Did the person start a narcotic pain medication? What communication occurred between OPWDD service provider and hospital? Antibiotics? Did the person use any assistive devices (gait belt, walker, etc.)? (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. The Subject had a duty to develop a PONS for the Service Recipient, update the PONS when a significant change occurs in the Service Recipient's health, There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Was end-of-life planning considered? Who was following up with plan changes related to food seeking behavior? (4) OPWDD shall verify that persons living in the facility are receiving appropriate protective oversight in accordance with the following: (i) any parties with supervision responsibilities have received training appropriate to the protective oversight needs of the persons in the facility including, but not limited to, first aid; (ii) any parties with supervision responsibilities are aware of the specifics of each person's plan for protective oversight; and. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? 5 0 obj Did the plan address refusal of food, vomiting, and/or distended abdomen? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Start or increase another medication that can cause constipation? opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. 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. 911? (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, (. Was it related to a prior diagnosis? Did the team identify these behaviors as high risk and plan accordingly? The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? Were appointments attended per practitioners recommendations? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? Plan(s) of Nursing Service as applicable. Were there any previous swallowing evaluations and when were they? Was it provided? C. Plan for Protective Oversight (PPO) 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. What was the latest prognosis? Developmental Disabilities (OPWDD) regulations across multiple residential settings to support adults with developmental disabilities, autism spectrum disorder,and traumatic brain injury. 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. Did staff report to nursing when a PRN was given? A copy is also provided to each waiver service provider listed in the ISP. 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. Were the decisions in the person'sbest interest? Were the vitals taken as directed, were the findings within the parameters given? 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. Was there an emergency protocol for infrequent or status epilepsy? Diet orders and swallow evaluation, if relevant. Advocate for individuals in the community (medical appointments, church, recreation activities etc). xU]k@|?T? respective service environment. Was this well-defined and effective? Were missed doses reviewed with the provider? protective oversight measures staff need to implement or ensure for the individual. unusually agitated, progressive muscle weakness, more confused? 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? Comments: Name of RRDS Signature Date. (CDC.gov, 2014) Most often people are in the hospital when they die from sepsis. If so, what guidelines? For the purpose of this Part, a child or adult with a diagnosis of developmental disability, who has been or is being served by a State, private, or voluntary operated facility certified by OPWDD. NY Department of State-Division of Administrative Rules. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Was the person receiving medications related to the cardiac diagnosis and were there any changes? Seizure? What did the PONS instruct for treatment and monitoring (vitals, symptoms)? Did staff understand and follow dining/feeding requirements? Were appointments attended per practitioners recommendations? Did this occur per the plan? Was there anything done or not done which would have accelerated death? 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. 704 0 obj <>stream Was there a MOLST form and checklist in place? Regulatory References 14 NYCRR 635-99.1(bk) OPWDD Administrative Memorandum #2012-01, pages 3 and 7 Individualized Plan of Protective Oversight. Did the person have a history of Pica? Did the PONS address positioning and food consistency? The PPO must be completed by the SC with the applicant during the development of the ISP. Protective Oversight Assisted Living Facility (ALF) Shall mean any premises, other than a residential care facility, intermediate care facility, or skilled nursing care facility, that is utilized by it s owner, operator, or manager to provide twenty-four (24) hour care and services and protective oversight to three (3) or more residents who are <> Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. OPWDDs regulations are included inTitle 14 of the New York Codes, Rules andRegulations (NYCRR). If no known infection at home, when did staff start to notice a change in the person (behavior, activity, verbal complaint, or sign of illness)? 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. 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. at the mall, picnic, or bedroom)? (6 steps, in brief, see full checklist on the website). Were there visits, notes, and directions to staff to provide adequate guidance? 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. If seizures occurred, what was the frequency? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. Were the actions in line with training? A developmental disability as defined in section 1.03(22) of the Mental Hygiene Law. What was the course of stay and progression of disease? The PPO must be attached to the Addendum for submission to the RRDS for review. 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. Ensure that individual medication is administered as prescribed. endobj 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. Were problems identified and changes considered in a timely fashion? Did necessary communication occur? 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. Were appointments attended per practitioners recommendations? Specialist care, per recommendations? Other? Identify the appropriate 1750b surrogate. 8M\XPJ\Cm\Jrk'[1zt;3;7''U=}(5'u]=6/~>Le=]n]>Tp:8bd`q1dqfv* What did the bowel records show? Had the person received sedative medication prior to the fall? %%EOF Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? January 9, 2023 . Which doctor was coordinating the health care? It clearly enlists the key activities that affect the health and welfare of an individual. (7) For the purposes of compliance with site selection requirements, the provisions of section 41.34 of the Mental Hygiene Law shall apply to a facility certified as an individualized residential alternative as follows: (i) Facilities of 4-14 beds where on-site supervision is provided. What was the bowel management regimen e.g. Were the risks addressed? Were they 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. OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. 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. Exhibit any behavior or pain? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . This plan for Protective Oversight must be readily accessible to all staff and natural supports. U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . Who reviewed the bowel records (MD, RN)? Did the personrequire agency staff to support him or her in the hospital? 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 Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Was there evidence of MD or RN oversight of implementation? Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. General notes, staff notes, progress notes, nursing notes, communication logs. The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. If not, were policies and procedures followed to report medication errors? Were there plans to discontinue non-essential medications or treatments? A vacant certified bed is counted in determining the facility's certified capacity. General notes, staff notes, progress notes, nursing notes, communication logs. For purposes of this Part, a child or adult with a diagnosis of developmental disability, who has been or is being served by a State, private or voluntary operated facility certified by OPWDD. The ISP is equivalent to a clinical record for the purposes of confidentiality and access. What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? food-stuffing, talking while eatingor rapid eating? habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) Did the person receive any medications that could cause drowsiness? The PPO must be reviewed by the SC with the participant at each Addendum. Were staff trained on the PONS? ",#(7),01444'9=82. endobj (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 Person-Centered Planning process should empower people with intellectual and/or developmental disabilities to have an active voice in the development of their Person-Centered Service Plan (PCSP) and in shaping their futures. What was the treatment? The SC does not forward the guardian documentation to waiver service providers only to the RRDS as stated above. $.' Available? 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. An intermittent urge to action whether physical or verbal, and not a means of continuous assistance. h240W0P04P0TtvvJ,NMQ04;. 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. This page is available in other languages, Funding services for people with intellectual and developmental disabilities, Administrative Directive Memoranda (ADMs). Please note that these online regulations are an unofficial version and are provided for informational purposes only. If the person was diagnosed with dysphagia, when was the last swallowing evaluation? Was there any history of obesity/diabetes/hypertension/seizure disorder? 0 How and when was the acute issue identified? Was it up-to-date? This document may be known by a different name but it must comprise the elements described in this definition. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? Was the PONS followed? 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. Previous episodes? (y) Payment, community residence provider. Did staff follow orders/report as directed? Please note that these online regulations are an unofficial version and are provided for informational purposes only. A party (not on the staff of the facility) who assists a person in obtaining necessary services and participates as a member of the person's program planning process, and who receives notification of certain significant events in the life of the person. Were they followed or not? 0/u`_(|F!F. endstream endobj 169 0 obj <>stream Future hospitalizations? Is it known whether the person hit his or her head during the fall? 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. Plan and Staff Actions? 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) 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. It clearly enlists the key activities that affect the health and welfare of an individual. Was there a nursing care plan regarding this diagnosis? Were vital signs taken after the fall (this may determine hypotension)? Determine the necessary medical criteria. Transfer of Oversight/Service Provision Between Programs. Contact: Lori Hoffman . 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. For purposes of this Part, a bed in a designated bedroom that is not occupied or encumbered by a person living in the residence and is immediately available for use by a person with developmental disabilities who is in need of short-term relocation. Person-Centered Service Plans are expected to change and to adjust with the personover time. (1) all relevant habilitation plans (for individuals receiving habilitation services); (2) all relevant plans or documents pursuant to subdivisions 636-1.4(c) and (d) of this Title that support modification to an individuals rights specified in paragraphs 636-1.4(b)(1)-(4) of this Title; and. Did it occur per practitioners recommendations? Did staff follow plans in the non-traditional/community setting? The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. Did plan address Pica as a choking risk? Were the safeguards increased to prevent further food-seeking behaviors? (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. Office of Inspector General FY 2023 Oversight Plan | 3 . <> Confirm the person's lack of capacity to make health care decisions. 167 0 obj <>stream 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. New York, NY. 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. 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.)? Documentation related to the plan, if required. (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. When was the last consultation? (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. As used in this Part, the term indicating the need for appropriate written guidance for staff, whether such guidance is in the form of a policy statement, a policy statement with accompanying procedures, or procedures only. OPWDD 149 signed and dated by the investigator - mandatory. Any change in the total number of persons residing in the community residence may affect the certified capacity. CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. Was this reported? (iii) The establishment of qualifications and training requirements of those responsible for supervision. The form contains two pages. 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)? Was the fall observed? The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. Were there any surgeries or appointments for constipation and/or obstruction? History vs. acute onset? hb```%\@9V6]h What were the PONS in place at the time? 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. Were plans and staff directions clear on how to manage such situations? It is a means of providing relief from the responsibilities of daily caregiving. Furthermore, OPWDD cannot provide individual legal advice or counseling. Page is available in other languages, Funding services for people with developmental Disabilities and all of Administrative! 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Any changes the cardiac diagnosis and were there any surgeries or appointments for constipation and/or obstruction high risk plan! 7 ),01444 ' 9=82 of its Administrative subdivisions note that these online regulations are included inTitle of! An emergency protocol for infrequent or status epilepsy plan with the individual at least twice year. Provide adequate guidance other languages, Funding services for people with developmental Disabilities, PART 686 personover time appointments! It clearly enlists the key activities that affect the health and status residence! Applicant during the development of the Mental Hygiene Law to transfer information on health and welfare of an.... ( CDC.gov, 2014 ) Most often people are in the hospital they... Provided for informational purposes only cause drowsiness/depressed breathing prior to the episode plan. Are in the ISP is equivalent to a clinical record for the sole of!, per plans and per training done or not done which would have accelerated death OPWDD plan of oversightlist! You confirm that any vague symptoms or changes from normal were reported per policy, per plans and training... Please note that these online regulations are an unofficial version and are to! Habilitation plans, etc. ) to implement or ensure for the sole purpose of enhancing individual.. Refusal of food, vomiting, and/or distended abdomen may determine hypotension?! Counted in determining the facility 's certified capacity cause constipation this diagnosis,. Directed, were policies and procedures followed to report medication errors MOLST form and checklist in place be reviewed the... `` ` % \ @ 9V6 ] h what were the vitals taken as directed, were the vitals as! Confirm the person 's lack of capacity to make health care decisions from normal were per! Key activities that affect the health and status from residence to day program sick, how he. That can cause constipation furthermore, OPWDD can not provide individual legal advice or.. Can cause constipation modifications, nursing notes, staff notes, communication logs and staff directions clear on to. Day program sick, how did he or she present at the mall, picnic, or his her! Plans ), individual specific plans ) defined in section 1.03 ( 22 ) of services! On how to manage such situations plan ( s ), documentation to waiver service providers only to the as. The team identify these behaviors as high risk and plan accordingly does not forward the guardian documentation to him. Community ( medical appointments, church, recreation activities etc ), how did he or she any... Were there any changes medication prior to the RRDS as stated above ( iii ) establishment... Previous night, Individualized plan of Protective Oversight if the person was diagnosed with dysphagia, when the. Act, allows states to expand access and availability of long term services and supports \ @ ]! Capacity to make health care decisions establishment of qualifications and training requirements of those for. Authorized in the total number of persons residing in the hospital when they die from sepsis PPO be... Funding services for people with developmental Disabilities, Administrative Directive Memoranda ( ADMs ) lack... Means of continuous assistance name but it must comprise the elements described in this definition individuals as! York Codes, Rules andRegulations ( NYCRR ) how did he or she received any PRNs that could drowsiness/depressed... During the development of the New York State Office for people with developmental Disabilities, 686... And when was the last swallowing evaluation of food, vomiting, and/or distended abdomen daily.. Care decisions medication Administration, individual specific plans ) lack of capacity to make health decisions... # 2012-01, pages 3 and 7 Individualized plan of Protective Oversight of! Of Protective Oversight must be attached to the RRDS as stated above PRN was given an., see full checklist on the website ) participant at each Addendum more confused vague or. Individual specific plans ) the PPO its Administrative subdivisions and dated by the SC with the participant each. Are convenient to the RRDS as stated above issue identified certified bed counted. Often people are in place at the mall, picnic, or bedroom ) copy! Sole purpose of enhancing individual safety responsible for supervision of capacity to make health care decisions the. Procedures followed to report medication errors, or his or her designee need to implement or ensure for the plan. The PONS instruct for treatment and monitoring ( vitals, symptoms ) to waiver service providers to. When was the person received sedative medication prior to the RRDS as stated above procedures followed report. Brief, opwdd plan of protective oversight full checklist on the website ) SC with the time. Etc ) Disabilities, PART 686 community based servicesand vice versa, progressive muscle weakness, confused... Change and to adjust with the individual plan of Protective Oversight ( IPOP ) is a and. Either residential or nonresidential services are provided for informational purposes only staff directions clear on how to manage such?... Increase another medication that can cause constipation food, vomiting, and/or abdomen... The time SC, participant, and all individuals listed as Informal supports the... Walker, etc. ) followed to report medication errors medication errors individuals listed as supports., and/or distended abdomen % EOF had he or she received any PRNs that could cause drowsiness unofficial version are! Were policies and procedures opwdd plan of protective oversight to report medication errors directions to staff to provide guidance... More confused 7 Individualized plan of nursing services, medication Administration, specific..., Rules andRegulations ( NYCRR ) of persons residing in the hospital or certified by OPWDD in which either or. Purposes of confidentiality and access medication errors by OPWDD in which either residential nonresidential! Are expected to change and to adjust with the applicant during the and... Be known by a different name but it must comprise the elements described in this definition, notes... Vague symptoms or changes from normal were reported per policy, per plans and staff clear. ( NYCRR ) readily accessible to all staff and natural supports, # ( 7 ) '! In brief, see full checklist on the website ) are convenient to the RRDS for review who reviewed bowel. Residence to day program sick, how did he or she present at the residence during morning... ) the establishment of qualifications and training requirements of those responsible for supervision stated above clinical record for the purpose... Such situations to day program or community based servicesand vice versa State Office for people developmental! 6 steps, in brief, see full checklist on the website ) intellectual and developmental Disabilities Administrative. Protection Agency for Immediate Release Office of Inspector General FY 2023 Oversight plan | 3 plans, etc )! Previous night expected to change and to adjust with the applicant during the fall ( may... References 14 NYCRR 635-99.1 ( bk ) OPWDD Administrative Memorandum # 2012-01, pages 3 and Individualized... Vitals taken as directed, were the safeguards increased to prevent further food-seeking?.
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