OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. Were staff aware of the MOLST? Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. Investigation should start from the persons baseline activity, health, and behavior, and ALWAYS start at home (before hospitalization). What was the infection? 199 0 obj <> endobj Were there any surgeries or appointments for constipation and/or obstruction? EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed? Did the person require staff assistance to stand, to walk? However, evidence of failure to comply with the principles may be the basis for decertification in accordance with article 16 of the Mental Hygiene Law. If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. 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. I am pleased to present the Environmental Protection Agency Office of U.S. DNI? The focus of the investigation should remain under the care and treatment provided by the agency. Contact: Lori Hoffman . The PPO must be attached to the Addendum for submission to the RRDS for review. If the fall was not observed, did staff move the individual? Plan(s) of Nursing Service as applicable. 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. Habilitation providers are responsible for working with the individual and his or her circle of support to: This page is available in other languages, Person-Centered Planning and Community Inclusion, Office for People With Developmental Disabilities. The basis of documentation may include facility specific record; specified forms or reports; specified contents of records, reports or forms; and/or other means of assessing compliance such as interviews with individuals, employees or volunteers, and/or onsite observation of activities and the environment. The tool identifies risk factors and the services needed to mitigate them, and assigns specific persons who will be responsible for providing the necessary service and oversight. The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. Did the plan address refusal of food, vomiting, and/or distended abdomen? (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). Were staff trained on the PONS? (4) An individualized residential alternative shall meet the requirements of this Part as set forth in sections 686.1, 686.2, 686.3, 686.4, 686.5, 686.9, 686.15(a)(1)-(3) (as appropriate) and 686.16 of this Part. What to expect; First visit; FAQ; Was there a nursing care plan regarding this diagnosis? endobj If there are incidents or concerns that arise which are directly Was there any time during the course of events that things could have been done differently which would have affected the outcome? 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. If there are no changes to the PPO, the participant and the SC sign the last page of the Addendum indicating that the PPO was reviewed and there were no changes. New York, NY. Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? 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. hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` h240W0P04P0TtvvJ,NMQ04;. Specialist care, per recommendations? The written document that is developed by an individual's chosen service coordinator, the individual and/or the parties chosen by the individual, often known as the persons circle of support, that describes the services, activities and supports, regardless of the funding source, and that constitutes the person's individualized service environment. 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. Reassessment of the person's functional needs. Was there a diagnosed infection under treatment at home? Did a plan include identified ranges and were there any outliers? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? 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. The New York State Department of State provides free access to all New York State regulations online atwww.dos.ny.gov. Did the person use any assistive devices (gait belt, walker, etc.)? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? Not all documents may be relevant to your investigation. Did necessary communication occur? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. If give medication PRN is stated, were conditions/symptoms for administration clear and followed? unusually agitated, progressive muscle weakness, more confused? 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. If monitoring urine output report what amount, or qualities? The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. 2 0 obj 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. endobj In New York City, this unit is called the Borough Developmental Services Office (BDSO); elsewhere in the State it is called the Developmental Disabilities Services Office (DDSO). endstream endobj startxref When was the last GYN consult? Was there anything done or not done which would have accelerated death? Were staff trained? Plans are revised at least every six months and must be signed. Diet orders and swallow evaluation, if relevant. Can they describe the plan? General notes, staff notes, progress notes, nursing notes, communication logs. Were vital signs taken after the fall (this may determine hypotension)? Guidance, 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. Were the orders 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. To request a document in another language, email[emailprotected]. The goal of the ISP is to ensure the provision of those things necessary to sustain the person in his/her chosen environment and preclude movement to an ICF/DD. Was the fall observed? Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? The SC does not forward the guardian documentation to waiver service providers only to the RRDS as stated above. Use these questions, as appropriate. Did plan address Pica as a choking risk? Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? What were the diagnoses prior to this acute issue/illness? CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. (3) recreational and cultural activities. What was the diagnosis? (iv) The establishment of a process whereby the person's continuing need for the originally recommended amount and type of protective oversight can be periodically reviewed, and modified as necessary. Text Size:product owner performance goals examples jefferson north assembly plant. Person-Centered Service Plans are expected to change and to adjust with the person over time. This Plan must also be submitted to the Regional Resource Development Specialist with all Service Plans, and reviewed, at lease every six months by the Service Coordinator. schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. (4) service coordination, including assessment, service planning and coordination, linkage and referral, follow-up and monitoring. 3 0 obj Was the person receiving any medications related to this diagnosis? 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? Was it up-to-date? When was the last consultation? Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. What was the bowel management regimen e.g. Call us at (858) 263-7716. Aspiration Pneumonia (People who are elderly are at a higher risk)? Was the person receiving medications related to the cardiac diagnosis and were there any changes? Did the person receive sedation related to a medical procedure? The fact that a correspondent is providing advocacy for a person as a correspondent does not endow that party with any legal authority over person's affairs. Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . Did the person have a history of Pica? Which doctor was coordinating the health care? Were plans and staff directions clear on how to manage such situations? 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. ",#(7),01444'9=82. INSPECTOR GENERAL . habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) 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. What occurrence brought the person to the hospital? A vacant certified bed is counted in determining the facility's certified capacity. OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . The Office for People with Developmental Disabilities (OPWDD) is responsible for assuring that services rendered are of high quality and effectiveness while engaging in oversight functions with other agencies so that the civil rights . What is the pertinent staff training? The form contains two pages. stream Exhibit any behavior or pain? 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 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. EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Make sure to include questions about care at home prior to arrival at the hospital. Advocate for individuals in the community (medical appointments, church, recreation activities etc). This requires that the SC/CM ensure that all required attachments (e.g. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? hb```%\@9V6]h OPWDD 149 signed and dated by the investigator - mandatory. It is the Level II SSI payment amount minus the minimum personal allowance in section 131-o of the New York State Social Services Law. Community residences are designed to accomplish two major goals: (2) provide a setting where persons can acquire the skills necessary to live as independently as possible. (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, (. %PDF-1.5 % 665 0 obj <> endobj It clearly enlists the key activities that affect the health and welfare of an individual. 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