Tier 1 Readiness Form

Select Yes or No For Each Item Below

An agency strategic plan (action plan) exists that includes agency-wide expectations (i.e., behavior, agency culture, data collection to identify "are we doing it? Is it working") as one of the top agency goals
An Agency Implementation Team (A-Team) is formed and has broad representation of stakeholders
Administrator who is responsible for making program decisions is an active participant on A-Team and agrees to attend all team meetings and workshops
Administrator commits to Tiered Supports and is aware that Tiered Supports is a years-long process that requires ongoing training and revisions of the agency's Action Plan
At least 80% of staff and administration are interested in implementing Tiered Supports
Agency has started a process for identifying an individual at the supervisory level as the lead coach contact or Coordinator
Agency supervisors have been designated as Coach(es) and are identified to recieve additional training and actively participate in ongoing coaching and data collection of their staff's skill implementation
Agency is committed to development of an efficient data collection, tracking, and aggregation system
Agency is committed to sharing data components at least monthly with A-team and DMH-DD

Next Steps

Are you interested in setting up a consultative meeting? (if you answered yes, you will be asked to provide additional information
​​​​​​​Are you interested in learning more about the Value Based Payment Incentives for Tiered Supports?