DDD-1406BFORFF (12-17)
Page 2 of 3
PLEASE RESPOND TO EACH OF THE OUTCOMES BELOW
Outcomes
Frequency
Way to measure
Way to measure
Total number of
Percent of members who made a progres-
members who made
sive move to integrated and/or competi-
At least 50% of members who
Total members
a progressive move
tive employment:
participate in the vendor’s Career
served during six
to integrated and/or
(Divide members who made a progressive
Preparation and Readiness Program
Through agency
month period from
Every six
competitive employ-
move to integrated and/or competitive em-
over a one (1) year period will make
tracking records
January to June:
months
ment from January
ployment by total members served during six
successful progressive moves to
and reports
to June:
month reporting period.)
integrated and/or competitive em-
ployment.
1
0.00%
Members participating in the Qual-
Total number of
Percent of members who made a progres-
ified Vendor’s Career Preparation
Total members
members who made
sive move to integrated and/or competi-
and Readiness program shall be
served during twelve
a progressive move
tive employment:
fully engaged in one or more of the
month period from
to integrated and/or
(Divide members who made a progressive
Through agency
employment- related activities iden-
Every six
January to Decem-
competitive employ-
move to integrated and/or competitive em-
tracking records
tified in the Program Development
months
ber:
ment from January
ployment by total members served during
and reports
section of the Service Requirements,
to December:
twelve month reporting period.)
as documented in the member’s
Individual Support Plan and Individu-
1
0.00%
alized Training Agreement
QUALIFIED VENDOR ADMINISTRATOR / DESIGNEE’S NAME (Print)
QUALIFIED VENDOR ADMINISTRATOR / DESIGNEE’S TITLE
QUALIFIED VENDOR ADMINISTRATOR / DESIGNEE’S SIGNATURE
DATE