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(II) Identification of any necessary changes to these procedures 1 to ensure a more efficient and timely process for hiring and training 2 staff; and 3 (III) Identification of the number of new hires needed on an 4 annual basis to achieve the phased implementation included in the 5 five-year plan; 6 (E) Collaborate with appropriate stakeholders to develop uniform 7 quality assurance metrics that are applied across community 8 residential settings, intermediate care facilities, and state- 9 operated nursing facilities and submit a report of these activities 10 to the governor and the legislature no later than June 30, 2023; 11 (F) Collaborate with the developmental disabilities council to 12 improve cross-system coordination and submit a report of the 13 activities and any recommendations for policy or fiscal changes to 14 the governor and the legislature no later than October 1, 2022, for 15 consideration in the 2023 legislative session that describes 16 collaborating with the developmental disabilities council to: 17 (I) Coordinate collaboration efforts among relevant stakeholders 18 to develop and disseminate best practices related to serving 19 individuals with cooccurring intellectual and developmental 20 disabilities and mental health conditions; 21 (II) Work with Washington state's apprenticeship and training 22 council, colleges, and universities to establish medical, dental, 23 nursing, and direct care apprenticeship programs that would address 24 gaps in provider training and overall competence; 25 (III) Devise options for consideration by the governor and the 26 legislature to prioritize funding for housing for individuals with 27 intellectual and developmental disabilities when a lack of affordable 28 housing is the barrier preventing an individual from moving to a 29 least restrictive community setting; and 30 (IV) Coordinate collaboration efforts among relevant stakeholders 31 to examine existing law with regard to guardianship and protective 32 proceedings and make any necessary recommendations for changes to 33 existing law to ensure that guardianship or other protective 34 proceedings are designed to provide individuals with intellectual and 35 developmental disabilities with the decision making support they 36 require to live as independently as possible in the least restrictive 37 environment, including consideration of mechanisms that enable 38 regular payment for services rendered by these legal representatives 39 when appropriate; and 40 p. 910 ESSB 5187.SL