opwdd plan of protective oversightnancy pelosi's grandfather
Were there any surgeries or appointments for constipation and/or obstruction? Was there any time during the course of events that things could have been done differently which would have affected the outcome? If there are incidents or concerns that arise which are directly 5 0 obj 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)? Start or increase another medication that can cause constipation? Was this reported? What was the latest prognosis? Was there a known mechanical swallowing risk? h240W0P04P0TtvvJ,NMQ04;. 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. If fluids are to be given, how much? Was there an emergency protocol for infrequent or status epilepsy? (CDC.gov, 2014) Most often people are in the hospital when they die from sepsis. On the agencys part? Was there a diagnosed infection under treatment at home? 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. Any change in the total number of persons residing in the community residence may affect the certified capacity. 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. Consequently, it is critical to revisit the plan as prescribed by OPWDDs Administrative Directive Memorandum (ADM) #2010-03, in addition to whenever a personfinds it necessary to revise or amend their service plan. Was it up-to-date? If diagnosed with seizures, frequency? Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Did staff follow plans in the non-traditional/community setting? Section 8.ATTACHMENTS. 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 . Were staff trained on the PONS? Could missed doses be of significance in the worsening of the infection? How and when was the acute issue identified? Ensure that individual medication is administered as prescribed. Who reviewed the bowel records (MD, RN)? They are children and adults with a range of abilities and needs. %PDF-1.5 % Was there a nursing care plan regarding this diagnosis? Who was the doctor/provider managing the illness? 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. Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective; Oversight. 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. Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? endobj Was there bowel tracking? An intermittent urge to action whether physical or verbal, and not a means of continuous assistance. Written statements (expected for all death investigations). Were vital signs taken after the fall (this may determine hypotension)? When was the last blood level done for medication levels? Site specific Plan of Protective Oversight. Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. Furthermore, OPWDD cannot provide individual legal advice or counseling. (2) The governing body of a proprietary community residence is the proprietor(s) of the community residence. Was there a known behavior of food-seeking, takingor hiding? 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. What was the bowel management regimen e.g. Did the person receive any medications that could cause drowsiness? What was follow up time to PRN given? Plan and Staff Actions? (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Was it provided? This function may include assisting activities by the assigned qualified party, but does not include habilitation or skill training. stream Below is a list of suggested documentation to guide your death investigation. Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? If so, was it followed and documented? Did it occur per practitioners recommendation? Did plan address Pica as a choking risk? What is the pertinent staff training? Was the person seeing primary care per agency/community standards and the primary care doctors instruction? What occurrence brought the person to the hospital? Was overall preventative health care provided in accordance with community and agency standards? Was there a plan for provider follow-up? 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)? Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). What were the PONS in place at the time? 3 0 obj Exhibit any behavior or pain? (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. Was food taking/sneaking/stealing managed? Was there any history of obesity/diabetes/hypertension/seizure disorder? What were the directions for calling a nurse? Were staff involved trained? 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. The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. When was the last neurology appointment? (1) assessment information and recommendations; (2) an identification of each service, service provider (including type), the amount, frequency, and duration of each service, and effective dates for service delivery; (3) an identification of the individual's personal goals, preferences, capabilities, and capacities which are then related to habilitation or support needs stated in terms of outcomes to be achieved within specified timeframes; and. (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, (. Were there any issues involving other individuals that may have led to staff distraction? Any history of aspiration? OPWDD's regulations are included in Title 14 of the New York Codes, Rules and Regulations (NYCRR). What was the treatment? 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. 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. What were the symptoms which sent the person to the hospital? Please note that these online regulations are an unofficial version and are provided for informational purposes only. Office of Inspector General FY 2023 Oversight Plan | 3 . Were staff trained on relevant signs/symptoms? Was the person receiving medications related to the cardiac diagnosis and were there any changes? How frequent were the person's vital signs taken? 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 . Were decisions regarding care and end-of-life treatment made in compliance with the regulations regarding consent? January 9, 2023 . (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 Office for People With Developmental Disabilities and all of its administrative subdivisions. Is it known whether the person lost consciousness prior to the fall? It is the responsibility of the individual's chosen service coordinator to ensure that the ISP is reviewed at least semi-annually and includes consideration of the information obtained from other-than-OPWDD providers (if any), who are providing services (. When was his or her last EKG? Were the plans followed? Was the device being used at the time of the fall? There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Were staff aware of the MOLST? Was the PONS followed? Determine the necessary medical criteria. Email: Hoffman.Lori@epa.gov. Did the choking occur off-site or in a nontraditional dining setting (e.g. Any medical condition that would predispose someone to aspiration? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). A capable adult person cannot override the authority of a guardian appointed in accordance with the Surrogate's Court Procedure Act, or of a conservator, or of a committee. Once this happens, multiple organs may quickly fail and the patient can die. 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. A copy is also provided to each waiver service provider listed in the ISP. 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. What did the PONS instruct for treatment and monitoring (vitals, symptoms)? Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? Did the person receive any blood thinners (if GI bleed)? Advocate for individuals in the community (medical appointments, church, recreation activities etc). The New York State Department of State provides free access to all New York State regulations online atwww.dos.ny.gov. Phone: 202-309-7504 . 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. Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? What are the pertinent agency policies and procedures? Was there evidence of MD or RN oversight of implementation? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . 199 0 obj <> 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 hVmo9+J!oHR a['`glzB=xL0 Lm%h3Y,ND%k2tK:EU3s2e?N52$7-V_6&ohx0aZ4/=|{aa iq9_)kw]+pQL RF.* 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. Was there a MOLST form and checklist in place? Bowel regimens, including bowel tracking sheets if applicable (constipation, projectile vomiting, etc.). This document may be known by a different name but it must comprise the elements described in this definition. The SC does not forward the guardian documentation to waiver service providers only to the RRDS as stated above. Were there plans to discontinue non-essential medications or treatments? (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. Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? 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. A copy of this guardian documentation is forwarded to the RRDS. This requires that the SC/CM ensure that all required attachments (e.g. The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. Specialist care, per recommendations? This plan for Protective Oversight must be readily accessible to all staff and natural supports. They are not diseases or causes of death, but rather circumstances. The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). Was there a PONS? Did staff report per policy, per plans, and per training? OPWDD issues Administrative Directive Memoranda (ADMs) and Informational Letters to provide guidance or informationto assist regulated parties in complying with applicable statutes, rules or other legal requirements, but doesnot include documents that concern only the internal management of OPWDD. 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) 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 specific plans for specialist referrals or discontinuation of specialists from the provider? (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. Inspector General's Fiscal Year 2023 Oversight Plan. Dining behavior risk e.g. 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. (y) Payment, community residence provider. The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . The plan shall include provisions for ensuring: (i) The assessment of each person's need for the amount and type of supervision necessary including both staff and/or technology as appropriate to the person and circumstance. endstream endobj 666 0 obj <. Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? 241 18th Street S, Suite 403, Arlington, VA 22202 Was the team following the health care plan for provider visits and med changes? endobj Did staff understand and follow dining/feeding requirements? 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. 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 (. If the participant's situation has changed and he/she now has a legal guardian, the SC will request and obtain the guardian documentation. Person-Centered Service Plans are expected to change and to adjust with the personover time. hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` 20 6WiyH9XBAOwSQpyv4(v[l|rt~/[ <3t>MW_KG7;b7AVTW'`YW z Did the person require staff assistance to stand, to walk? Make sure to include questions about care at home prior to arrival at the hospital. Were staff trained per policy (classroom and IPOP)? Transfer of Oversight/Service Provision Between Programs. (w) OPWDD. unusually agitated, progressive muscle weakness, more confused? 257 0 obj <>stream Was the plan clear? Were appointments attended per practitioners recommendations? (3) recreational and cultural activities. What is the policy for training? Those criteria which specify the basis of documenting compliance for the purposes of issuing an operating certificate. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? %PDF-1.6 % Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. It clearly enlists the key activities that affect the health and welfare of an individual. (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 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. Were problems identified and changes considered in a timely fashion? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. What did the bowel records show? 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). Person-Centered Service Plans are expected to change and to adjust with the person over time.
opwdd plan of protective oversight