routine medications, PRN medications? If you are not familiar with the MOLST process please see here. Section 8.ATTACHMENTS. Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? Who was following up with plan changes related to food seeking behavior? 241 18th Street S, Suite 403, Arlington, VA 22202 Advocate for individuals in the community (medical appointments, church, recreation activities etc). A copy of this guardian documentation is forwarded to the RRDS. The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? 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. January 9, 2023 . Exhibit any behavior or pain? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). (5) Each facility in this class shall ensure the provision of, or provide as its minimum responsibility, protective oversight (see glossary) appropriate to the person's needs. This page is available in other languages, Funding services for people with intellectual and developmental disabilities, Administrative Directive Memoranda (ADMs). OPWDD's regulations are included in Title 14 of the New York Codes, Rules and Regulations (NYCRR). Was there a specific plan? If there are incidents or concerns that arise which are directly <> Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . This posting is not intended to replace official publication of regulations in the New York State Register, published by the New York State Department of State. The PPO must be attached to the Addendum for submission to the RRDS for review. (6 steps, in brief, see full checklist on the website). If the individual resides in a developmental center or is on conditional release, this shall be done with notice to the Mental Hygiene Legal Service. Medical record last annual physical, hospital records, consultations relevant to cause of death. The maximum number of beds available to be occupied by people with developmental disabilities for respite purposes, as indicated on the operating certificate issued by the commissioner. Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? Did the plan address refusal of food, vomiting, and/or distended abdomen? (w) OPWDD. What was the latest prognosis? Inspector General's Fiscal Year 2023 Oversight Plan. %PDF-1.6 % Had the person received sedative medication prior to the fall? 0/u`_(|F!F. Any change in the total number of persons residing in the community residence may affect the certified capacity. Future hospitalizations? Did staff report per policy, per plans, and per training? (y) Payment, community residence provider. U.S. Environmental Protection Agency . 199 0 obj <> endobj stream Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. If there are any changes, a new PPO must be completed and signed by the participant, SC and any individuals listed as Informal Supports to the participant. stream endobj 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|$;zJxY Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. endstream endobj 168 0 obj <>stream Were problems identified and changes considered in a timely fashion? Was the person receiving any medications related to this diagnosis? Dysphagia, dementia, seizures can happen with neurological diagnosis. (5) OPWDD shall verify, in facilities of eight beds or less that the alarms of fire detectors installed pursuant to section 635-7.4(b)(3)(v) of this Title are clearly audible in sleeping areas with intervening doors closed. Was it communicated? The funds are made available in accordance with section 41.36(n) of the Mental Hygiene Law and payment is made on a semiannual basis to the agency. The form contains two pages. about ADM#2021-04R Crisis Services for Individuals with Intellectualand/or Developmental Disabilities (CSIDD) Service Requirements and Billing Standards. 690 0 obj <>/Filter/FlateDecode/ID[<59ED846B642C84478C9F98D6F6215179>]/Index[665 40]/Info 664 0 R/Length 110/Prev 246535/Root 666 0 R/Size 705/Type/XRef/W[1 3 1]>>stream Other? If diagnosed with seizures, frequency? Any medical condition that would predispose someone to aspiration? :@-S[!v:q~|lUsoo=e1aj\,;+Dt]QNN~U0iOuxabJ,cdVM>/gN>+NhS>/}aM]4g=H TtV0M19NK.MU/oNM>$C 686.16 Certification of the facility class known as individualized residential alternative. Was there a PONS? Was this well-defined and effective? Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in three minutes or less, the facility shall meet the. Were there previous episodes of choking? Was the device being used at the time of the fall? What to expect; First visit; FAQ; (2) The governing body of a proprietary community residence is the proprietor(s) of the community residence. Was end-of-life planning considered? Stop/reduce a bowel medication? habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. What were the PONS in place at the time? 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. Not all documents may be relevant to your investigation. Person-Centered Service Plans are expected to change and to adjust with the personover time. Medical, about Management of Communicable Respiratory Diseases, about Revised Protocols for the Implementation of Isolation and Precautions for Individuals Exposed to COVID-19 Residing in OPWDD Certified Facilities, about Protocols for the Management of mpox (monkeypox) in OPWDD Certified Facilities, about ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract Services Delivered by Providers Who Are Not The Fiscal Intermediary. OPERATION OF COMMUNITY RESIDENCES. For purposes of this Part, this shall include children or adults who have applied to or have been screened for services and for whom a clinical record is maintained or possessed by such a facility. 257 0 obj <>stream Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? Summary Job Description: The Residential Manager for our OPWDD-funded Individualized Residential Alternatives (IRAs) is an essential position and is responsible for the daily operations of 2 to 3 residential programs, by supervising, leading, and developing a competent and professional workforce, ensuring compliance with all federal, and state . Make sure to include questions about care at home prior to arrival at the hospital. 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. Email: Hoffman.Lori@epa.gov. How frequent were the person's vital signs taken? Providers may disclose PHI to health oversight agencies, (e.g., the government agency which licenses the provider), for legally authorized health oversight activities, such as audits and investigations. <> Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. Ensure that individual medication is administered as prescribed. unusually agitated, progressive muscle weakness, more confused? Was the fall observed? 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. INSPECTOR GENERAL . hbbd``b`@q?`]bX=l $@C @dJ0~ n8)f\.Feq2o` 1101H.)@ What were the diagnoses prior to this acute issue/illness? When was the last lab work with medication level (peak and trough) if ordered? If seizures occurred, what was the frequency? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? Were plans and staff directions clear on how to manage such situations? endstream endobj 666 0 obj <. <> Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? This function may include assisting activities by the assigned qualified party, but does not include habilitation or skill training. What was the bowel management regimen e.g. Did a plan include identified ranges and were there any outliers? 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. When was his or her last EKG? $.' The Centers for Medicare and Medicaid Services (CMS) approved the States Medicaid Plan Amendment to add the Community First Choice Option (CFCO) set of services. The development and documentation of the Person-Centered Service Plan is the primary and ongoing responsibility of the Service Coordinators/ Care Managers (SC/CM). P3T{$0\C-yA8|}xE OX Use these questions, as appropriate. Person-Centered Planning (PCP) is a process designed to ensure that everyone receiving services provided or authorized by OPWDD benefits from the most individualized supports and services possible. This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. Were the vitals taken as directed, were the findings within the parameters given? Were they followed or not? The PPO must be completed by the SC with the applicant during the development of the ISP. They are children and adults with a range of abilities and needs. Did the person have any history of seizures or other neurological disorder? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. Were the orders followed? Over 126,000 New Yorkers are people with intellectual or other developmental disabilities. Any history of constipation/small bowel obstruction? The information provided in this Plan for Protective Oversight summarizes alternatives so that the participant's health and welfare can be maintained in the community and that he/she is not at risk for nursing home placement. Antibiotics? endobj The PPO must be redone by the SC with the participant each time an RSP is developed for submission with the RSP packet to the RRDS for review. (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. What was the content of the MOLST order? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. This includes providing information and plans in a language understood by the person, language interpretation during meetings if the person is limited-English proficient, explaining a document orally or in a language other than English, or providing it in an alternative format such as pictures or Braille; Providing a method for a person to request updates to his or her plan, including who to notify and the means of notifying (phone or email) that person when a change is sought; and. hVmo9+J!oHR a['`glzB=xL0 Lm%h3Y,ND%k2tK:EU3s2e?N52$7-V_6&ohx0aZ4/=|{aa iq9_)kw]+pQL RF.* endstream No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. What were the prior diagnoses? (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). Were there signs that nursing staff were actively engaged in the case? It clearly enlists the key activities that affect the health and welfare of an individual. The death investigation is always the responsibility of the agency. Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). p`FE @"U $RE 0.U RE 0.U@Z>)ES Were the decisions in the person'sbest interest? Did the person require staff assistance to stand, to walk? Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective; Oversight. What was the treatment? Written statements (expected for all death investigations). Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? (2) A facility in this class housing nine or more persons shall meet the physical plant, Life Safety Code and environmental requirements for supervised community residences listed in sections 635-7.1, 635-7.2 and 635-7.3 of this Title. Is it known whether the person lost consciousness prior to the fall? This plan for Protective Oversight must be readily accessible to all staff and natural supports. Identify the appropriate 1750b surrogate. Were the medications given as ordered? 1 0 obj A copy of the PPO must be provided to the participant by the SC to be maintained in an easily accessible location of the participant's choice within his/her home. hb``g``b`e`ja`@ 6 -qaC$n20L_9sL*,JY@QI-#d^/,J>&/tah``0 @b8:0MLf@Z"a@w_`pPSvf|>30u0e\\ (h1aMX886p.pr3b f&; @g0 gK Did staff decide this independently, or was it with nursing direction? There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Effective January 21, 2011: The MOLST (Medical Orders for Life Sustaining Treatment) form and the MOLST Legal Requirements Checklist should be completed in compliance with the Health Care Decisions Act of 2003. Once reviewed and signed by the RRDS, the PPO is returned to the SC, who distributes it to the participant and any waiver service provider listed in the current Service Plan. Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? xU]k@|?T? (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, (. Diet orders and swallow evaluation, if relevant. Did the person have an injury or illness that impaired mobility? The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. 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. OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. [u_+rm=)r1=NpY\5=sY.g|iAu. Comments: Name of RRDS Signature Date. When was the last consultation? Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . 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. Who was the doctor/provider managing the illness? 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