A quiet revolution began over a decade ago in the Black Hills of South Dakota, where the spirit of innovation transforms lives at Black Hills Works (BHW). At the heart of this change is the Technology and Innovation team led by their dynamic director, Tammy Murner. The team's mission is to transform the lives of individuals with intellectual and developmental disabilities (IDD) Murner notes. through the strategic use of technology. “It all started with a single vision to support peoples’ self-determination and independence through the use of technology and has grown into a comprehensive program,” explains Murner. “We began small, but our commitment to innovation led us to partnerships and grants that allow us to expand our reach.”
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Chet Tschetter
Hi, my name is Chet Tschetter, and I'll be your host for a closer look, where we'll explore the most current and relevant topics covered in frontline initiative, which is a magazine produced by the National Alliance for Direct Support Professionals in partnership with the University of Minnesota's Institute of Community Integration. If you're wondering what Frontline initiative is all about, it's about the work that direct support professionals do on a day to day basis as they support people with intellectual and developmental disabilities.
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Chet Tschetter
I'll be talking to authors and taking a closer look at current practices, tools, and resources. So buckle up and let's hear what the authors have to say.
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Chet Tschetter
Welcome to a Closer Look. So happy to have everybody here today, and especially happy to have our very special guest, Tammy Murner from the Black Hills Works in Rapid City, South Dakota. Welcome, Tammy.
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Tammy Murner
Well, thank you for inviting me. I'm super excited to have this conversation with you.
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Chet Tschetter
I invited Tammy here today because of the work that she does with enabling technology. I was able to interview Tammy for an article for Frontline Initiative issue on DSPs using technology to support people. Tammy, you start off by telling the listeners a little bit about yourself in the work that you do. A Black Hills works.
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Tammy Murner
I'd be happy to. So I am the director of Assistive and Enabling Technology here at Black Hills Works. So what we do here is we do have our own technology team. It's three of us here. For over 500 plus people we support. We use various types of technology. And I've been with this company for 33 years now.
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Chet Tschetter
Is that all?
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Tammy Murner
Yes, and I've enjoyed every minute of it. It is ever changing.
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Chet Tschetter
Tammy, will you tell us a little bit about Black Hills Works and the different services they provide?
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Tammy Murner
Sure. So here at Black Hills Works, we have just a broad, broad range of opportunities for our participants. We have housing. We have work. So we have job coaches, job placement. We have a Susie Kappa art center, where individuals are able to actually go down to our art center, create art, and, it's open to the public.
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Tammy Murner
So we're an art gallery. We have Flutter Productions, which is a theatrical, production company here that holds classes on, you know, theatrical productions and things like that. We have technology, assistive and enabling technology. We have remote support. Yeah. So there's just a really broad range of things that, we offer our participants here at Black Nose Works.
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Chet Tschetter
Yeah. Thank you. When you first started, did you start out in enabling technology or what's been your role there?
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Tammy Murner
No, I've had various roles here at Black Hills Works, which has led me to where I am today. My passion has always been to provide the best supports possible so people could live, happy and independently. To the best of their ability. So I started out as a DSP, and worked in housing. I've worked in job placement.
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Tammy Murner
I've been an internal support coordinator. And then I've also worked in our maintenance department coaching, several individual roles. That actually work for Black Hills Works in our maintenance department. And I've always been a fan of technology and gadgets and things to help people. Be the best that they can be.
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Chet Tschetter
I love that through all of your work, you've you you just have very practical experience in supporting people so you understand all the fast, the all the facets of the work that DSPs are currently doing from. I'm assuming some residential support to also, as you spoke about the employment support.
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Tammy Murner
Yes. It's not an easy job to do, and I have never forgotten that.
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Chet Tschetter
It's not. Being a DSP is one of the most complex jobs I know that I have ever done, and I hear people talk about that as well. Tammy, when when we have talked, you've told me how important it is that you have not only the vision of the leadership, but that you also have them involved and supporting your teams so that they can do the work that they do.
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Chet Tschetter
Tell us a little bit about how that, has influenced you and your teams work.
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Tammy Murner
So, yeah, I, I always like to kind of tutor Horne with our, our, upper management in our, our VP's. They, Brad, our CEO here, has always been a visionary kind of guy, and it really does start from the top. And, getting the whole team, from our executive team all the way down to. And I don't want to say all the way down, because each and every role here at Black Hills works is important, right?
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Tammy Murner
We need everyone to make this happen. But really, having that buy in from the top has been very, very crucial to what we do here. So we, our CEO, supports assistive and enabling technologies for individuals because he knows that that's the way of the future, and it is the most excellent way to help people achieve, you know, their goals, their dreams, and be very person centered.
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Tammy Murner
So yeah. Everybody has been on board.
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Chet Tschetter
Yeah. That's great. Having that mindset that, yes, this is what we're going to do and we can do it. We're going to do it together. Really makes a big difference. When we have spoken, all of.
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Tammy Murner
The things, just a whole lot of education to.
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Chet Tschetter
To tell me more, right? That there's a whole.
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Tammy Murner
Lot of education too, that, you know, comes from every. So all of our new employees, they, they tour all our various areas, including our remote support area, and assistive technology. We get the pleasure of having each and every new employee come in here before they, you know, kind of go into the homes. And we have a slide show and we, show people about technology and how amazing it is and what what it can do for the people, that we are providing services for here and, teach and coach them on how how can we make things possible and how can they do their job better?
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Chet Tschetter
Yeah. So from the very beginning, you know, their orientation, you were showing them all the things that can happen, with providing that training.
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Tammy Murner
Right. And letting them know that technology is on the forefront of us. You know, that is one of our major focuses here on our company.
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Chet Tschetter
When you and I talk of the things that you've done with technology at Black Hills Works, the foundation is really about supporting people to be, you know, live the life they want to live, be as independent as possible. At times this is called for a shift in thinking. You know, I'm I don't know when you all started using more technology the way you are now, but my guess is there had to be kind of a shift in thinking and imagining things in a different way.
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Chet Tschetter
Can you tell me how DSPs have been a part of that movement?
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Tammy Murner
Yeah. So, I guess, like I said, you know, each and every DSP, comes through here in new employee orientation. So they, you know, they get that taste of it, but then they are also involved in it's kind of like we do a train the trainer. Right? Because we know that if people aren't being trained and the folks that work closest to them aren't, aren't familiar with the technology or they, they don't know how to assist them, then, you know, technology gets lost, right?
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Tammy Murner
And people don't. People don't tend to use it if they don't know how to use it. Right. And it's real super important to have those DSPs involved in every step of the way from the time they submit a referral to us to say that someone would like to be able to. We have their daily schedule and routine, talk to them and remind them.
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Tammy Murner
And so it starts with that referral and that DSP puts in that referral. And then we bring, you know, our participate in and the DSP, their chant we call their champions. The people that work best with them come in and we sit side by side and we talk about options and we pick a, you know, the device that they use.
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Tammy Murner
And then we train, the DSPs, to use it and how to help the individuals that use that technology. So it's just a big win win. And, you know, really the DSPs are our eyes and ears, right? So they're the ones that really, really, make a huge difference on implementing a lot of this technology that we use.
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Chet Tschetter
Yeah, absolutely. Because they they know people best, and they know kind of what the needs are, what the desires are. So when you're figuring out what technology piece might work, you know, best for somebody sharing those ideas and, and if you're like, well, I think, you know, this would work well. And they might be able to say, yeah, that's really right.
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Chet Tschetter
Or well, maybe, but really, this is what we're eating. Must be really critical and kind of designing and developing that plan.
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Tammy Murner
And it is they are very critical in that. And the super cool thing about that, like I said too, is, is that, you know, from the get go, we always like our DSPs to keep in mind, you know, is it good enough for me? We go by that, really? Well, here at Black Hills Works, we want everybody to be in the mindset of when you're helping people.
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Tammy Murner
Is it good enough for me, Jim? Good enough for me. Right? And nothing about me without me. So that, that's huge. Because that's person centered man. That's having people direct their own lives. And that helps us to guide them, to be able to direct their own lives with the technology or whatever, whatever else it may be.
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Chet Tschetter
Yeah, I love that. I mean, that is perfect. What what a great philosophy. Tammy. One of the things you've, shared with me is that at Black Hills Works, you utilize what's called the good life schedule. Tell us a little bit about that.
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Tammy Murner
Yeah. So here at Black Hills Works, we realized that, you know, our DSP is do really, really important work. And it can be a very high burnout, position and job. Right. Yeah. So what we've developed, we've partnered with, the good life people and we call it the Good Life schedule. So what that looks like is, is our DSPs work three days a week, right?
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Tammy Murner
And there are three twelves, but that allows them to have a good work life balance because we know that people's needs are best met. When our DSPs and supporters needs are met. Right. So. Right. That's played a huge, huge role in our company and it's made a big difference, along with our remote support.
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Tammy Murner
Q for our turnover, people are healthier, happier all the way around because. Right. If our so if our supporters are happy, then they're going to be doing a great job and then our participants are going to be happy. Right. And it's a win win situation. So yeah, Black Hills works invest heavily not only in, you know, our participants because at the end of the day, there are bosses, right.
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Tammy Murner
If they wouldn't be here we wouldn't need to be here. That's kind of what we've come to here and you know, it's, it's they get full time benefits. Their salary is just like working 40 hours a week. They're only working 32 hours, you know, three, 12 hour shifts. And then they have the rest of the time to be able to decompress, spend some time with family.
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Tammy Murner
Do you know, do whatever it is they need to do so they can come back happy, healthy, fresh and ready to go.
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Chet Tschetter
I can't imagine anybody not liking that's casual. That sounds fantastic. And I really commend you all for, like, taking that leap. Because it is a shift. But change shifts and changes can be really good things. So, that's that's really exciting. About how long have you been doing the good life schedule?
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Tammy Murner
I believe it's been just a little over a year now. It's been a long process. I mean, it's taken us a while to get there and figure out how we're going to do it. But, yeah, it's it's running pretty smooth and seamlessly right now, and people are loving it.
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Chet Tschetter
Can only imagine. That's great. Tammy, you you told me about a partnership that you have with the South Dakota School of Mines and Technology. How did that relationship get started? And what is what is it grown into today? How important is it to your enabling technology department at Black Hills Works?
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Tammy Murner
Yeah. So, it was oh, I'm sure about 5 or 6 years ago. I'm always researching the latest and greatest technologies and trying to see how we can incorporate them into, the lives of the people we support and how can we, you know, utilize some of these things to adapt things right, for people. So because it's always been, like I said, really super important for us that people understand we need to have the technology fit the person, not the person fit the technology.
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Tammy Murner
That's not how it works, right? We know this. So, I was researching 3D printing and I just thought, you know, we could use this. This is and we need this to be able to adapt, you know, things, devices, whether it's the whole device or if it's just a piece or part of it to make the technology work for the person.
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Tammy Murner
Right. Well, 3D printing is a lot.
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Chet Tschetter
They're expensive.
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Tammy Murner
It involves CAD. You know, I can come up with all the cool ideas and I can see it in my head how things could work, but you know who best to to do that. But, partnered with our School of Mines engineering students. Right. And they that's what they're going to school for. So I kind of again petitioned our CEO and said, you know, we could use a 3D printer.
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Tammy Murner
We had somebody on our board of directors that actually manufacture 3D printers.
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Chet Tschetter
Oh, nice connection.
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Tammy Murner
Has a company here in Rapid City, South Dakota, and he, you know, I had to sell them and say we could use 3D printers for us, and this is how we could use it. Well, he brought us on board. He actually donated one of his 3D printers to us, and his team. And he said, you know CAD is a lot.
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Tammy Murner
It's a lot to know. It's a lot to understand. We can teach you. But how about partnering with the School of Mines? And we said, yes, yes, let's do that. And Brad allowed us to have an intern, from the School of Mines and, well, we kind of put it out there about kind of what we were looking for.
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Tammy Murner
And, it's been a huge success ever since. So we have a guy that goes in, he comes in, he does the cad, he has, you know, a really great mindset about, you know, how to help people and what, what we actually needed. And it's really, really grown because with our small little operation from a 3D printer we bought on Amazon, now we have three of them running full force all the time, creating all kinds of, cup holders, drinking devices, maybe clamps to affix an iPad or a phone, just all kinds of different technologies to, help support our people be to be independent.
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Chet Tschetter
It's fantastic. You used a term a couple times that I'm not familiar with, and that's CAD. Can you explain what that is?
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Tammy Murner
You bet. So 3D printer printers use what they call CAD. Is computer aided drawing okay. Computer aided design. Right. And that's, a program on a computer that you actually physically, sit there and design these clamps, these things. And it's, it's pretty I guess for in layman's terms, it's kind of technical and it takes a little bit to learn, right?
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Tammy Murner
Yeah. So, our school online students are rock stars, and they are smart, and that's what they like doing. And so it is, like I said, again, we don't have to spend a ton of time working and reworking and trying to figure it out. And when we can bring some, some young student in that, already has those capabilities and it works through, good for them, too, because it gives them life experiences.
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Tammy Murner
It gives them exposure to, when they go out, after they graduate and they go to design something somewhere for some company. Right. They, they catch that universal design, right? And they catch that, then that. Hey, not only would this work for anybody, you know, around the country, but it it is also it's also going to help people with physical cognitive disabilities.
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Tammy Murner
It's just if you universally design something, you're hitting a whole realm of possibilities. Right? And it gives them so much experience and exposure on how to work with people on every level.
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Chet Tschetter
I love that partnership and what a win win situation for everybody involved. And I the fact that they walk away with so much knowledge in that as they go out into their next job, that they've got accessibility, that universal design kind of front of mind based upon this experience that's really making a difference in the world. So I yeah, great job on that partnership.
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Chet Tschetter
I hope it keeps going for a long time.
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Tammy Murner
I don't foresee it changing. Like I said, we have we currently have three 3D printers now and we have upgraded, we have a 3D scanner now so we can scan people's hands, ears, feet, legs, wheelchairs. And then it actually we put it into the computer software and we can design things that are very customizable. And yeah, we could go out and solicit somebody, that does 3D printing and design and stuff, and it would cost thousands of dollars.
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Tammy Murner
Right. But when we have it in-house here, it costs us very minimal, minimal amount. And we all know that it's a good thing to be good stewards of the money of of of our participants, of, you know, the state that's helping us fund this. It's just a huge win win situation.
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Chet Tschetter
Yeah. That's terrific. Tell us a little bit about remote, remote support. And, how does that work? How is that different from a direct support worker? And how does that fit into the programs?
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Tammy Murner
Okay, so this is one this is something I'm super jazzed about, right. It has always been my dream. And it we we have we have made that come to life here at Black Hills Works. So in the beginning, we knew that people dignity. Risk is huge for people, no matter who who they are. Whether you, me, our participants dignity of risk.
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Tammy Murner
It's huge. People need to be able to live those life experiences. And so we started off with remote supports in the overnight hours with an external company. And they were in Indiana, and we saw a huge, huge benefit from that because people were able to live in their homes independently in the overnight hours. And what we found out is, you know, people were doing what all of us do.
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Tammy Murner
They're sleeping, they're watching some TV, you know, they're enjoying their home. And they're doing that without in-person staff. Right? Because really, that's what people are doing. And we found when we brought in DSPs in the overnight hours, what our DSPs do, what they do best. Right. But they're going to do laundry. They might vacuum, they might stay up and do some paperwork there.
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Tammy Murner
They might, so people don't get a lot of good sleep in their home. They don't get a lot of free time. Right? They don't get a lot of any of those things that you and I all, you know, do half on a day to day basis. It worked out pretty well for us, but we wanted more. Okay.
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Tammy Murner
Yeah, we wanted to be more person centered. We wanted to be able to know that, those folks knew who their remote caregiver, that they could see them, that they could trust in them, that they were actually trained on all of our policies and procedures and, our what would I say? Kind of our guidelines that that we go by like, Jim good enough for me.
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Tammy Murner
You know, those kind of things. And they were able to actually support people better. So we partnered with, NEC, next Gen technology. And we are doing our own remote supports. We're using their software. Okay. And their assistance, but we're currently running, remote supports, in our facilities and in four of our homes. Right now, we are running 24 hour supports.
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Tammy Murner
So what does that look like? Here comes my pipe dream. We're helping people cook, budget, arrange for transportation daily schedules all through the use of a screen and tablets and sensors throughout the home. It's very person centered. They need assistance. They go to the tablet, they push the button. We come on the screen, we help them cook. They have a question about when their ride is going to be there or, how would they schedule a ride to go to Walmart?
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Tammy Murner
We get on the screen, we have them sit there with their phone, we teach them how to contact people. So they can get a ride right, or we can tell them what their daily schedule is going to look like or what time their appointment is. So it has been a super, super win win situation again, because people are happy, people are doing things that they never thought were possible.
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Tammy Murner
And then we're utilizing our DSPs, right? We always need DSPs. I don't, and we hit back home really hard here at Black Ops words. We don't ever want to think or anyone to think that our DSPs are going to lose their job because we have remote supports. That's not where it's at. Right? Because the fact of the matter is, is we cannot make sure that people get out into the community and transport them there, or we can.
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Tammy Murner
Remote supports cannot physically help them build their relationships. Right. Teach them some of those kind of things. And so it's just a shift in the way the job looks, right?
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Chet Tschetter
Right.
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Tammy Murner
So, yeah, it's been it's been a win win situation.
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Chet Tschetter
So remote supports are really they're not replacing DSPs. They are. Well they are in some positions like night shifts and that sort of stuff. But they're always accessible when somebody needs them. And it also allows the DSPs I would think, to to focus on really the people part of the job, the relationships and, and doing things together.
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Chet Tschetter
Would that be true?
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Tammy Murner
That's exactly what it is. Yes, that's exactly what it is. So we we run what we call a hybrid system here. So, all of our remote caregivers actually, visit the folks in the home. They get to know them, right? They look at their care plans. So it's a set of four screens that come up.
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Tammy Murner
It can tell you, on one screen, it'll tell you, kind of the do's and don'ts and how, the our participants have told us how they want us to interact with them. Okay. It tells us, if there would be an emergency protocols. This is if this, then this. It tells you that, it has a, like I said, it has another screen where they can, they, they visually see us and, we guide them through their day, right, with and helping them do things.
00;27;08;04 - 00;27;40;09
Tammy Murner
And they have just flourished because while it's super cool, they're doing it without somebody standing beside them, but they're still getting that direction. And it's just a different way of looking at it. So we have rovers what we call a rover. And they don't just go and sit in the homes anymore. They're able to roam around and if we call them and say, hey, look, such and such is upset, because their ride was here and they didn't make it.
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Tammy Murner
Can you please go over there and do you have time to give them a ride to their job? Because, you know, they were having a bad morning and they just missed their ride. So can you go over there and then that DSP would roam over there, or if somebody would actually have happened to fall or they didn't feel well.
00;27;56;27 - 00;28;12;08
Tammy Murner
And, you know, through the screen we can see that they're not feeling well. Well then we we call that DSP over and they roll over and they help them and then we come back on. And so it's just, like I said, it's just a win win.
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Chet Tschetter
Sounds like some really efficient ways of doing things, not only efficient but also meaningful for the people you're supporting and the staff members.
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Tammy Murner
Right. It is. They seem to be very, very happy because, it they're getting people out, like I said, and they're getting to do those more, fun things that the DSP gets to do, right? Getting them out into the community, helping them, like I said, and build those relationships. Helping them secure jobs or volunteer opportunities and making those natural connections, those kind of things that are super, super important.
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Chet Tschetter
Thank you, Tammy, so much for being with us here today. I just really enjoyed our conversation and learning about all the really cool things that are happening at Black Hills Works. Is there anything else that you'd like to say to the listeners?
00;29;05;14 - 00;29;18;11
Tammy Murner
Yeah, I think it's, for us and for me, I know, being in the field for as long as I have, just try to think about. But what if they can?
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Chet Tschetter
Right, right.
00;29;19;11 - 00;29;38;27
Tammy Murner
But what if they can? And know that there is a whole team of people around you, and use them, right. Talk to them. Because at the end of the day, what we found out and I know you hear a lot, but it's super true here. Teamwork makes the dream work, right?
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Chet Tschetter
Right.
00;29;39;16 - 00;30;07;28
Tammy Murner
So it takes everyone, to make things happen. And if anybody has any questions or wants to know more about what we do or how we do it, please reach out to me. And I'm happy to share, because that's kind of what we do. So, if anybody has any questions, please feel free to reach out to me and I'll do the best I can to help support anyone and everyone.
00;30;07;28 - 00;30;12;20
Tammy Murner
So people that are living the lives they want to live sounds fantastic.
00;30;12;24 - 00;30;15;23
Chet Tschetter
Tell me, what would be the best way for people to reach out to you?
00;30;15;25 - 00;30;44;16
Tammy Murner
You could, email me. It's, t learner@aws.com, so that would be t m u r and e r at b h w s.com. Or you could, call me in my office here in Rapid City, South Dakota, it is (six zero five) seven one eight-wight three three six.
00;30;44;18 - 00;30;49;18
Chet Tschetter
Wonderful. I hope that the phone just starts ringing off the hook because.
00;30;49;20 - 00;31;03;28
Tammy Murner
You know what? That would be super cool to me too, because I'm always I'm just very passionate and happy to share. Anything that we do that could help, anyone else in the field, because that's kind of what we're about, right? Teamwork.
00;31;03;29 - 00;31;07;06
Chet Tschetter
Absolutely, absolutely. Thank you so much, Tammy.
00;31;07;06 - 00;31;08;02
Tammy Murner
Thank you.
00;31;08;04 - 00;31;38;03
Chet Tschetter
Thank you for joining us for a closer look at Line Initiative. You can follow a closer look wherever you find your favorite podcasts, so you don't have to miss any episode. And to find all of the issues of frontline initiative, go to ISI dot n.edu/series/7. You can subscribe and get the next issues as soon as they're published, so we don't want you to miss out on any of that information.
00;31;38;05 - 00;32;01;20
Chet Tschetter
If you like today's podcast and you're interested in hearing about other ways to support the health and wellness of direct support professionals. Tune in to another podcast called Wellness Matters for direct support for some great resources and ideas about how to care for yourself as a DSP. Because we know that your job is very demanding and that it really takes a lot to be a great DSP.
00;32;01;22 - 00;32;08;01
Chet Tschetter
So until next time, be well.
00;32;08;04 - 00;32;19;14
Chet Tschetter
Thanks for joining the conversation. If you would like to reproduce all or part of this podcast, please email frontline DSP at UMD Edu.
00;32;19;16 - 00;33;03;04
Pete McCauley
Our show is co-produced at the University of Minnesota's Institute on Community Integration by Frontline Initiative. Coeditor Chet Tschetter and ICI technical Director Pete McCauley. Skyler Mihajlov is our editor. Graphic designers are Connie Burkhart and Sarah Curtner. For more information on the Institute on Community Integration and all of our products and projects, please visit ici.umd.edu.