Operational Decision Protocol for HCBS and IDD Provider Organizations

Your staff make hundreds of decisions every shift. LEOP™ makes the critical ones clear.

A structured operational decision protocol available for organizational licensing — designed to support more consistent shift-critical decisions across turnover, call-offs, and changing teams in HCBS and IDD provider organizations.

Durable Systems for Constraint and Recovery

Who LEOP Serves

For People Served

More consistent, person-centered support — regardless of which staff member is on shift. Decisions follow the protocol, not the personality.

For Direct Support Staff

Less guesswork. Less escalation. A clear framework for the ambiguous decisions that cause burnout — so good people can work more consistently across changing shifts.

For Organizations

Designed to support retention, strengthen operational consistency, and improve decision clarity when staffing changes — which it often does.

Research

Published Research

White Paper 01

The Neurodivergent Entrepreneur Paradox

Wired for entrepreneurship, locked out by infrastructure. ADHD, disability, poverty, and the infrastructure gap between entrepreneurial capability and entrepreneurial outcome.

Allyssa Gentz · Version 1.0 · March 2026

The Operational Reality

The workforce crisis is also a decision-consistency crisis

When staffing shortages persist, institutional knowledge leaves with departing staff and inconsistency rises across shifts. That creates pressure not only on coverage, but on judgment, escalation, and day-to-day operational consistency.

88%

experienced moderate or severe staffing shortages

62%

turned away new referrals

52%

were considering further cuts to programs

Source: ANCOR, The State of America’s Direct Support Workforce Crisis 2025 (469 providers across 48 states and the District of Columbia)

The Protocol

What LEOP™ Is

LEOP™ is a structured operational decision protocol designed for disability service organizations operating under chronic staffing pressure.

Direct support professionals face dozens of ambiguous micro-decisions every shift: behavioral responses, escalation thresholds, reportable events, and competing support needs.

Behavioral responses
Escalation thresholds
Reportable events
Competing support needs

When staff rotate constantly, these decisions become inconsistent. LEOP™ creates a structured decision framework embedded in daily operations to support more consistent shift-critical decisions across changing teams.

Protocol · Pilot · Licensing

Available through pilot and organizational licensing.

What LEOP™ Is Not

LEOP™ is not a one-time deliverable or short-term engagement. It is a licensed operational decision protocol designed for daily operational use inside provider organizations.

Who This Is For

Who LEOP Is For

LEOP is designed for HCBS and IDD provider organizations that need more consistent operational decision-making under staffing instability. It is built for executive directors, operations leaders, program leadership, and organizations assessing structured systems for shift-level decision consistency.

For Executive Directors

Designed to support greater consistency in recurring shift-critical decisions and strengthen operational clarity during accreditation, audit, or internal review.

For Operations Leaders

Designed to support more consistent escalation decisions, clearer day-to-day judgment, and faster alignment for new staff across shifts and locations.

What Leadership Can Evaluate

During the pilot period, organizations can assess whether LEOP supports clearer escalation, more consistent shift-level decisions, better continuity across changing staff, and stronger operational fit for licensing.

Partnership

60-Day Pilot Partnership

Selected provider organizations may evaluate LEOP™ through a fixed-scope 60-day pilot to assess operational fit and determine whether longer-term licensing makes sense.

01

Scope the Decision Points

Identify the recurring shift-critical decisions where inconsistency, delay, or escalation ambiguity creates operational risk.

02

Set the Pilot Boundaries

Define where LEOP will be used, who will use it, and what leadership wants to assess during the pilot period.

03

Use in Live Operations

Apply the protocol during normal operations to support more consistent decisions across staffing variation, call-offs, and changing teams.

04

Assess Licensing Fit

At the end of the pilot, leadership assesses whether LEOP supports stronger decision clarity, greater operational consistency, and organizational fit for broader use.

Contact

Contact

Allyssa Gentz

Founder, GENTZ LEOP LLC

For pilot, licensing, legal, diligence, and serious organizational inquiries, contact GENTZ LEOP LLC directly.

Please do not send protected health information, client identifiers, or proprietary internal documents in an initial email.

Typical response window: 1–2 business days.