Were appointments attended per practitioners recommendations? 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)? DNR? %PDF-1.5 % Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? Office of Inspector General FY 2023 Oversight Plan | 3 . Was overall preventative health care provided in accordance with community and agency standards? (3) recreational and cultural activities. Did the person require staff assistance to stand, to walk? Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? When was his or her last consultation with a cardiologist? 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. endstream endobj 168 0 obj <>stream Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). 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. Dining behavior risk e.g. Were plans and staff directions clear on how to manage such situations? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). 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. Seizure frequency? A temporary use bed is counted in determining the facility's certified capacity. OPWDD assumes no responsibility for the use or application of any regulations posted here. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> W t|C'TCT3W0 `A-][-|xA;f!Z}gV42`C!M_dgeLvkZeE~2 If seizures occurred, what was the frequency? 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. 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. If the fall was not observed, did staff move the individual? (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 PONS were in effect and were staff trained? Any medical condition that would predispose someone to aspiration? <> Did the plan address refusal of food, vomiting, and/or distended abdomen? 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. Billing, Guidance, (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. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> When was his or her last EKG? Were problems identified and changes considered in a timely fashion? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. When was the last blood level done for medication levels? Ensure individual's plan of care is implemented. are received by service providers. (s) Funds, Mental Hygiene Law, section 41. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. The assessment of capability in relation to each issue as it arises will be made by the person's program planning team. 257 0 obj <>stream An intermittent urge to action whether physical or verbal, and not a means of continuous assistance. Was there a plan for provider follow-up? Were there any surgeries or appointments for constipation and/or obstruction? 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 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 . 167 0 obj <>stream Those criteria which specify the basis of documenting compliance for the purposes of issuing an operating certificate. Person-Centered Service Plans are expected to change and to adjust with the personover time. How many? Did staff understand and follow dining/feeding requirements? % Plan(s) of Nursing Service as applicable. Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? Billing, HCBS, Were there previous episodes of choking? Whenever there is doubt on the part of any other party interested in the welfare of the individual as to that person's ability to make decisions, as ascertained by the program planning team, a determination of capability is to be made by an external capability review board, designated by the commissioner. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. . The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. The capabilities, capacities, or preferences of the person have changed; Requested by the person and/or parties chosen by the individual; A determination that the existing plan (or portions of the plan) is/are ineffective; and/or. A copy is also provided by the SC to each waiver service provider listed in the RSP. JFIF ` ` C Was there a specific plan? the person and/or entity responsible for monitoring the plan. The SC does not forward the guardian documentation to waiver service providers only to the RRDS as stated above. Was it up-to-date? Were there visits, notes, and directions to staff to provide adequate guidance? Were staff trained? Did it occur per practitioners recommendation? INSPECTOR GENERAL . Were there specific plans for specialist referrals or discontinuation of specialists from the provider? January 9, 2023 . Section 8.ATTACHMENTS. There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. 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. Was the PONS followed? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. 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. Did the PONS address positioning and food consistency? Developmental Disabilities (OPWDD) regulations across multiple residential settings to support adults with developmental disabilities, autism spectrum disorder,and traumatic brain injury. 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. NY Department of State-Division of Administrative Rules. (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. It clearly enlists the key activities that affect the health and welfare of an individual. Were the plans followed? Were the vitals taken as directed, were the findings within the parameters given? NY Department of State-Division of Administrative Rules. A designation for individuals in a supportive community residence who have attained independent living skills but who remain in the facility while they demonstrate their proficiency in these skills and/or make provisions for moving to independent living. 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. Questions for persons with particular medical histories/diagnoses: Listed below are some situations which can influence the focus of questions. 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. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. (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. 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. A bed that has been accounted for in determining the facility's certified capacity (. What were the symptoms which sent the person to the hospital? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. 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. They must be designed to empower the person by fostering development of skills to achieve desired personal relationships, community participation, dignity, and respect. protective oversight measures staff need to implement or ensure for the individual. 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