opwdd plan of protective oversight

Can they describe the plan? Email: Hoffman.Lori@epa.gov. Were appointments attended per practitioners recommendations? Identify the appropriate 1750b surrogate. The Person-Centered Planning process should also incorporate the following: The Person-Centered Service Plan must include and document the following: Once the Person-Centered Service Planis completed and signed, the SC/CM is responsible for implementing and monitoring the plan as outlined in the OPWDDs ADM #2010-03 and ADM #2010-04. It clearly enlists the key activities that affect the health and welfare of an individual. A designation for individuals in a supportive community residence who have attained independent living skills but who remain in the facility while they demonstrate their proficiency in these skills and/or make provisions for moving to independent living. Did it occur per practitioners recommendation? (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. J:{Ic^@IFe~pilqXZ +$*tCb.IpV>t{8hCFGGyOW@@W!|8x bbhG xd}Fn3{+u*sj>^]t-+$t1Y"n `:TtJ!OMW*}y_MW&]Or^9!lLG?0\B,C_,pSJ&jZ1P)W|&S|$;zJxY Had staff observed risk behaviors that were not communicated to the planning team (previous non-lethal choking, coughing while eating, food-stuffing behaviors, food-taking behaviors, rumination)? Were they followed or not? This requires that the SC/CM ensure that all required attachments (e.g. There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. (2) A facility in this class housing nine or more persons shall meet the physical plant, Life Safety Code and environmental requirements for supervised community residences listed in sections 635-7.1, 635-7.2 and 635-7.3 of this Title. If there are incidents or concerns that arise which are directly Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for . Were appointments attended per practitioners recommendations? Reassessment of the person's functional needs. %PDF-1.5 % protective oversight measures staff need to implement or ensure for the individual. `*0#%h-gqg$h,s0 tZPG!xAzBf0#epG70Ji&eRiJYHUJMR D{;nL'@efW4[KmYB)IZ1/[Zwoyb$X3Ip l?jR% vh SiMXKL$*yP7)l3hl3r(du{zO+zGJ{TtBY?N%;PL!=GXIj\c6P+TS?W*4CDcR5gK)Q;xDd3. The B/DDSO is responsible for coordinating the service delivery system within a particular service area, planning with community and provider agencies, and ensuring that specific placement and program plans and provider training programs are implemented. Were the decisions in the person'sbest interest? Which doctor was coordinating the health care? routine medications, PRN medications? Were staff aware of the risks/ plan? W t|C'TCT3W0 `A-][-|xA;f!Z}gV42`C!M_dgeLvkZeE~2 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. If so, was it followed and documented? hVKo8+ ~ bTuaJiNws)zof8C?KC2%D(pmZdhD$IB$gWhp*U> OGW9ZTkz6EE'#1i> |DwK,]~]#NG[:(]U%RYSwqxwu0"c.Cg,m6~bY!qSPT}32^W0wvv_&br5;P&vP/UYmrvb[^Bka>XBL)%Z WO A Plan of Nursing S ervices (PONS) is required by OPWDD and addresses a service recipient's individual medical needs. Did this occur per the plan? are received by service providers. Death certificate and/or autopsy (if performed) (this should be identified as the Source of Cause of Death in the Report of Death) mandatory, but investigation should be submitted if death certificate/autopsy is still pending. 0 Was it realistic given other staff duties? endstream Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? What were the diagnoses prior to this acute issue/illness? (iii) The establishment of qualifications and training requirements of those responsible for supervision. Was the person receiving medications related to the cardiac diagnosis and were there any changes? (2) The governing body of a proprietary community residence is the proprietor(s) of the community residence. Artificial hydration/ nutrition? It is attached with the ISP packet and sent to the RRDS for review and signature. endstream endobj 169 0 obj <>stream Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? New York, NY. Was there a diagnosed infection under treatment at home? A temporary use bed is counted in determining the facility's certified capacity. Bowel Obstruction Most commonly, bowel obstruction is due to severe, unresolved constipation, foreign-body obstruction, obstruction due to cancerous mass, volvulus twisted bowel," or Ileus (no peristaltic movement of the bowel). Hospital coverage and pharmacy review, and other data located in the Heath Care Needs section of the Plan of Protected Oversight not inserted into other regions of Therap, will be included in the comments section. Were the actions in line with training? Was the fall observed? Did the PONS address positioning and food consistency? Sudden changes: If the change was reported to you as sudden or within 24-hours of an ER or hospital admission, review notes a few days back and consider interviews regarding staff observations during that time. The PPO must be attached to the Addendum for submission to the RRDS for review. Specialist care, per recommendations? What was the bowel management regimen e.g. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? What were the safeguards for safe dining e.g. Did necessary communication occur? EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. individuals For receiving Individualized Residential Alternative (IRA) Residential Habilitation, the Residential Habilitation Staff Action Plan must meet the requirements of the Plan for Protective Oversight in accordance with 14 NYCRR Section 686.16. Could it have been identified/reported earlier? Was it related to a prior diagnosis? OPWDD DDRO Manual for the Children's Waiver, DD/MF and DD in Foster Care - August 2019 updated May 2021 (PDF) OPWDD Collaborative Eligibility Process for the Children's Waiver, DD/MF and DD in Foster Care - PDF | Recording (YouTube) - May 2021 Initiating and Maintaining OPWDD ICF/IID LCED Policy #CW0010 - Updated May 2021 (PDF) endobj hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` Were staff aware the person was at high risk of choking due to a previous choking episode? about ADM #2015-02 Service Documentation for Community Transition Services, about ADM #2018-06R2 Transition to People First Care Coordination, about ADM #2022-05 Medication Administration Training Curriculum for Direct Support Staff, Office for People With Developmental Disabilities, Title 14 of the New York Codes, Rules andRegulations (NYCRR), 1915(c) Childrens Waiver and 1115 Waiver Amendments, Management of Communicable Respiratory Diseases. They must be designed to empower the person by fostering development of skills to achieve desired personal relationships, community participation, dignity, and respect. U.S. Environmental Protection Agency . Billing, HCBS, Were there medical conditions that place a person at risk for infection or the particular infection acquired (diabetes, history of UTIs, wounds, incontinence, immobility, or history of aspiration)? Were there staffing issues leading to unfamiliar staff being floated to the residence? Did the person have a history of Pica? Comments: Name of RRDS Signature Date. Self-Direction, A condition of a person, or lack thereof, which, when addressed, enhances the person's quality of life and/or ability to cope with his or her circumstances or environment. 5 0 obj Were there any issues involving other individuals that may have led to staff distraction? When was the last blood level done for medication levels? Was there a MOLST form and checklist in place? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Were staff involved trained? Developing strategies to address conflicts or disagreements in the planning process, including a clear conflict of interest guidelines for people, and communicating such strategies to the person. Had the person received sedative medication prior to the fall? Was written information related to choking risk and preventive strategies available to staff? Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? What were the prior diagnoses? A payment (as of this date) of up to $250 per year, per person residing in a voluntary-operated community residence which may be available to the operator of the facility for one or more of the following individuals needs: (2) personal requirements and incidental needs; and. endobj hb``g``b`e`ja`@ 6 -qaC$n20L_9sL*,JY@QI-#d^/,J>&/tah``0 @b8:0MLf@Z"a@w_`pPSvf|>30u0e\\ (h1aMX886p.pr3b f&; @g0 gK It is an individualized approach to service planning, structured to focus on the unique values, strengths, preferences, capacities, interests, desired outcomes, and needs of the person. %PDF-1.5 Over 126,000 New Yorkers are people with intellectual or other developmental disabilities. DNI? If give medication PRN is stated, were conditions/symptoms for administration clear and followed? (2) For individualized residential alternatives of eight or fewer beds, OPWDD shall verify that each person's individualized services plan (see glossary) contains a current evaluation of the fire evacuation capacity of the person based on actual performance. 0/u`_(|F!F. endobj Were they followed? (3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least annually, been reviewed, revised as appropriate, and integrated, as appropriate, with other services received. However, the service coordinator should also include safeguards that pertain to other environments where the person spends time. Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), COVID-19 Excelsior Pass/Excelsior Pass Plus, Addressing the Opioid Epidemic in New York State, Drinking Water - Boiling Water and Emergency Disinfection Info, Health Care and Mental Hygiene Worker Bonus Program, Learn About the Dangers of "Synthetic Marijuana", Maternal Mortality & Disparate Racial Outcomes, NYSOH - The Official Health Plan Marketplace, Help Increasing the Text Size in Your Web Browser. Did staff report per policy, per plans, and per training? Any changes in medications prior to the acute incident? A copy is also provided by the SC to each waiver service provider listed in the RSP. Ensure that individual medication is administered as prescribed. stream 704 0 obj <>stream The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Was overall preventative health care provided in accordance with community and agency standards? Plan and Staff Actions? Thus, an individual may be capable of participation in planning for his/her services and programs but still require assistance in the management of financial matters. A final copy of the PPO is distributed by the SC to the participant to maintain in an easily accessible location of the participant's choice within his/her home. Additionally, the service plan should be reviewed when: Habilitation providers are responsible for all requirements as outlined in OPWDDs ADM #2012-01, as well as all requirements and standards outlined in the Administrative Directive Memorandums for the specific service being provided. Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. Exhibit any behavior or pain? endstream endobj 666 0 obj <. If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? xU]k@|?T? What to expect; First visit; FAQ; Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting. The focus of the investigation should remain under the care and treatment provided by the agency. P3T{$0\C-yA8|}xE OX General notes, staff notes, progress notes, nursing notes, communication logs. If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? (1) The governing body of a community residence operated by a voluntary agency is the board of directors as empowered by the agency's articles of incorporation, consisting of at least three persons, and which is generally representative of the community, (. Regulatory References 14 NYCRR 635-99.1(bk) OPWDD Administrative Memorandum #2012-01, pages 3 and 7 Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. Person-Centered Service Plans are expected to change and to adjust with the personover time. When was the last neurology appointment? Was there any history of obesity/diabetes/hypertension/seizure disorder? While the New York State Office for People With Developmental Disabilities makes every effort to post accurate and reliable information, it does not guarantee or warrant that the regulations posted on this web site are complete, accurate or up-to-date. A vacant certified bed is counted in determining the facility's certified capacity. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. Was this reported? Previous episodes? Any means, including but not limited to observation, interview, and the written word, that provides a basis for being reasonably assured that a requirement has been met. OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. hVmo9+J!oHR a['`glzB=xL0 Lm%h3Y,ND%k2tK:EU3s2e?N52$7-V_6&ohx0aZ4/=|{aa iq9_)kw]+pQL RF.* hQj@}T%+H lCj!am\dfX[C93s@ #ob |Cg`>/oQzd-xU?r0;`iEf&6p&-\!8!U|^,G\`=tGY_%.] |z$52>F General notes, staff notes, progress notes, nursing notes, communication logs. Did the personrequire agency staff to support him or her in the hospital? Was there a nursing care plan regarding this diagnosis? OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. Call us at (858) 263-7716. Were there any previous swallowing evaluations and when were they? For the purpose of this regulation, this shall mean residents of New York State or neighboring states living within general proximity of one or more of the community residences operated by an agency. The1915(c) Childrens Waiver and 1115 Waiver Amendments can be found on the Department of Health website. Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . This Inventory is a tool that can help to generate meaningful conversations with a person regarding the possible risk areas in his/her life. hbbd``b`@q?`]bX=l $@C @dJ0~ n8)f\.Feq2o` 1101H.)@ Other? Were the orders followed? An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. What occurrence brought the person to the hospital? The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. A designation for those persons (such as an individuals spouse, children or other family members) residing at the certified supportive community residence, and who have not been admitted to the supportive community residence. The PPO (refer to Appendix C - form C.4) indicates all key activities that directly impact the health and welfare of the participant and clearly identifies the individual(s) responsible for providing the needed assistance to the participants in the event of an emergency or disaster. The SC/CM must follow up with the person,the circle of support or planning team, and habilitation providers to ensure that the plan is being properly implemented. 665 0 obj <> endobj Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. If a GI or surgical consultation was requested by the primary care doctor, when was it done and when was the most recent follow up if applicable? Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? The PPO must be reviewed by the SC with the participant at each Addendum. The SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. What is the pertinent staff training? Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? Start or increase another medication that can cause constipation? The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. 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