integrated setting.
- Approximately one third of individuals at AMRTC no longer need hospital level of care, including those under a mental health commitment and those who need competency restoration services. Those committed after a finding of incompetency, accounted for approximately 50 percent of AMRTC's census in this quarter. For individuals under mental health commitment, complex mental health and behavioral support needs often create challenges to timely discharge. When they move to the community, they may require 24 hour per day staffing or 1:1 or 2:1 staffing. Common barriers that can result in delayed discharges for those at AMRTC include a lack of housing vacancies and housing providers no longer accepting applications for waiting lists.
Transition Services Goal Three to increase the number of individuals leaving the Minnesota Security Hospital (MSH) to a more integrated setting.
- The St. Peter facility continues to experience increased challenges in discharging individuals to more integrated settings due to the COVID-19 pandemic. At times, community providers are unable to accept new admissions because they are experiencing staffing shortages due to illness or individuals they are currently serving have tested positive for COVID. In addition to community provider's inability to serve new admissions, The St. Peter facility has needed to restrict individual access to the community both in outings and passes. This has resulted in individuals being unable to practice community reintegration skills that are often required by the Forensic Review Panel, the Special Review Board, and/or community providers prior to an individual's discharge. In addition to COVID-related barriers, staff have noted challenges with finding placements that will accept individuals with criminal sexual conduct histories and meet accessibility needs for individuals who use a wheelchair.
Positive Supports Three to reduce the number of reports of emergency use of mechanical restraints with approved individuals.
- Under the requirements of the Positive Supports Rule, in situations where mechanical restraints have been part of an approved Positive Support Transition Plan to protect a person from imminent risk of serious injury due to self-injurious behavior and the use of mechanical restraints has not been successfully phased out within 11 months, a provider must submit a request for the emergency use of these procedures to continue their use. Of the 63 BIRFs reporting use of mechanical restraint in Quarter 1:
  - 40 reports involved auxiliary devices to prevent a person from unbuckling their seatbelt during travel. This is an increase of 12 from the previous quarter. The increase is likely due to people going into the community more frequently as Covid-19 restrictions were relaxed in Minnesota.
  - 23 reports involved use of another type of mechanical restraint. This is a decrease of 33 from the previous quarter. The total number of people who experienced a mechanical restraint decreased by 5 people.
Employment Goal One to increase the number of people receiving VRS and SSB services who are in competitive integrated employment.
- Due to COVID-19, VRS and SSB quickly adjusted services to remote only beginning March 16, 2020 to current. The overall applications for services have significantly decreased during this time period (with a decrease of approximately 4,000 participants expected in FFY21 compared to FFY18) and many persons who are currently served have multiple disabilities including compromised immune systems. Many individuals in services at this time are not comfortable working in the community due to COVID-19 and there has been a significant decrease in new applications for this same reason. This significant impact of decreased new applications and those choosing to postpone employment will affect the next several years.
Employment Goal Four to increase the number of employed peer support specialists.
- As of December 2020, there were 1,289 individuals who had successfully completed the peer training. Though the goal was not met, there was some progress in the number of employed mental health peers in a number of services. Some, but not all, Certified Community Behavioral Health Clinics have peers at their clinics. Peers are also being hired as (non-reimbursable) staff in Community Support programs and a number of housing programs include a peer support specialist. DHS will continue to identify the barriers of employment for certified peer specialists, and possible strategies to address the barriers.
Crisis Services Goal One and Two to increase the number of children and adults who remain in the community after a mental health crisis.
- There has been an overall increase in the number of episodes of children receiving mental health crisis services, and more children being seen by crisis teams. The number of children receiving treatment services after their mental health crisis has increased by more than 30 percent since baseline and by almost 50 percent since December of 2016. While children remaining in the community after crisis is preferred, it is important for children to receive the level of care necessary to meet their needs at the time. DHS will continue to work with mobile crisis teams to identify training opportunities for serving children in crisis, and to support the teams as they continue to support more children with complex conditions and living situations.
- DHS has identified a few trends that might be affecting the number of adults remaining in the community. There has been an increase in individuals being seen in the Emergency Department (ED) for crisis assessments rather than in the community. With more individuals accessing crisis services from the ED there is a likelihood that they may be at a higher level of risk at the time they are seen by the crisis team and therefore more likely to need a higher level of care. There has also been an increase in the number of crisis beds added over the past few years. This allows for adults to be referred to adult residential crisis beds following a crisis rather than remaining in the community.

The Subcabinet reviewed new Plan amendments for three measurable goals for the 2021 Olmstead Plan. These draft amendments were in addition to those the subcabinet reviewed during the January 2021 meeting.

Employment Goal Four was extended and the annual goals reset based on performance in 2020. Between 2019 and 2020 there was a 9 percent decrease, due at least in part to COVID-19. The new targets take into consideration that decline and project 7 percent growth per year from 2020 performance. This amendment replaced the amendment reviewed at the January Subcabinet meeting.
Positive Supports Goal Three is changing to focus on duration instead of frequency of use, as it is believed to be more likely to indicate progress over time. Frequency of use will continue to be collected and reported to provide context.
Preventing Abuse and Neglect Goal Two will now have a baseline established for measure. The annual goals have been reset based on the baseline. Based on the complexity of the measure and the impact of COVID-19, the deadline is being extended for establishing a baseline and annual goals for measure B.

Finally, the Subcabinet discussed the proposed structure and roles of Subcabinet and Executive Committee. The purpose of the restructure is to:

Focusing the Subcabinet meetings on high-level strategy and policy decisions that drive change and continue to adhere to compliance oversight mandates
Giving permission to Agency Leads to create new policy initiatives through workgroups and public engagement
Promoting greater public input into development of the Plan through focused engagement, workgroups, and future Plan amendments

The group discussed a number of items related to the proposed restructure, including how the proposed new structure compares to the original Executive Order and Subcabinet Procedures, and if those will need to change, as well. Other members raised questions of whether moving some responsibilities away from commissioners to others would result in commissioners not having all of the information they need.

April 26, 2021

The Subcabinet met to discuss findings from the Quality of Life Survey, the summary of Plan amendment public comment process, the Olmstead Plan April 2021 Revision, and draft Subcabinet procedures for proposed Subcabinet restructure. The agenda noted two items the Subcabinet had to take action on. Those items were the acceptance of the Quality of Life Survey Report, and approval of the April 2021 Olmstead Plan Revision. There was one item on the agenda postponed to the next Subcabinet meeting, which was the approval of the updated Subcabinet Procedures.

The meeting opened with roll call and a question for Subcabinet members on how should the Subcabinet and individual agencies be thinking about the intersection of disability and race. Meeting minutes did not note any specific answers from Subcabinet members.
The Subcabinet heard a presentation on the second follow-up of the 2020 Quality of Life Report. Survey participants rated 14 areas of quality of life, covering topics such as health, relationships and food, on a scale ranging from "very good" to "very bad." The summary results from the survey are now included in the April 2022 Olmstead Plan Revision beginning on page 106.

The presentation noted results specifically for Black, Indigenous and people of color (BIPOC), as the intersection of race and disability has been of particular interest to the Subcabinet. The survey found BIPOC participants reported lower scores than white participants on average. Black and multiracial survey participants consistently reported lower scores than other groups. The survey found small increases in quality of life for most participants. However, on the second follow-up, Black participants' scores dropped.

There were three findings in the survey that were deemed significant enough to require immediate attention from the Subcabinet:

Review policies that affect people's decision-making: The lack of decision-making power impacts all aspects of people's lives, including relationships, employment and education, and social activities. Minnesota has developed plans to give people more choice and voice in how public dollars are used to support them. However, bureaucratic and resource constraints mean these plans are not consistently implemented or available.
Improve enforcement of access to technology in potentially segregated settings: Provider-imposed restrictions on technology access, including access to the internet, affect people's relationships, access to work, school, and social activities, and safety. Additionally, the State needs to revise minimum technology access requirements to include universal access to the internet.
Strengthen systems that track where people access services: The State has a responsibility to keep people who access services safe and to communicate safety concerns to people and their guardians. The Governor has asked for increased interaction and collaboration between State agencies. Successful collaboration requires data sharing agreements between agencies and data systems that can interact with each other.

The Subcabinet voted 13-0 to accept the Quality of Life Final Report.

The OIO provided a brief overview of the public comment process and reported comments and themes have been similar to what the Subcabinet has seen in recent years. Most comments were asking for increased targets in housing, integrated classrooms, and jobs. Agencies reviewed the comments, and a summary of both public comments and agency responses would be posted on the website.
The Subcabinet also reviewed the changes to the April 2021 Olmstead Plan Revision. There were two items the Subcabinet had not previously reviewed:

Based on public comment, there was a change to Positive Supports 3. The goal was extended and reverted back to using the previous measure.
There was a technical fix to Crisis Services 1 (added 2022 annual goal to align with overall goal).

The Subcabinet voted 13-0 to approve the Olmstead Plan April 2021 Revision with clarifying language.
Draft Subcabinet Procedures for Proposed Subcabinet Restructure was postponed until the next Subcabinet Meeting, to be held on July 26, 2021.

June 28, 2021

The Leadership Forum met to review the following items:

Roles and responsibilities
Proposed charter
Proposed meeting schedule
Establishing measurable goals
May 2021 quarterly report

The group also recommended and nominated chairs.

The Olmstead Subcabinet Workgroup Charter for the Leadership Forum described the group's responsibilities under the workgroup purpose/objective:

The Olmstead Leadership Forum will have the following responsibilities:

A Leadership Forum will be convened to carry out designated responsibilities of the Subcabinet.

The Leadership Forum will include from each agency, a designee with decision-making authority.
The Leadership Forum will review performance results for every Olmstead goal, review reports from workgroups, review public input to amend the Olmstead Plan and prepare recommendations to be considered by the Subcabinet.
The Leadership Forum will have a charter to include information such as membership, alternative members, scope of duties, meeting frequency, and meeting minutes.

The Subcabinet delegates the responsibilities below to the Leadership Forum:

Work to identify and address barriers to providing services and meaningful opportunities within the most integrated settings for persons with disabilities throughout Minnesota;
Work to identify and address areas of disparity in opportunities for individuals with disabilities including individuals from racial and ethnic communities. The desired outcome is the opportunity to live, work, and engage in the most integrated settings; and
Provide ongoing recommendations for further amendment of the Olmstead Plan.

The Leadership Forum reviewed a draft of the May 2021 Quarterly Report, which covers 13 annual measurable goals. Of those goals, six were met or on track to be met, four were in process, and three were not on track to be met.

Progress was made on movement of people with disabilities from segregated to integrated settings, timeliness of waiver funding for Goal One, and increasing system capacity and options for integration. Two goals were targeted for improvement, Transition Services Four to adhere to transition protocol for individuals experiencing a transition, and Positive Supports Three to reduce the number of reports of emergency use of mechanical restraints with approved individuals.

July 2021

The Olmstead Subcabinet met on July 26, 2021, to discuss a number of items, including draft procedures for a proposed restructuring of the Subcabinet, draft Leadership Forum charter, the nomination of chairs for the Leadership Forum, a proposed meeting schedule, a draft of the May 2021 quarterly report, and priority topics for upcoming meetings.

The Director's Report covered increases in public engagement on the website and through social media and the launch of workgroups (data collection practices; prevention of abuse and neglect; workforce shortage and people with disabilities; affordable, safe and accessible housing; and juvenile justice and special education) and the leadership forum.

The Subcabinet reviewed and approved changes to the Subcabinet Procedures made to align with the proposed restructure of the Subcabinet.

As the Leadership Forum did in June 2021, the Subcabinet reviewed the roles and proposed charter for the Leadership Forum, as well as a proposed meeting schedule for both the Subcabinet and Leadership Forum for 2022.

The Subcabinet reviewed for approval a draft of the May 2021 Quarterly Report. The report covers 13 annual measurable goals. Nearly half of those goals (six) were met or on track to be met, four were in process, and three were not on track to be met.

For movement of people with disabilities from segregated to integrated settings:

37 individuals left ICF/DD programs for more integrated settings, which was more than half of the annual goal.
123 individuals with disabilities younger than 65 in a skilled nursing facility for more than 90 days moved to more integrated settings, which represents 16 percent of the annual goal.
259 individuals left segregated settings for more integrated settings, representing more than half of the annual goal.
Less than one-quarter of people at AMRTC no longer need hospital level of care and are waiting to be discharged to the most integrated setting, ahead of the annual goal of less than 30 percent.

Other goals demonstrating improvement:

There are fewer individuals waiting for access to a DD waiver, with 63 percent of individuals approved for funding within 45 days. More than one-quarter had funding approved after 45 days.
Increasing system capacity and options for integration also showed improvement, with fewer restrictive procedures, and increased and improved transit.

Two goals were targeted for improvement, Transition Services Four to adhere to transition protocol for individuals experiencing a transition, and Positive Supports Three to reduce the number of reports of emergency use of mechanical restraints with approved individuals.

August 2021

The Olmstead Leadership Forum met on August 23, 2021. There were no reports to the group from the director or any workgroups. The group heard a presentation on the Leadership Forum charter, which was approved by the Subcabinet at the July 26, 2021 meeting. In the time between the Leadership Forum reviewing the charter at its June 2021 meeting and the Subcabinet meeting, two changes were made to the charter: the first included new language that states the co-chairs will serve a two-year term. The second clarified language regarding engagement activities with communities with the greatest disparities in health outcomes and access to services.

The Leadership Forum voted to approve the May 2021 quarterly report on Olmstead Plan Measurable Goals, and reviewed the August 2021 quarterly report. The August report covered 19 measurable goals, nine of which have been met or are on track to be met, with two in process, and eight goals that were not met or are not on track to be met. Progress is being made on movement of people with disabilities from segregated to integrated settings; timeliness of access to waivers; and increasing system capacity and options for integration. Seven goals were targeted for improvement, covering the following areas:

transition services
positive supports
transportation
employment
crisis services
community engagement.

Finally, the Leadership Forum heard a presentation on the results of the 2020 Quality of Life Survey, which the Subcabinet accepted in April 2021.

September 2021

The Leadership Forum met to hear an overview of the Plan Amendment Process, which included reviewing key elements of the Plan; identifying potential risk areas; and providing recommendations to agency leads, Leadership Forum and the Subcabinet.

Progress reports from the five workgroups (Data Collection Practices, Prevention of Abuse and Neglect, Workforce Shortage and People with Disabilities, Affordable, Safe and Accessible Housing, Juvenile Justice and Special Education) were presented to the Leadership Forum, as well. The presentation covered workgroup membership, meeting structure and resources, community input and engagement information, and a summary of June-August meetings for each workgroup. Each group approached their work slightly differently, with activities ranging from admiring the problem(s) the workgroup is tackling, to identifying top priorities for moving forward.

Finally, the Leadership Forum reviewed results from the August 2021 post-meeting survey, which covered areas of interest for future presentations and a number of meeting logistics.

October 2021

The Olmstead Subcabinet met on October 25, 2021, to hear an overview of the Plan Amendment Process as well as progress reports on the Leadership Forum and workgroups. The meeting opened with a roll call and discussion questions, where attendees were asked to highlight one or two accomplishments from the legislative session and how those accomplishments might affect people with disabilities. Accomplishments included a higher threshold in criteria that would allow a person to be placed in a group home, the establishment of a taskforce on eliminating sub-minimum wage, the removal of the Social Security Disability Insurance offset from unemployment insurance, funding for ADA-related work for MnDOT, increases in local public health and tribal health grants, $10.5 million in funding for MDE to buy down the special education cross-subsidy funding for special education, among other accomplishments.

The Subcabinet reviewed the draft Subcabinet Procedures for a proposed restructure of the Subcabinet and a draft of the Leadership Forum Charter and approved both documents.

Nominated chairs for the Leadership Forum Brian Collins (Department of Corrections) and Lisa Harrison-Hadler (Office of the Ombudsman for Mental Health and Developmental Disabilities) introduced themselves to the Subcabinet, and the group reviewed the proposed meeting schedule for upcoming Leadership Forum and Subcabinet meetings.

The Subcabinet reviewed the draft of the May 2021 Quarterly Report, and delegated future reviews of the report to the Leadership Forum. As Leadership Forum had already reviewed the May 2021 report, the Subcabinet voted to accept this report, with subsequent reports to be accepted by the Leadership Forum.

December 2021

On December 6, 2021, the Leadership Forum held a meeting. The first item of note was the introduction of a new co-chair, Curtis Shanklin from the Department of Corrections.

The Leadership Forum reviewed and approved the November 2021 Quarterly Report, which covered 19 total measurable goals. Of those, 11 had been met or were on track to be met. One goal was in process, while seven were not on track or were not met. There were several areas where progress was being made on areas critical to the plan.

Movement of people with disabilities from segregated to integrated settings:

25 individuals left ICF/DD programs for more integrated settings, for a total of 93, which exceeds the annual goal of 72.
180 individuals under age 65 with disabilities in a nursing facility for more than 90 days moved to more integrated settings. The annual goal is 65 percent met after three quarters (488 of 750).
820 individuals moved from other segregated to more integrated settings. That exceeds the annual goal of 500 after three quarters, with a total of 1,548 individuals moving from segregated to more integrated settings.
Forensic Services is moving 7.3 individuals to less restrictive settings per month, which puts this goal of four or more on track to be met.

There are fewer individuals waiting for access to a DD waiver. In the previous year, 66 percent were approved within 45 days. The goal is not on track to be met.

Increasing system capacity and options for integration had several items show improvement in the areas of reducing restrictive procedures used and experienced, more individuals moving to their choice of integrated housing, more finding stable housing upon discharge from a hospital, and a decrease in emergency department visits and readmission rates.

Several goals were targeted for improvement:

Transition Services Goal Two to decrease the percentage of people at Anoka Metro Regional Treatment Center no longer meet hospital level of care and are currently awaiting discharge to the most integrated setting.
Transition Services Four to adhere to transition protocol for individuals experiencing a transition.
Positive Supports Three to reduce the number of reports of emergency use of mechanical restraints with approved individuals.
Employment Goal Two to increase the number of individuals in competitive integrated employment.
Lifelong Learning and Education Goal Two to increase the percent of students with disabilities who enrolled in an integrated postsecondary education setting.

Finally, the group reviewed and voted to approve the 2021 Annual Report on Olmstead Plan Implementation. The annual report compiles the four previous quarterly reports that were reviewed and approved by the Subcabinet or Leadership Forum. There is an amendment process for the plan, which aims to keep the report fresh and targeted, and changes should only be made for good cause. Changes require approval from the Subcabinet.

After a presentation on the document, the group discussed what the agencies were considering for planned amendments. Those recommendations would be drafted after the meeting. The plan featured 39 goals, of which 24 were on track to be met or had been met. One did not meet the overall goal. Nine were not on track and five were in process. Based on the review of the measurable goals over time, compliance recommended 39 measurable goals. Agencies present discussed potential amendments:

Department of Human Services (DHS)

Transition Services Goal 2 – Reset and extend the goal
Transition Services Goal 4 – change the measure used

Department of Employment and Economic Development (DEED)

Employment Goal 1 – begin reporting demographic info by gender, race, and disability type
Continue interagency work with MDE and DHS through E1MN to improve how data is reported

Department of Transportation (DOT)

Transportation 1 – Reset and extend targets

Department of Commerce (DOC)

Looking at goals in areas of accessibility, access to services, and transition planning
Working on gathering data to set baseline for the goal areas for next year
Hope to have output from Juvenile Justice workgroup by next year

Minnesota Department of Veterans Affairs (MDVA)

Gathering data on the primary disabling conditions for the people they serve and best ways to address their needs

Metropolitan Council (METC)

No changes at this time, but they are interested in developing goals that are alternatives to system-wide goals

Minnesota Department of Education (MDE)

Looking at how to measure choice

Department of Public Safety (DPS)

Looking at several areas:

strengthening jail capabilities to properly support detainees with mental illness
ensuring crime victims with disabilities have access to support services
strengthening the ability of domestic violence shelters to provide service and supports to people with disabilities
increase accessibility to 911 services

Governor's Council on Developmental Disability

Requests that the goals in the Plan use a standard format and baselines and universe numbers updated.