ROUGH DRAFT --09-14-11, Outcome Measures for Centers for Independent Living – An IL NET Resource Presented by ILRU >> Kelly Buckland: , OKAY, WELL, GOOD AFTERNOON, EVERYBODY. WE'LL COME BACK INTO SESSION. AND WE'RE STARTING ACTUALLY A LITTLE BIT LATE SO WE APOLOGIZE FOR THAT. I'M KELLY BUCKLAND, THE DIRECTOR OF THE NATIONAL COUNCIL ON INDEPENDENT LIVING. I HAVE THE PLEASURE OF INTRODUCING LYNNAE RUTLEDGE, THE COMMISSION OF THE REHABILITATION SERVICES ADMINISTRATION. LYNNAE AND I HAVE KNOWN EACH OTHER FOR A LOT OF YEARS. WE'VE BEEN NEIGHBORS. I WAS IN IDAHO, SHE WAS IN OREGON AND WASHINGTON. WE SPENT A LOT OF TIME TOGETHER DOING A LOT OF THINGS ON BOTH INDEPENDENT LIVING AND DBTAC STUFF. THE DISABILITY BUSINESS TECHNICAL ASSISTANT CENTER STUFF ON THE ADA. SO WE'VE HAD A LOT OF OPPORTUNITIES TO WORK TOGETHER OVER HERE IN THE PACIFIC NORTHWEST. NOW WE'RE BOTH IN D.C., SO AGAIN, WE'RE NEIGHBORS. SO WE HAVE A LOT OF OPPORTUNITIES TO GET TOGETHER AND WORK TOGETHER IN D.C., TOO. IT'S BEEN A REAL PLEASURE. LYNNAE, IF YOU DON'T KNOW, HAS BEEN INVOLVED IN REHAB FOR A VERY LONG TIME AND HAS BEEN THE DIRECTOR OF THE CENTER FOR INDEPENDENT LIVING SO SHE DOES KNOW. SHE'S JUST AN ALL-AROUND GREAT PERSON, I REALLY APPRECIATE LYNNAE AND HAVE A GREAT WORKING RELATIONSHIP WITH HER. IT'S GREAT TO HAVE SOMEBODY WHO UNDERSTANDS OUR ISSUES AND LISTENS TO US. WITH THAT, I'LL TURN IT OVER TO LYNNAE. [APPLAUSE] >> Lynnae Rutledge: I HAVE A MICROPHONE ON, AND I'M USUALLY THE ONE WHO KIND OF SINGS AND DANCES. I USUALLY DON'T HAVE A MICROPHONE THAT'S STANDING IN FRONT OF ME, BECAUSE I CAN'T SING AND DANCE IF YOU HAVE TO HOLD ON TO THING. FIRST OF ALL, LET ME WELCOME TO YOU MY HOMETOWN! I LIVE IN THE PORTLAND AREA, I USED TO LIVE ACROSS THE RIVER IN VANCOUVER. AS KELLY WAS SAYING, IN MY CAREER I HAD A CHANCE TO BE THE DIRECTOR OF A CENTER FOR INDEPENDENT LIVING BACK IN MICHIGAN. PROBABLY BEFORE SOME OF YOU WERE BORN BUT THAT'S OKAY. WE NEED NEW BLOOD IN OUR MOVEMENT. BUT WHEN I WAS THE DIRECTOR AT 95 THE LANSING CENTER FOR INDEPENDENT LIVING, IN THE LATE 1970S, EARLY 1980s, I HAD A CHANCE TO BE A COLLEAGUE AND FRIEND AND HERE WITH [INAUDIBLE]. SO MY COMMITMENT TO INDEPENDENT LIVING AND MY CONNECTION TO INDEPENDENT LIVING GOES BACK TO THE TIME WHEN THE FIRST DOLLARS WERE AVAILABLE ON THE FEDERAL LEVEL FOR CENTERS. WELL, SINCE THEN, IF YOU CAN'T OF FAST-FORWARD MORE THAN 30 YEARS, WE'VE GROWN AS A MOVEMENT. WE'VE GROWN IN TERMS OF FUNDING SOURCES. WE'VE GROWN IN TERMS OF OUR ABILITY TO IMPACT THE LIVES OF PEOPLE WITH DISABILITIES IN OTHER COMMUNITIES. BUT I THINK IT'S TELLING THAT THIS IS ONE OF THE FIRST TIMES THAT WE'RE NOW GETTING TOWING TALK ABOUT OUTCOMES. BUT I REALLY APPRECIATE AND VALUE THAT PEOPLE HAVE COME TOGETHER BOTH TO BE HERE IN PORTLAND, BUT ALSO TO BE JOINING US BY WEBCAST. BECAUSE THE DISCUSSION THAT WE'RE HAVING, AND THE WORK THAT YOU'RE DOING, AND HELPING US DO -- AND I MEAN US, THE COMMUNITY OF INDEPENDENT LIVING I DON'T MEAN US, THE DEPARTMENT OF EDUCATION. I MEAN US, THE COMMUNITY, IS REALLY IMPORTANT WORK ON MANY, MANY DIFFERENT LEVELS. I HAVE SOME PREPARED REMARKS. MY PLAN IS TO TALK FOR ABOUT 20 MINUTES OR SO, AND THEN I'D LIKE TO JUST OPEN IT UP FOR QUESTIONS, OR MORE IMPORTANTLY, JUST COMMENTS. SO LET ME FIRST START BY SAYING THAT I LOVE IT WHEN JULIE'S IN THE ROOM WITH ME. 96 JULIE KEEPS US ALL HONEST, RIGHT? WHEN SHE WAS TALKING ABOUT EXPERIENCE FOLKS HAD WITH THE REHABILITATION SERVICES ADMINISTRATION WHEN WE HAD REGIONAL OFFICES, I FIELD LIKE I NEED TO APOLOGIZE FOR PAST SINS. I DON'T THINK IT WAS EVER OUR INTENT TO SEND A MESSAGE TO YOU THAT SAYS, YOU AS A CENTER FOR INDEPENDENT LIVING ARE SOLELY RESPONSIBLE FOR THE OUTCOMES OF INDEPENDENCE FOR PEOPLE WITH DISABILITIES. I HAVE TO TELL YOU THAT AS THE SPOKESPERSON FOR THE OBAMA ADMINISTRATION ON VOCATIONAL REHABILITATION AND INDEPENDENT LIVING, AS A COMMISSIONER OF THE REHABILITATION SERVICES ADMINISTRATION, IT'S NOT UNLIKE QUESTIONS THAT I GET WHEN WE ALSO LOOK AT THE HARRIS SURVEY, AND WE SEE, SO WHAT'S THE IMPACT OF THE ADA? WHAT'S THE EMPLOYMENT RATE OF PEOPLE WITH DISABILITIES? SO, WHY HAVEN'T WE MOVED THE BAR WHEN WE HAD LANDMARK INTERNATIONALLY RECOGNIZED LANDMARK LEGISLATION. AND VOCATIONAL REHABILITATION? YOU CONTINUE TO GET RESOURCES EVERY YEAR, RSA, WHY ISN'T THE EMPLOYMENT RATE OF PEOPLE WITH DISABILITIES IMPROVING? SO I FEEL YOUR PAIN. I KNOW WHEN PEOPLE ASK YOU OR MACON REASONABLE COMMENTS, IT PUTS YOU ON THE DEFENSIVE. PLEASE DON'T THINK THAT'S WHY I'M HERE. I REALLY WANT TO TALK WITH YOU ABOUT WHAT I SEE AS THE RELEVANCE OF THE WORK THAT YOU'RE DOING, AND HOW I THINK IT'S RELEVANT ON A BROADER SCALE, NOT JUST FOR CENTERS FOR INDEPENDENT LIVING. 97 I WANTED TO FIRST TELL YOU THAT I THINK THAT THE FOCUS OF THIS CONFERENCE IS BOTH TIMELY AND RELEVANT. IT IS SIMILAR TO CONVERSATIONS THAT WE'VE HAD IN VOCATIONAL REHABILITATION. WE HAD WHEN I WAS THE DIRECTOR, AS KELLY WAS SAYING, OF THE PACIFIC NORTHWEST DISABILITY AND BUSINESS TECHNICAL ASSISTANCE CENTER, DBTAC, WE WERE GOING THROUGH THE VERY SAME KIND OF INTROSPECTION OF LOOKING AT OURSELVES, AND TALKING ABOUT WHAT'S OUR RELEVANCE? WHAT KIND OF IMPACT DO WE HAVE AS A DBTAC CENTER, SERVING A REGION, WHEN INDEED, WE'RE NOT ALL OF THE WORK THAT'S BEING DONE RELATED TO PEOPLE UNDERSTANDING THEIR RIGHTS AND THEIR RESPONSIBILITIES UNDER THE ADA. SO WE ALSO WENT THROUGH A VERY SIMILAR PROCESS OF DOING A LOGIC MODEL, WHICH IS IN AND OF ITSELF KIND OF COUNTER-INTUITIVE. IT REALLY DOES HELP YOU START TO SAY, KEEP THE END IN MIND AND START FROM THERE. SO WHAT IS IT THAT WE WANT TO ACHIEVE? AND THEN, WHAT ARE THE THINGS THAT WE NEED TO DO, SO THAT WE MAKE THOSE STEPS TO ACHIEVE THOSE GOALS? SO I REALLY APPRECIATE AND VALUE THAT THE FOLKS THAT ARE HERE ARE THE ONES WHO HAVE BEEN INVOLVED IN THAT INITIAL STAGE, TO BE ABLE TO SAY, CAN WE BUILD AN ENVIRONMENT THE TRUST WITH CENTERS FOR INDEPENDENT LIVING, AND AN ENVIRONMENT OF CONFIDENCE THAT THE INFORMATION THAT YOU DO GATHER WILL HELP TO TELL OUR STORY BETTER. I THINK THAT'S WHERE YOU'RE AT IN THAT JOURNEY. 98 IT'S A LONG JOURNEY. THIS ISN'T ONE THAT'S GOING TO BE, OKAY, SO WE DID THE TEST AND WE'RE GOING TO HAVE SOME BENCHMARKS AND WE'RE GOING TO KNOW WHAT OUR BASELINE IS, AND THEN WE'LL FIGURE OW WHERE IT IS THAT WE WANT TO GO. I MEAN, THIS IS A PROCESS I THINK IS ONE THAT IS OF VALUE TO THE WORK THAT YOU DO, AND OF VALUE TO THE WORK THAT WE ALL WANT TO DO. IT'S GOING TAKE SOME TIME. I'M GOING URGE YOU TO HAVE PATIENCE AS WE KIND OF PUZZLE THROUGH A LOT OF REALLY TOUGH QUESTIONS. I THINK THAT TOGETHER -- AND I MEAN THIS AS THE BROADER COMMUNITY -- TOGETHER WHAT WE'RE ABOUT IS BEING ABLE TO STRENGTHEN AND IMPROVE PROGRAMS FOR PEOPLE WITH DISABILITIES. AND I THINK THAT THE QUESTIONS THAT YOU'RE ASKING AND THE WAYS THAT YOU'RE GOING ABOUT IT WILL HELP US ALL BE ABLE TO TELL OUR STORY BETTER. IT'S NOT JUST THE STORY THAT'S TOLD AT THE LOCAL LEVEL, AND NOT JUST A STORY THAT'S TOLD AT THE STATE LEVEL. AND TO BE VERY HONEST, IT'S NOT JUST A STORY THAT IS TOLD AT THE NATIONAL LEVEL. THIS IS AN INTERNATIONAL MOVEMENT OF ASSURING THAT OUR COMMUNITIES ARE MORE ACCESSIBLE, AND THAT PEOPLE WITH DISABILITIES HAVE BOTH THE RIGHTS AND RESPONSIBILITIES AROUND BEING ABLE TO ACHIEVE AND MAINTENANCE. AND THAT YOU HAVE, AS RESPONSIBILITY, AS A CENTER FOR INDEPENDENT LIVING, THE SENSE THAT YOU'RE THE VOICE AND CONSCIOUS OF YOUR COMMUNITIES, BUT YOU'RE BLENDING THAT WITH A 99 VOICE AND CONSCIOUSNESS THAT'S REALLY GLOBAL. I WANT US TO ALWAYS KEEP THAT BROADER PICTURE IN MIND. FROM A U.S. DEPARTMENT OF EDUCATION REHABILITATION SERVICES ADMINISTRATION, WE HAVE A STRUCTURE -- AND I KNOW THERE'S LOTS OF CONCERN ABOUT THE 704 -- BUT WE HAVE A STRUCTURE IN PLACE TO BE ABLE TO HELP COLLECT DATA AND HELP TELL A STORY. WE HAVE AT A STATE LEVEL, STATE PLANS FOR INDEPENDENT LIVING. WE KNOW THAT WE HAVE OTHER FEDERAL PARTNERS AND FOLKS WERE MENTIONING THIS EARLIER, THAT IF YOU'RE RECEIVING FUNDS FROM HUD, YOU'RE RECEIVING FUNDS FROM OTHER FEDERAL AGENCIES, YOU OFTEN HAVE ACCOUNTABILITY AND DATA SEAMS REPORTING THAT YOU DO. HE I WOULD ENCOURAGE US TO THINK MORE BROADLY ABOUT HOW THOSE PIECES ALL COME TOGETHER TO TELL OUR STORY. IF WE START TO LOOK AT IT, WE'RE MAKING AN IMPACT, IT'S NOT JUST IN A CENTER FOR INDEPENDENT LIVING. IT'S WITH OUR COLLEAGUES AND OUR PARTNERS AT FEMA, WHO ARE LOOKING AT EMERGENCY RESPONSE. AND THEY ARE VERY INTERESTED IN KNOWING AND BEING ABLE TO CONNECT WITH WHAT YOU DO AND WHAT CENTER FOR INDEPENDENT LIVING DO. THEY ARE TRYING TO TELL THEIR STORY. AGING AND DISABILITY RESOURCE CENTERS HAVE A PRETTY LARGE BUCKET OF RESOURCES. AND A BROAD SCOPE OF WHAT THEY WERE DESIGNED TO BE ABLE TO IMPACT. AND THERE ARE TIMES WHEN THE CONVERSATIONS WE HAVE AT THE 100 FEDERAL LEVEL AND AT THE NATIONAL LEVEL, WE HAVE TO KEEP REMINDING THEM THAT THERE IS A D IN ADRC, AND THAT TOGETHER WE'RE SUPPOSED TO BE LOOKING AT WHAT IS IT WE'RE DOING AS A COMMUNITY. BUT THEY ARE ALSO A PIECE TO THE PUZZLE THAT'S GOING TO BE LOOKING AT IMPACT. WE KNOW THAT YOUTH WITH DISABILITIES ARE THE LIFEBLOOD OF THE FUTURE. WHAT WE DO. AND THE WORK THAT YOU DO WITH YOUTH, WITH LEADERSHIP PROGRAMS, WITH MENTORING, WITH PEER SUPPORT, WITH INDEPENDENT LIVING SKILLS TRAINING, WITH CONNECTIONS TO SCHOOLS AND CONNECTIONS IN THE COMMUNITY ARE VITALLY IMPORTANT. AND WE NEED TO TELL THAT STORY BETTER. SO I LAY ALL OF THAT OUT TO YOU TO JUST HELP RECOGNIZE THAT THE WORK THAT YOU DO IS A PIECE TO A LARGER PUZZLE. AND THAT TOGETHER WHAT IT TELLS US IS WHETHER OR NOT WE AS A COUNTRY ARE FULFILLING WHAT THE TEN NETS OF THE AMERICANS WITH DISABILITIES ACT REQUIRES OF US. AND WHETHER OR NOT WE'RE GOING TO SEA BETTER FUTURE FOR NOT JUST US, BUT FOR FUTURE GENERATIONS. THAT, TO ME, IS WHAT'S MORE AT STAKE. I RESPECT THAT THERE ARE TIMES WHEN THE DATA COLLECTION THAT WE REQUIRE HAS DISCONNECTS. I RESPECT THAT THE WORK THAT YOU DO AT A LOCAL LEVEL, YOU HAVE MANY DIFFERENT PARTNERS THAT YOU'RE SHARING INFORMATION WITH. AND THEY ALL HAVE VARIOUS REPORTING REQUIREMENTS AND VARYING PERSPECTIVE BUSY WHAT THE GOALS ARE AND WHAT THE IMPACT IS FOR THE WORK THAT YOU 101 DO. EACH ONE OF YOU HAS DIFFERENT COMMUNITIES AND DIFFERENT CONSUMERS THAT RELY UPON ALL OF US TO FIGURE ALL THAT OUT. SO I LAY OUT TO YOU THAT I THINK THAT OUTCOMES ARE A CRITICAL COMPONENT OF HOW WE'RE GOING TO BE ULTIMATELY JUDGED BY FUNDING SOURCES, BY DECISION-MAKERS, WHETHER THAT'S THE SUPER COMMITTEE THAT'S GOING TO BE MAKING DECISIONS ABOUT OUR COUNTRY, OR WHETHER IT'S A LOCAL CITY COUNCIL THAT MAKES DECISIONS ABOUT LOCAL LEVEL FUNDING. SO THE WORK YOU'RE DOING I THINK IS GOING TO HELP US DEMONSTRATE EFFECTIVENESS TO A WHOLE VARIETY OF STAKEHOLDERS. FOR THOSE OF US WHO ARE COMMITTED TO INDEPENDENT LIVING, THE MOST IMPORTANT STAKEHOLDER THAT IS PERSON WITH THE DISABILITY. THE PERSON WHO COMES TO YOU WHO HAS GOALS AND ASPIRATIONS, AND HOPES, AND COMES TO YOU FOR SERVICES AND CONNECTION TO RESOURCES, AND FOR THE ABILITY TO LEARN TO BE ADVOCATES, TO DEMONSTRATE L ADVOCACY SKILLS, TO DO SYSTEMS ADVOCACY AS WELL AS INDIVIDUAL ADVOCACY, AND TO BE ABLE TO CREATE FOR THEMSELVES A BETTER FUTURE. SO I THINK IT'S DEMONSTRATING THE EFFECTIVENESS TO THOSE KEY STAKEHOLDERS. OUTCOMES HELP US BETTER MANAGE LIMBED RESOURCES. IT TELLS US WHETHER OR NOT THE DOLLARS WE'RE COMMITTING TO CERTAIN PROGRAMS OR APPROACHES ARE GIVING US THE RETURN ON THE INVESTMENT THAT WE INTENDED. WE I THINK, FROM A DEPARTMENT OF EDUCATION, REHABILITATION SERVICES ADMINISTRATION 102 PERSPECTIVE, CONTINUALLY HAVE AND ARE CHALLENGED TO LOOK AT THIS, NOT JUST BY OURSELVES, BUT BY CONGRESS AND BY THOSE FOLKS AT THE NATIONAL AND INTERNATIONAL LEVEL WHO THE IN TO SAY, SO HOW ARE YOU DOING THAT HERE IN THE UNITED STATES? AND WHERE ARE YOU GOING WITH WHAT YOU HAVE AVAILABLE? AND WHAT CAN THAT TELL US AND THE GLOBAL COMMUNITY OF PEOPLE WITH DISABILITIES? SO I THINK BEING ABLE TO PUT THOSE PIECES TOGETHER WITH STAKEHOLDERS AND FUNDERS AND DECISION-MAKERS, IS WHAT A FOCUS ON OUTCOMES CAN GIVE US. ONE OF THE THINGS, AS I WAS READING SOME OF THE CORPORATION MATERIALS FOR YOUR CONFERENCE, WAS -- AND THIS PROBABLY CAME FROM BOB MICHAELS, HOW CAN WE TELL OUR STORY BETTER? I THINK THAT'S REALLY WHAT A FOCUS ON OUTCOME CONSIST ALLOW US TO DO. AND SOMETIMES WE CAN TELL OUR STORY WITH DATA. BUT A LOT OF TIMES THE STORY WE NEED TO TELL IS AT A PERSONAL LEVEL. I WILL ALWAYS ENCOURAGE US TO USE DATA TO HELP MAKE BETTER DECISIONS, BUT RECOGNIZE THAT THERE IS A DYNAMIC OF BEING ABLE TO TELL THE STORY OF WHAT THE IMPACT WAS THAT YOU HAVE ON THE LIVES OF PEOPLE WITH DISABILITIES AND THEIR FAMILIES AND THEIR COMMUNITIES THAT REALLY MADE A DIFFERENCE. AND SOMETIMES YOU CAN SEE THAT FROM THE DATA. BUT SOMETIMES IT'S FROM THOSE INDIVIDUAL STORIES. I ENCOURAGE ALL OF US TO THE IN TO KEEP OUR FOCUS ON NOT JUST THE DATA PIECE, BECAUSE THE DATA PIECE IS IMPORTANT, AND MANY 103 TIMES PEOPLE REALLY JUST WANT THE CLIFF NOTES. BUT TELLING THE STORY AND BEING ABLE TO HEAR FROM THE PEOPLE THAT YOU TOUCHED THEIR LIVES, AND WHAT THE IMPACT WAS AS A RESULT OF THE SERVICES THAT YOU DELIVERED IS REALLY IMPORTANT. AS I WAS LISTENING TO SOME OF THE PRESENTATIONS EARLIER THIS MORNING, ONE OF THE THINGS THAT WAS STRIKING TO ME WAS TO REMEMBER HOW MANY TIMES WE'VE DONE EITHER AT THE DBTAC OR IN THE V.R. AGENCY OR THE CENTER FOR INDEPENDENT LIVING, WE'VE DONE CUSTOMER SATISFACTION SURVEYS AND WE'VE CALLED PEOPLE AND WE KNOW WE'VE MADE A POSITIVE IMPACT IN THE LIFE OF THIS CONSUMER. WE TALK TO THEM AND THEY DON'T KNOW WHO WE ARE. IT'S NOT THAT THEY DIDN'T VALUE WHAT WE GAVE THEM, OR THE IMPACT THAT WE HAD ON THEIR LIVES. THEY HONESTLY AT TIMES DO NOT REMEMBER THE NAME OF YOUR ORGANIZATION. THEY DON'T NECESSARILY REMEMBER BECAUSE THEY MAY HAVE BEEN CALLING, THIS WAS AN I&R, THEY MAY HAVE CALLED 15 OTHER PLACES BEFORE THEY FINALLY GOT SOMEONE AT YOUR CENTER WHO WAS ABLE TO ANSWER THEIR QUESTION. AND THEY ARE A THANKFUL FOR THAT AND GRATEFUL FOR THAT AND THEY USE THE INFORMATION. BUT DO THEY NECESSARILY REMEMBER THE NAME OF YOUR ORGANIZATION? NO. AND THAT HAPPENS WITH DBTACs, HAPPENED WITH V.R. AGENCIES, HAPPENS WITH OTHER COMMUNITY NONPROFITS. WHAT WE'VE GOT TO DO IS BE ABLE TO, AS THE FOLKS WERE SAYING THIS MORNING, ASK THE QUESTIONS IN A WAY THAT THEY WILL LEAD TO 104 AN ANSWER WE THINK THAT WE WANT, BUT HELP THAT PERSON CONNECT WITH WHO YOU WERE, AND THE SERVICE THAT YOU PROVIDED. AND THEN FIND OUT WHETHER OR NOT THERE WAS A POSITIVE IMPACT. FIND OUT WHETHER OR NOT THEY USED THE INFORMATION THAT THEY RECEIVED. AND WHETHER OR NOT THEY HAVE NOW EITHER BETTER ACHIEVED THEIR GOALS OR AT LEAST HAVE HEADED THEM IN A BETTER DIRECTION. I RESPECTED WHEN I WAS HEARING, WHAT HAPPENS WHEN WE HAVE A SATISFACTION SURVEY OR SOMEONE CALLS AND THEY DON'T KNOW WHO YOU WERE. IT'S WASN'T THAT WHAT YOU DID WASN'T OF VALUE. BUT THEY MAY NOT NECESSARILY THINK IN THE SAME TERMS WE DO ABOUT NAMES OF ORGANIZATIONS. BUT THEY DO VALUE THE WORK THAT YOU DO. I WOULD LIKE TO CLOSE WITH, URGING US ALL TO TAKE THAT NEXT STEP FROM THE WORK THAT YOU'RE DOING. AND CONTINUE TO HAVE NOT ONLY THE DIALOGUE THAT'S HAPPENING IN THIS ROOM, AND THE DIALOGUE THAT'S HAPPENING WITH THE FOLKS WHO ARE IN THE PROBABLY 80 SITES AROUND THE COUNTRY WHO ARE PARTICIPATING VIA WEBCAST. BUT TO TAKE THE CONVERSATION EVEN BROADER AND TO ENGAGE WITH THE GREATER COMMUNITY OF NOT JUST THE CENTERS FOR INDEPENDENT LIVING THAT PARTICIPATED IN THIS INITIAL PROJECT, BUT THROES THINK ABOUT HOW TO TAKE THIS CONVERSATION FURTHER WITH A WHOLE COMMUNITY OF CENTERS OF INDEPENDENT LIVING. AND HOW DO WE HAVE THAT DIAL LONG THAT KELLY AND I HAVE ON AN INDIVIDUAL BASIS. BUT TAKE THAT TO THE NATIONAL 105 LEVEL OF THE CONVERSATION THAT NEEDS TO HAPPEN BETWEEN THE REHABILITATION SERVICES ADMINISTRATION, BUT ALSO THE OTHER PARTNERS WHO YOU ARE ACTIVELY WORKING WITH, SO WE CAN FIGURE OUT HOW WE BETTER SHARE AND HOW DO WE BETTER TAKE ADVANTAGE OF THE INFORMATION AND THE DIALOGUE THAT YOU'RE HAVING LOCALLY, SO WE CAN BE INFORMED AS A NATIONAL LEVEL. SO I'M GOING STOP THERE. I JUST WANTED TO CLOSE WITH SAYING THAT FOR ME, BEING ABLE TO COME TO ANY EVENT IN PORTLAND, OREGON, IS ALWAYS WONDERFUL BECAUSE IT MEANS I GET TO COME HOME. BUT YOU'RE HAVING A CHANCE TO EXPERIENCE THE COMMUNITY THAT I CALL HOME. YOU'RE HAVING A CHANCE TO EXPERIENCE A COMMUNITY THAT I THINK HAS REALLY COME A LONG WAY IN BUILDING ACCESSIBLE TRANSPORTATION, BUILDING A COMMUNITY THAT'S RESPECTFUL AND ENGAGING AND WELCOMING OF PEOPLE WITH SIGNIFICANT DISABILITIES AND THEIR FAMILIES. BUT MORE IMPORTANTLY FOR ME, IS KIND OF LIKE THE CENTER OF THE UNIVERSE. I DON'T CARE IF IT'S NOT SUNSHINY WHILE YOU'RE HERE. MAYBE THAT'LL KEEP US ALL IN THE BUILDING TOGETHER. IF IT WAS REALLY NICE OUTSIDE YOU'D BE THINKING, I NEED TO GO SHOPPING AT COLUMBIA SPORTSWEAR. I HEARD THERE'S A TOUR AND I CAN GO DOWN BY THE RIVERFRONT AND GET ACROSS SOME OF THE RIVERS AND GO TO THE OTHER SIDE OF THE RIVER. YOUR WORK HERE IS IMPORTANT, I WANT YOU TO STAY INSIDE THE PORTLAND HILTON, AND I DON'T WANT TO SEE ANY OF YOU OUT IN 106 THE STREET ONCE I LEAVE. BUT I DO WANT TO YOU KNOW THAT LITERALLY, THE DOOR IS ALWAYS OPEN IN OUR COMMUNITY. FOR YOU TO COME BACK AND FOR YOU TO FEEL LIKE THIS CAN BECOME YOUR ADOPTED HOME. BECAUSE PORTLAND IS A GREAT PLACE AND I HOPE YOU REALLY ENJOY IT WHILE YOU'RE HERE. THANK YOU VERY MUCH. [APPLAUSE] >> Lynnae Rutledge: SO THOSE ARE MY PREPARED REMARKS. I WOULD REALLY LIKE TO OPEN IT UP TO YOU, FOR EITHER QUESTIONS TO ME, BUT MORE IMPORTANTLY, JUST COMMENTS, AND GIVE ME A SENSE OF WHERE YOU WANT TO SEE THIS CONVERSATION GO. I KNOW THAT THE FACILITIES WE ARE TALKING ABOUT, THAT'S REALLY WHAT YOU'LL BE DOING TOMORROW AFTERNOON. BUT WHERE DO YOU SEE THIS CONVERSATION GOING? AND HOW CAN I AND HOW CAN THE REHABILITATION SERVICES ADMINISTRATION BE A GOOD PARTNER WITH YOU TO MAKE THAT HAPPEN, AND HAVE IT BE EFFECTIVE FOR ALL OF US? LET ME OPEN IT UP FROM THERE. YES. >>> SAY YOUR NAME AND WHERE YOU'RE 41. >>> I'M FROM GEORGIA. >> HOW ARE YOU? >> I'M DOING WELL. >>> I'M JUST CURIOUS ABOUT WHEN YOU GET THE QUESTION ABOUT, AFTER ALL THESE YEARS AND THESE RESOURCES, YOU HAVEN'T FIXED THOSE DETAILED PEOPLE YET? WHAT DO YOU SAY WHEN THAT QUESTION IS ASKED OF YOU ON THE HILL? >> Lynnae Rutledge: TO MYSELF I GO, ARE YOU KIDDING? GET A LIFE. 107 TO THEM I ALWAYS SAY, THIS IS A VERY BROAD PICTURE THAT YOU'RE PAINTING AROUND EMPLOYMENT OR UNEMPLOYMENT OR INDEPENDENT LIVING OF PEOPLE WITH DISABILITIES. AND I'M REALLY PROUD OF THE VERY SMALL PIECE TO THAT THAT I HAVE RESPONSIBILITY AS COMMISSIONER FOR. AND ALWAYS WILLING TO ENGAGE WITH PEOPLE TO SAY, WHAT COULD A BROADER PARTNERSHIP DO TO IMPACT THOSE BROADER GOALS. BUT I'VE HAD EXACTLY THE SAME SENSE OF, IT'S SO UNFAIR TO SAY THAT EMPLOYMENT OF PEOPLE WITH DISABILITIES HASN'T MOVED FORWARD EVEN THOUGH WE'VE CONTINUED TO FUND THE REHABILITATION SERVICES ADMINISTRATION AT THIS WILL HE FEEL FOR THIS MANY YEARS. MY RESPONSE IS TO HELP PEOPLE SEE THAT IT'S A BIGGER PICTURE THAN THE ONE PIECE THAT WE HAVE. TO TALK ABOUT WHAT OUR ROLE 1ST THE PLACE THAT WE ARE IN THAT, BUT ALSO THAT WE ALWAYS SEE OURSELVES AS PART OF A BIGGER SOLUTION. AND I ALWAYS ENCOURAGE PEOPLE TO THINK ABOUT HOW DO WE BRING MORE OF THOSE PARTNERS TOGETHER TO, BE ABLE TO ANSWER THAT QUESTION BETTER. I ALWAYS APPLAUD WHEN SOMEONE LIKE TOM HARKIN GOES TO THE U.S. CHAMBER OF COMMERCE AND SAYS TO THE U.S. CHAMBER OF COMMERCE, RIGHT NOW TODAY, LITERALLY A MONTH AND A HALF AGO, RIGHT NOW TODAY WE HAVE 4.9 MILLION PEOPLE WITH DISABILITIES WHO ARE EMPLOYED. I WANT TO SEE THAT -- THIS IS TOM HARKIN -- I WANT TO SEE THAT GET TO OVER 6 MILLION PEOPLE IN THE NEXT FOUR YEARS. BY 2015 I WANT TO SEE MORE THAN 108 6 MILLION PEOPLE EMPLOYED. WHAT YOU ARE, THE U.S. CHAMBER OF COMMERCE, GOING TO DO FOR US TO MAKE THAT HAPPEN? IT'S THOSE KINDS OF BROADER CONVERSATIONS WHERE WE CLEARLY SAY, IT'S NOT ABOUT, OH, WOE IS US, IT'S REALLY TOUGH, PEOPLE ARE HAVING A HARD TIME GETTING A JOB. I KNOW THE MOVEMENT, THE MOVEMENT HAS MADE THE KIND OF PROGRESS THAT WE WANT. WE NEED TO CHALLENGE PEOPLE TO STEP UP TO THE PLATE AND SAY WHAT, COULD WE BE DOING DIFFERENTLY AND BETTER TO ACTUALLY MOVE THAT. THAT'S THE WAY I'VE BEEN RESPONDING TO IT. THANK YOU. OTHER QUESTIONS OR COMMENTS? YOU'RE ALL SO DAZZLED WITH WHAT I HAD TO SAY. I'M GOING TO BE AT THE NIKL BOARD MEETING ON THURSDAY SO I'M SURE I'M GOING TO GET A LOT MORE QUESTIONS FROM THEM. >> THANK YOU, COMMISSIONER. I WANT TO GO BACK TO THE ISSUE YOU JUST RAISED OF EMPLOYMENT BECAUSE I THINK IT REALLY IS IMPORTANT. WE'VE BEEN IN THIS FIELD MANY OF US FOR MANY, MANY YEARS AND ARE OFTEN FRUSTRATED THAT THE NUMBERS DON'T WORK. DO YOU HAVE ANY SENSE WITH YOUR BACKGROUND AND EXPERIENCE, THAT THERE ARE BIG PIECES THAT WE MIGHT BE MISSING, THAT THERE ARE THINGS WE HAVEN'T TRIED AT ANY LEVEL THAT YOU MIGHT SAY TO YOURSELF, YOU KNOW WHAT, WE MIGHT BE ABLE TO MAKE MAJOR STEPS FORWARD IF WE DID A, B OR C. DO YOU HAVE ANY SENSE OF WHAT'S OUT THERE THAT WE COULD MAYBE TAKE LOOK AT IN A DIFFERENT WAY? 109 >> Lynnae Rutledge: MIKE, THAT'S A GREAT COMMENT. WHAT I ALWAYS WANT TO REMIND PEOPLE, WE COLLECTIVELY NEED TO LOOK AT PEEPHOLELISTICLY. IT'S NOT JUST V.R.'S RESPONSIBILITY TO LOOK AT VOCATIONAL ISSUES. IT'S NOT JUST I.L.'S RESPONSIBILITY TO LOOK AT I.L., THAT WE COLLECTIVELY AS WE WORK TOGETHER BETTER CAN HAVE BETTER OUTCOMES. I LOOK AT IT FROM NOT THAT THE GLASS IS HALF EMPTY BUT IT'S LITERALLY HALF FULL. WHAT DO WE NEED TO DO TO FILL IT COMPLETELY UP. I THINK THE LARGE CHALLENGES FOR PEOPLE LIKE TOM HARKIN, I THINK THEY ARE EXACTLY THE RIGHT DIRECTION WE NEED TO GO. I THINK WE HAVE NOT ENGAGED AS MUCH AS YOU HAVE IN THE INDEPENDENT LIVING MOVEMENT WITH FOUNDATIONS AND PRIVATE PHILANTHROPY. I THINK FIGURING OUT HOW WE CAN DO THAT TOGETHER BETTER MIGHT GET US FARTHER. I THINK THE LARGE CHALLENGE THAT THE PRESIDENT SET OUT WITH AN EXECUTIVE ORDER AROUND HAVING THE FEDERAL GOVERNMENT REVIEWED AS A MODEL EMPLOYER IS THE RIGHT DIRECTION TO GO. I THINK THAT THE WORK THAT THE UNITED STATES BUSINESS LEADERSHIP NETWORK IS DOING AROUND REALLY SAYING THE BUSINESS CASE AROUND EMPLOYMENT OF PEOPLE WITH DISABILITIES, AND IT'S NOT JUST LOOKING AT THE VOCATIONAL RELATED SKILLS THE PERSON BRINGS TO A JOB. IT IS THE SOFT SKILLS, THE INTERPERSONAL SKILLS, WHETHER OR NOT THEY HAVE TRANSPORTATION, WHETHER OR NOT THEM DO THE OFFSET OF BENEFITS AND PAYMENTS 110 TO DECIDE TO GO TO WORK. AND WHAT HAPPENS WITH ASSET LEVELS? THAT MEANS ALL OF THOSE PIECES TOGETHER. THOSE ARE THE KINDS OF THINGS THAT WE SHOULD BE LOOKING AT AS SOME OF THE SOLUTIONS THAT WE HAVEN'T LOOKED AT. I THINK THE OTHER PLACE I THINK WE REALLY HAVE AN OPPORTUNITY TO LOOK AT -- AND THIS ISN'T JUST AROUND EMPLOYMENT OF PEOPLE WITH DISABILITIES. THIS IS ABOUT WHAT WE DO COLLECTIVELY. AND I'VE BEEN USING THIS PHRASE WITH PEOPLE TO SAY, WE ARE ALL A, B, C, D, WE ARE ALL ASSET-BASED COMMUNITY DEVELOPERS. I THINK IF WE START TO LOOK AT OURSELVES THAT WAY, AND WE ENGAGE WITH PEOPLE IN THAT BROADER PERSPECTIVE, I THINK WE'RE GOING GET FARTHER THAN WHERE WE ARE NOW. I THINK THOSE OF SOME OF THE ANSWERS, MICHAEL. I THINK THERE'S A LOT MORE OUT THERE BUT AT LEAST FROM MY PERSPECTIVE, THOSE ARE THE PLACES WHERE WE'VE NOT DONE AS GOOD A JOB AS WE COULD DO WITH WHAT I THINK IS A COMMITMENT BY THE PRIVATE SECTOR AROUND EMPLOYMENT OF PEOPLE WITH DISABILITIES. I DON'T THINK WE'VE DONE AS MUCH AS YOU'VE DONE WITH THE INDEPENDENT LIVING MOVEMENT, BEING ABLE TO ENGAGE WITH FOUNDATIONS AND REALLY UNDERSTAND, ARE THERE PHILANTHROPY INTERESTS THAT WE COULD LEVERAGE TOGETHER? I DON'T THINK WE'VE DONE AS MUCH AS WHAT WE COULD DO OF FINDING THOSE CHAMPIONS WHO ARE WILLING TO BE BOLD, SOMEONE LIKE SENATOR 111 TOM HARKIN WHO WILL GO BEFORE THE U.S. CHAMBER OF COMMERCE AND SAY, I WANT TO MOVE THE BAR FROM 4.9 MILLION TO 6.1 MILLION PEOPLE WITH DISABILITIES TO BE EMPLOYED BY 2015. WHAT ARE YOU GOING TO DO TO HELP US GET THERE? I THINK THOSE ARE THE CHARACTERIZED OF LARGER CHALLENGES WE REALLY NEED TO ENGAGE IN. OTHER COMMENTS OR QUESTIONS? YOU GUYS ARE ALL TOO POLITE. OKAY. SO THANK YOU VERY MUCH, I WELCOME YOU TO PORTLAND. I ENCOURAGE YOU TO COME BACK. I ENCOURAGE TO YOU WORK HARD DURING THIS CONFERENCE. BUT I ENCOURAGE TO YOU ENGAGE WITH US AS A U.S. DEPARTMENT OF EDWIN ERICKSON INDICATION REHABILITATION SERVICES ADMINISTRATION, ABOUT HOW DO WE TOGETHER IDENTIFY AND QUANTIFY THE NORTH KOREAS, AND THEN BE ABLE TO TELL THE STORY BETTER ABOUT THE IMPACT THAT I KNOW THAT YOU HAVE EVERY SINGLE DAY IN THE LIVES OF PEOPLE WITH DISABILITIES, IN THE LOCAL COMMUNITIES, AT THE STATE LEVEL, AT THE NATIONAL LEVEL. SO THANK YOU VERY MUCH. >> SO I THINK MS. PUCKETT THINKS SHE'S GOING TO GET IN ONE MORE QUESTION. WHY IS IT WHEN I'M READY TO TAKE OFF THE MICROPHONE THEY WANT TO ASK MORE QUESTIONS. WHAT IS THIS? YES. MS. PUCKETT? >> Audience Member: I ACTUALLY AM NO SURE IF THIS QUESTION 1ST YOU OR FOR YOU, MIKE, BOB AND RICHARD. >> Lynnae Rutledge: OKAY. >> Audience Member: IT MAY BE 112 MORE LIKE A PANEL THING. I THINK THE WORK THAT HAS BEEN DONE, AS I SAID EARLIER, IS REALLY A GREAT START IT CAPTURES WHAT I ALWAYS THOUGHT WAS TRUE ABOUT CENTERS FOR INDEPENDENT LIVING IN TERMS OF WHAT THEY ARE PRODUCING. WHAT DO YOU SEE, ALL OF YOU COLLECTIVELY, AS THE NEXT STEPS? BECAUSE PART OF WHAT WE ALL KNOW WHEN WE WORK IN ANY BUREAUCRACY, WHETHER ON THE INSIDE OR IN IT OR REPORTING TO IT OR WHATEVER, WE VERY RARELY TOSS OUT OLD THINGS BEFORE WE ADD NEW THINGS. SO THE THING THAT'S REALLY I THINK SCARY FOR A LOT OF US IS THAT WE MAY BE ADDING OUTCOME MEASURES WITHOUT DUMPING SOME OTHER THINGS. AND SO I DON'T KNOW IF IT'S TIME YET, BUT I CERTAINLY WOULD LIKE TO SEE A TASK FORCE, PERHAPS THE SAME ONE THAT STARTED ON THE OUTCOME MEASURES TO, BEGIN TO LOOK AT THE 704 REPORT AND WHAT PARTS OF THAT NEED TO BE LET GO AND PUT TO BED. THAT IS POSSIBLE UNDER CURRENT LAW AND REGULATION, AND IS IT TOO SOON TO TRY TO DO THAT? I JUST HAVE A BUNCH OF QUESTIONS ABOUT IT, WHY I THINK IT'S PROBABLY MORE OF A PANEL RESPONSE THAN AN INDIVIDUAL ONE. I KNOW YOU'RE A VERY CRUCIAL PART OF THE PANEL. >> Lynnae Rutledge: I'LL BE GLUED TAKE MY FIRST STAB AT IT AND HAND IT OVER TO THE OTHER TWO FOLKS. I THINK THAT WHAT TOMORROW'S SESSION IS DESIGNED TO BE ABLE TO DO IS TO LOOK AT THE ARRAY OF THINGS THAT ARE POSSIBLE, AND THEN BE ABLE TO SAY, WHAT ARE THOSE NEXT STEPS. SO I JUST GIVE YOU MY COMMITMENT THAT WHEN YOU HAVE MADE THAT 113 DECISION ABOUT THE NEXT STEPS THAT YOU'D LIKE TO TAKE, ONE OF THEM FROM MY PERSPECTIVE NEEDS TO BE THAT WE WILL ENGAGE AT THE NATIONAL LEVEL, BETWEEN THE NATIONAL COUNCIL FOR INDEPENDENT LIVING, AS WELL AS THE REHABILITATION SERVICES ADMINISTRATION TO BE ABLE TO SAY, WHAT ARE THOSE NEXT STEPS. WE CAN TALK REAL CANDIDLY ABOUT WHAT HAPPENS WHEN YOU DO CHANGES TO THE 704 RECORD. IT DOESN'T ARE TO CHANGE THE LAW BUT IT HAS TO GO THROUGH OMBA FEDERAL LEVEL OF BUREAUCRACY THAT DEFIES THE IMAGINATION. I WOULD BE JUDICIOUS IN LOOKING AT WHAT IS IT THAT WE WANT TO CHANGE. I WANT ABSOLUTELY RABIDLY COMMITTED TO MAKING CHANGES SO THAT YOU HAVE AND CAN REPORT TO US INFORMATION THAT'S OF VALUE. BUT I WANT TO DO IT IN THE CONTEXT OF WHAT'S DOABLE IN A REASONABLE AMOUNT OF TIME, AND THEN BE VERY REALISTIC WITH YOU TO SAY, WE'VE DONE CHANGES IN THE 704 REPORT, HERE'S HOW ALONG IT TAKES. ARE THERE OTHER CHANGES THAT WE CAN ANTICIPATE? THINGS MAY LOOK VERY DIFFERENTLY. I WOULD LIKE TO HAVE THAT AS A PART OF THAT COMMUNICATION. YOU HAVE MY COMMITMENT THAT WE WILL HAVE THAT CONVERSATION AT THE FEDERAL LEVEL, AT THE NATIONAL LEVEL, AND WE WILL IDENTIFY WHAT THOSE NEXT STEPS ARE AND WE WILL IDENTIFY WHAT THE DELIVERABLES ARE THAT WE EXPECT. YOU HAVE MY COMMITMENT TO YOU THERE. [APPLAUSE] >> Bob Michaels: THAT'S WHAT I WAS LOOKING FOR. 114 >> Lynnae Rutledge: OKAY, GOOD. >> Bob Michaels: IF WE WANTED TO CHANGE THE 704, WE DON'T HAVE TO WAIT FOR REAUTHORIZATION? >> Lynnae Rutledge: THAT'S CORRECT. >> Bob Michaels: WE JUST GO AHEAD AND SAY WE WANT TO DO IT. >> Lynnae Rutledge: AND AGAIN, I THINK PART OF THAT CONVERSATION SAYS, LET'S LOOK AT HOW LONG IT TAKES TO DO A CHANGE TO THE 704. AND IF IT TAKE AS YEAR TO GO THROUGH PROCESSS WITH OMB, AND WE ANTICIPATE THERE MAY BE REAUTHORIZATION OF THE REHABILITATION ACT, WHEN WOULD WE WANT TO DO THAT? OR ARE THE CHANGES SO SUBSTANTIVE NOW THAT IT'S WORTH GOING THROUGH IT NOW, AND MAKING THOSE CHANGES. AND IF THERE'S CHANGES IN LEGISLATION, OR YOUR THOUGHTS IN THE FUTURE, WHEN WOULD WE WANT TO BE ABLE TO DO THAT. PART OF WHAT WE WANT TO HAVE A RESPONSIBILITY TO DO AS THE FEDERAL PARTNER IN THIS IS BE REALISTIC WITH YOU ABOUT WHAT KIND OF TIME FRAMES WE'D BE LOOKING AT TO MAKE THAT ALL HAPPEN. I THINK THERE WAS AT LEAST ONE OTHER -- BOB, YOU HAD YOUR HAND UP BECAUSE YOU WERE GOING TO MAKE A COMMENT OR RAISE A QUESTION. >> Bob Michaels: SHE ASKED ME QUESTION. >> Lynnae Rutledge: OKAY, G. AND I THINK DAN WAS THE OTHER PERSON? WHO IS THIS GUY? >> Audience Member: DAN KESSLER FROM ALABAMA. >> Lynnae Rutledge: ALABAMA, YEAH, YEAH. >> Audience Member: I THINK YOU BRING UP SOME REALLY GOOD POINTS 115 THIS AFTERNOON ABOUT, YOU KNOW, US BEING A PART OF A BIGGER PUZZLE, AND SO I WOULD JUST LIKE TO ENCOURAGE YOU, AS YOU GO AND TALK TO SOME OF THESE OTHER PARTS OF THE PUZZLE, OKAY, ABOUT THE VALUE OF INDEPENDENT LIVING. BECAUSE I THINK YOU TALK ABOUT YOUTH, WHICH YOU'RE RIGHT ON TARGET WITH THAT. AS YOU'RE TALKING TO DEPARTMENTS OF EDUCATION, STATE DEPARTMENTS OF EDUCATION, TALKING TO STATE V.R. AGENCIES, ET CETERA, WE WOULD LIKE TO YOU TAKE THAT MESSAGE. BUT TO TAKE THAT MESSAGE WITH YOU WHEN YOU GO TO SPEAK TO THEM. I KNOW A LOT OF US ARE DOING THAT IN OUR COMMUNITIES. >> Lynnae Rutledge: DAN, IT'S REALLY IMPORTANT. >>> I THINK THAT THERE'S A COMMENT THAT'S MIND OUR MOVEMENT AND IT'S NOTHING ABOUT ME WITHOUT ME. AND I THINK THAT FOR ME TO HAVE A CONVERSATION WITH HEALTH AND HUMAN SERVICE, THE ADMINISTRATION ON DEVELOPMENT AT ALL DISABILITIES, WHAT'S THE OUTCOME WE'RE ALL LOOKING FOR, FOR KIDS WITH SIGNIFICANT DISABILITIES IN TERMS OF TRANSITIONING FROM MY SCHOOL: I THINK THAT'S A CONVERSATION THAT'S BROADER THAN THE DEPARTMENT OF EDUCATION AND HEALTH AND HUMAN SERVICES. I ALWAYS WANT TO MAKE SURE THAT, IF WE'RE GOING TO HAVE AN OPPORTUNITY TO TALK ABOUT INDEPENDENT LIVING, THAT WE ENGAGE WITH KELLY AND WITH OTHER WHOSE CAN BE AT THE TABLE TOGETHER, SO THAT WE'RE ALL HEARING THE MESSAGE AT THE SAME TIME, ALL DELIVERING THE MESSAGE AT THE SAME TIME. 116 THEN WE COLLECTIVELY IDENTIFY WHAT ARE THE PIECES EACH ONE OF US IS GOING TO BRING TO THE TABLE TO MAKE THAT WORK. I ABSOLUTELY AGREE. I'M ON THE ROAD A LOT. I HAVE A CHANCE TO INTERACT WITH STATE INDEPENDENT LIVING COUNCILS. I WAS IN FLORIDA YESTERDAY FOR THEIR STATE INDEPENDENT LIVING CONFERENCE. I MEET REGULARLY WITH STATE V.R. AGENCIES AND WITH THE NATIONAL REHABILITATION ASSOCIATION, AND I'M CONTINUALLY HAVING CONVERSATIONS ABOUT PROGRAM IMPROVEMENT RELATED TO VOCATIONAL REHABILITATION. I AM MORE THAN WILLING TO THE IN TO HAVE CONVERSATIONS ABOUT PROGRAM IMPROVEMENT RELATED TO INDEPENDENT LIVING AND I WANT TO MAKE SURE THAT MY PARTNERS FROM INDEPENDENT LIVING ARE THERE AT THE SAME TIME. THANK YOU. SO NOW I THINK I GET TO GO BACK AND EAT THE REST OF MY LUNCH. WHAT I UNDERSTOOD WAS THAT WHILE HE WAS UP HERE SPEAKING KELLY WAS EATING THE REST OF HIS LUNCH. WHAT'S WRONG WITH THIS PICTURE? BUT AGAIN, THANK YOU VERY MUCH. [APPLAUSE]