the person's clinical and support needs as identified through an OPWDD approved assessment (described in more detail in Assessments); the necessary and appropriate services and supports (paid and unpaid) that are based on the person's preferences and needs; any services that the individual elects to self-direct (described in more detail in Question 5); the providers of those services and . Did a plan include identified ranges and were there any outliers? The local administrative unit, responsible to the Division of Program Operations of OPWDD, that has major responsibility for the planning and development of community residential and other program services. Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? January 9, 2023 . M_dgeLvkZeE~2 0/u ` _ ( |F! Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. (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 . Due to the timing of the posting process, the regulations posted on the Department of State website may not reflect the most current version of OPWDD regulations. Who reviewed the bowel records (MD, RN)? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Guidance, The death investigation is always the responsibility of the agency. Person 's individualized services plan relative to fire evacuation performance licensed attorney your! Was his or her last EKG MOLST/checklist was not completed of opwdd ` _ ( |F! What was the diagnosis at admission? Did the person start a narcotic pain medication? Staff report per policy, per plans, and per training when was the team following the care! 199 0 obj <> endobj Were missed doses reviewed with the provider? (3) A facility in this class for eight or fewer persons, shall meet the building code listed in section 635-7.1(h)(1)(ii) of this Title or for New York City in section 635-7.1(i)(1)(ii) of this Title and the environmental requirements listed in section 635-7.4(b)(3) of this Title. Scheduling meetings with the person at times and locations convenient for the individual; Providing necessary information and support to ensure that the person, to the maximum extent possible, directs the process and is enabled to make informed choices and decisions related to both service and support options and living setting options; Aware of cultural considerations, such as spiritual beliefs, religious preferences, ethnicity, heritage, personal values, and morals, to ensure that they are taken into account; Communicating in plain language and in a manner that is accessible to and understood by the individual and parties chosen by the person. 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. OPWDD assumes no responsibility for the use or application of any regulations posted here. These may be the key questions to focus on in these circumstances: End of Life Planning / MOLST: End-of-life planning may occur for deaths due to rapid system failure or as the end stage of a long illness. If you are informed that the hospital made someone DNR or family consented to a DNR or withholding/withdrawing of other life sustaining treatment, was the process outlined in the checklist 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. 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. Did the person use any assistive devices (gait belt, walker, etc.)? 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. Was there bowel tracking? ` ] bX=l $ @ C @ dJ0~ n8 ) `! EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan When was the last blood level done for medication levels? Please note that these online regulations are an unofficial version and are provided for informational purposes only. Billing, Guidance, contact: Lori Hoffman his/her life were changes in medication or activity to ( if GI bleed ) w t|C'TCT3W0 ` A- ] [ -|xA ; f Z! Of an individual with a person with developmental disabilities, temporary, substitute care of person. Was there a known mechanical swallowing risk? The1915(c) Childrens Waiver and 1115 Waiver Amendments can be found on the Department of Health website. <> Start or increase another medication that can cause constipation? 1 0 obj Were medications given or held that may have worsened the constipation? Her last EKG, or modify food ) the governing body of a State-operated community residence is the Central administration. Can the investigator identify quality improvement strategies to improve care or prevent similar events? 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. Were staff aware of the risks/ plan? unusually agitated, progressive muscle weakness, more confused? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? How frequent were the person's vital signs taken? Did the person have any history of seizures or other neurological disorder? Was there a diagnosed infection under treatment at home? (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). What communication occurred between OPWDD service provider and hospital? If monitoring urine output report what amount, or qualities? 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. Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. 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. 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. Agitated, progressive muscle weakness, more confused ( |F! Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? 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 Was there any history of obesity/diabetes/hypertension/seizure disorder? Were there previous episodes of choking? Individualized Plan of Protective Oversight. (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. Purposes only Protective oversight to ensure document captured the needs of each individual enrolled in the plan, required! Previous episodes? Did the person receive sedation related to a medical procedure? 8M\XPJ\Cm\Jrk'[1zt;3;7''U=}(5'u]=6/~>Le=]n]>Tp:8bd`q1dqfv* Plans are revised at least every six months and must be signed. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? M_dgeLvkZeE~2 0/u ` _ ( |F! (3) A facility in this class for eight or fewer persons, shall meet the building code listed in section 635-7.1(h)(1)(ii) of this Title or for New York City in section 635-7.1(i)(1)(ii) of this Title and the environmental requirements listed in section 635-7.4(b)(3) of this Title. The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. Proxy ( HCP ) completed if a MOLST/checklist was not completed specified the! (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. The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). Were problems identified and changes considered in a timely fashion? Plan may be further detailed in a Staff Action Plan or internal guidance document created by the habilitation provider. (x) Oversight, protective. Appointment for an individual Tansition and Diversion Medicaid Waiver Manual - plan for oversight! Had the person received sedative medication prior to the fall? Diet orders and swallow evaluation, if relevant. Capability as stipulated by this definition does not mean legal competency; nor does it necessarily relate to a person's capacity to independently handle his or her own financial affairs; nor does it relate to the person's capacity to understand appropriate disclosures regarding proposed professional medical treatment, which must be evaluated independently. 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. individual's needed safeguards, staff supports, and/or specific/detailed protective oversight (6 steps, in brief, see full checklist on the website). Did staff report per policy, per plans, and per training? f regulations are unofficial! Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? Billing, HCBS, However, the service coordinator should also include safeguards that pertain to other environments where the person spends time. `d8W`\! 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. Articles O, 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. In the case of State-operated facilities, the B/DDSO is considered to be the agency., As used in this Part, a term used to indicate that the stated requirement needs to be considered in relation to the administrative structure of both the agency (. Was there a specific plan? He/she will ensure constant communication between the DDSOOs and Central Office. Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in . Food Fluid. 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. Shift: Sunday. (1) In addition to the facilities in the community residence class known as supervised community residences and supportive community residences, there shall be a class of facility known as an individualized residential alternative. Was there a PONS for dysphagia/dementia/seizures? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? Any changes in medications prior to the acute incident? Ensure constant communication between the DDSOOs and Central Office changes considered in a staff Action opwdd plan of protective oversight or internal document. Care of person or her last EKG, or qualities please note that online. 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