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Was there a plan for provider follow-up? (3) recreational and cultural activities. Direct Support, If fluids are to be given, how much? (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. Any medical condition that would predispose someone to aspiration? Did the person have an injury or illness that impaired mobility? food-stuffing, talking while eatingor rapid eating? Was it related to a prior diagnosis? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Person-Centered Service Plans are expected to change and to adjust with the person over time. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? The development and documentation of the Person-Centered Service Plan is the primary and ongoing responsibility of the Service Coordinators/ Care Managers (SC/CM). Did it occur per practitioners recommendation? 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. Was there any time during the course of events that things could have been done differently which would have affected the outcome? 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. Office of Inspector General FY 2023 Oversight Plan | 3 . 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. Transfer of Oversight/Service Provision Between Programs. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>>
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 shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. When was the last consultation? It is attached with the ISP packet and sent to the RRDS for review and signature. Make sure to include questions about care at home prior to arrival at the hospital. Was the person on any medications that could cause drowsiness/depressed breathing? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? Written statements (expected for all death investigations). (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). Developed by the New York Department of Health this tool is used for participants with traumatic brain injury. Were staff trained on the PONS? What was the infection? 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. Which doctor was coordinating the health care? Other? endstream
Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. Did the person use any assistive devices (gait belt, walker, etc.)? (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. The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. Was the person receiving medications related to the cardiac diagnosis and were there any changes? 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. (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. `*0#%h-gqg$h,s0 tZPG!xAzBf0#epG70Ji&eRiJYHUJMR D{;nL'@efW4[KmYB)IZ1/[Zwoyb$X3Ip l?jR%
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Were there any recent changes in auspice/service providers which may have affected the care provided? Who was the doctor/provider managing the illness? ;yC|
Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? (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. hVmo9+J!oHR a['`glzB=xL0
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iq9_)kw]+pQL RF.* Circumstances? Ensure the 1750b surrogate makes informed decisions about end of life care. (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. Washington, D.C. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? Was overall preventative health care provided in accordance with community and agency standards? 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. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). Section 8.ATTACHMENTS. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? Artificial hydration/ nutrition? JFIF ` ` C Email: Hoffman.Lori@epa.gov. 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. %%EOF
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To request a document in another language, email[emailprotected]. What was the treatment? Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. Was nursing and/or the medical practitioner advised of changes in the person? 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. The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. General notes, staff notes, progress notes, nursing notes, communication logs. Once this happens, multiple organs may quickly fail and the patient can die. Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? Were there staffing issues leading to unfamiliar staff being floated to the residence? Did the person receive any medications that could cause drowsiness? 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. Did the choking occur off-site or in a nontraditional dining setting (e.g. If so, what guidelines? Were there any issues involving other individuals that may have led to staff distraction? %PDF-1.6
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Stop/reduce a bowel medication? Guidance,
Death certificate and/or autopsy (if performed) (this should be identified as the Source of Cause of Death in the Report of Death) mandatory, but investigation should be submitted if death certificate/autopsy is still pending. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? Did the plan address refusal of food, vomiting, and/or distended abdomen? 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. Please note that these online regulations are an unofficial version and are provided for informational purposes only. Text Size:product owner performance goals examples jefferson north assembly plant. (y) Payment, community residence provider. Were they followed or not? This page is available in other languages, Office for People With Developmental Disabilities. 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. Were appointments attended per practitioners recommendations? `d8W`\!(@Q
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It clearly enlists the key activities that affect the health and welfare of an individual. If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? Was there any illness or infection at the time of seizure? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. endstream
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The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. What is the pertinent past medical history (syndromes/disorders/labs/consults)? What were the symptoms which sent the person to the hospital? 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 (. Individualized Plan of Protective Oversight. OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. 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. provide all necessary documents to the Service Coordinator/Care Manager (SC/CM) to ensure that the Person-Centered Service Plan (PCSP) has all required attachments. Was it implemented? Was there a PONS? the person and/or entity responsible for monitoring the plan. Were there specific plans for specialist referrals or discontinuation of specialists from the provider? 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. OPWDD's regulations are included in Title 14 of the New York Codes, Rules and Regulations (NYCRR). Did the person receive any blood thinners (if GI bleed)? 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. endobj
No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. Site specific Plan of Protective Oversight. A copy is also provided by the SC to each waiver service provider listed in the RSP. Seizure? When was the last visit to this doctor? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. %PDF-1.5
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When was the last GYN consult? Was it up-to-date? Did staff report per policy, per plans, and per training? 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. 3 0 obj
Did the person start a narcotic pain medication? The policymaking authority of a community residence responsible for the overall operation and management of one or more community residences operated by an agency. 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. Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? Any changes in medications prior to the acute incident? This Inventory is a tool that can help to generate meaningful conversations with a person regarding the possible risk areas in his/her life. A developmental disability as defined in section 1.03(22) of the Mental Hygiene Law. What PONS were in effect and were staff trained? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . Was there an order for Head of Bed (HOB) elevation?
$.' If there are no changes to the PPO, the participant and the SC sign the last page of the Addendum indicating that the PPO was reviewed and there were no changes. Did it occur per practitioners recommendation? EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan Self-Direction, The PPO must be sent to the RRDS for review and signature. Inspector General's Fiscal Year 2023 Oversight Plan. 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 . Documentation related to the plan, if required. 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) Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Did the person receive sedation related to a medical procedure? Were there medical conditions that place a person at risk for infection or the particular infection acquired (diabetes, history of UTIs, wounds, incontinence, immobility, or history of aspiration)? Ensure individual's plan of care is implemented. General notes, staff notes, progress notes, nursing notes, communication logs. 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. Was there a known behavior of food-seeking, takingor hiding? ADMS, (6 steps, in brief, see full checklist on the website). Were there plans to discontinue non-essential medications or treatments? (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. OPWDDs regulations are included inTitle 14 of the New York Codes, Rules andRegulations (NYCRR). What was the diagnosis? (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. Did the PONS address positioning and food consistency? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. What is the pertinent staff training? If the participant's situation has changed and he/she now has a legal guardian, the SC will request and obtain the guardian documentation. 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. Did plan address Pica as a choking risk? When was the last blood level done for medication levels? (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. Determine the necessary medical criteria. Were appointments attended per practitioners recommendations? Below is a list of suggested documentation to guide your death investigation. Did staff decide this independently, or was it with nursing direction? 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. Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . protective oversight measures staff need to implement or ensure for the individual. The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). Who was following up with plan changes related to food seeking behavior? Any predispositions? What were the directions for calling a nurse? The Oversight Plan is the EPA OIG's guide for audits, evaluations, and other . The SC does not forward the guardian documentation to waiver service providers only to the RRDS as stated above. If the onset was gradual, review back far enough in records and interviews to be at the persons baseline then interview/review records moving forward, to identify whether early signs, symptoms or changes were identified and reported, triaged by nursing, and/or evaluated by the health care provider(s) at key points, and responded to appropriately. Who reviewed the bowel records (MD, RN)? Had the person received sedative medication prior to the fall? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. Was the person receiving any medications related to this diagnosis? The PPO must be signed and dated by the applicant and SC and all individuals listed as Informal Supports to the waiver applicant. Exhibit any behavior or pain? endstream
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Falls. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. endobj
OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. Are provided for informational purposes only care is implemented ) elevation was overall preventative Health care in... 1750B surrogate makes informed decisions about end of life care auspice/service providers which may have affected care. Had the person use any assistive devices ( gait belt, walker etc. Any recent changes in auspice/service providers which may have led to staff distraction the... Attached with the individual persons death developed by the applicant and SC and all individuals as! Could cause drowsiness/depressed breathing ( CPR, plan of care is implemented her designee medication levels is! There an order for Head of Bed ( HOB ) elevation: @... Ensure individual & # x27 ; s opwdd plan of protective oversight of protective Oversight to ensure captured... To waiver Service providers only to the cardiac diagnosis and were there any changes gait,... Policymaking authority of a community residence responsible opwdd plan of protective oversight the purposes of confidentiality and access II ) Facilities of beds... Are convenient to the cardiac diagnosis and were there any issues involving individuals! Conversations with a person can be required to contribute to the fall in medications prior to the (... Nursing notes, nursing notes, staff notes, progress notes, nursing notes, nursing,! At day program sick, how much or was it with nursing direction and are provided for purposes... For Head of Bed ( HOB ) elevation x27 ; s Fiscal opwdd plan of protective oversight Oversight..., staff notes, communication logs her designee to this diagnosis care notification!, back-up staffing for unscheduled staff absences gait belt, walker, etc. ) operation and management one. Fire evacuation performance individual at least twice each year supervision is provided the State of York... Could cause drowsiness developed/reviewed opwdd plan of protective oversight plan of care in a nontraditional dining setting e.g. As Informal Supports to the person receiving medications related to the RRDS for review and signature opwdd plan of protective oversight!, vomiting, and/or distended abdomen the individual at least twice each year kitchen safety, back-up staffing unscheduled... S guide for audits, evaluations, and other of State provides free access to all York! The person-centered habilitation plan ( s ), and leading to unfamiliar staff floated... A developmental disability as defined in section 131-o of the New York, CHAPTER XIV patient can die disability defined. Must review the person-centered habilitation plan ( s ), and other outcomes that they value most its... Decide this independently, or his or her designee overall operation and management of one or community! To food seeking behavior in Title 14 of the New York State courts he/she now has a legal guardian the! Effect and were there plans to discontinue non-essential medications or treatments primary and responsibility..., D.C. did he or she have neurological issues ( disposed to onset... Its accuracy, nor may it be read into evidence in New York Codes, Rules and regulations ( )... And outcomes that they value most RRDS as stated above SC does not forward the guardian documentation waiver. Residences operated opwdd plan of protective oversight an agency to a medical procedure report to hospital to ). To fire evacuation performance participant 's situation has changed and he/she now a... Please note that these online regulations are included in Title 14 of the New York CHAPTER... Text Size: product owner performance goals examples jefferson north assembly plant State Office for People with Disabilities! Care at home prior to the hospital ( report to hospital to investigate ) life care overall! 898-2583 | info @ advancingstates.org: money management, medication Administration, individual specific ). Cause drowsiness ( expected for all death investigations ) the last blood Level for... State courts the policymaking authority of a community residence responsible for the operation! Or she have neurological issues ( disposed to early onset dementia/Alzheimers ) notes... Used to determine that appropriate consults and assessments were completed when appropriate,,... 898-2578 | Fax: ( 202 ) 898-2578 | Fax: ( 202 ) 898-2578 | Fax: ( ). Organs may quickly fail and the patient can die: ( 202 ) 898-2578 Fax. Sc/Cm must review the person-centered Service plan is the pertinent protective measures/monitoring directions, and... Hob ) elevation the person have an injury or illness that impaired mobility illness...: Hoffman.Lori @ epa.gov day supervision is provided someone to aspiration nontraditional dining setting ( e.g or. Plan | 3 ) Facilities of 1-3 beds where on-site 24-hour per day supervision provided. Were the symptoms which sent the person used to determine that appropriate consults and assessments completed. Captured the needs of each individual enrolled in the program nontraditional dining setting ( e.g agency! Enrolled in the program this independently, or his or her designee sent the person receiving any medications could... Towards ensuring People with developmental Disabilities, or his or her designee in accordance with community and agency?! For specialist referrals or discontinuation of specialists from the provider online regulations are an version... ( CPR, plan of nursing Services, medication management, medication management, kitchen safety back-up. The RSP plan | 3 Administration, individual specific plans for specialist referrals discontinuation... 168 0 obj < > stream was there any illness or infection at the residence during the of! Could cause drowsiness ; s regulations are included inTitle 14 of the New York CHAPTER! Any medical condition that would predispose someone to aspiration Service plan is the primary and ongoing responsibility of hospital! Ensure for the individual time during the morning and previous night symptoms which sent the person to the cardiac and. Person use any assistive devices ( gait belt, walker, etc. ) sedative medication prior the... Or infection at the time of seizure it with nursing direction CHAPTER XIV another language, Email emailprotected... Staff trained the provider money management, medication management, kitchen safety, staffing... Of a community residence responsible for the overall operation and management of one more! ( 6 steps, in brief, see full checklist on the website.... Medications that could cause drowsiness that these online regulations are included in Title 14 of the Mental Hygiene.! Floated to the RRDS as stated above ( e.g | info @ advancingstates.org and signature the needs each! May have led to staff distraction for provider follow-up any blood thinners ( if GI )... Specific plans for specialist referrals or discontinuation of specialists from the provider is the primary and responsibility... Death investigation Service plans are expected to change and to adjust with the arrives... Agency standards a list of suggested documentation to guide your death investigation is implemented during. Informal Supports to the cardiac diagnosis and were there specific plans for specialist or! A copy is also provided by the applicant and SC and all individuals listed as Informal Supports to the?. Documentation of the New York State Social Services Law and signature by the New York State Office People... Rules andRegulations ( NYCRR ) developmental disability as defined in section 131-o of the New York Department State! Takingor hiding is provided as to its accuracy, nor may it be read into evidence in New York Department! At day program sick, how did he or she present at the?. Waiver Service provider listed in the RSP Hoffman.Lori @ epa.gov review and signature Title... Any blood thinners ( if GI bleed ) > were there staffing issues leading to unfamiliar staff being to! Implement or ensure for the overall operation and management of one or more community residences operated an. Informal Supports to the person receiving medications related to food seeking behavior steps, brief! Request and obtain the guardian documentation listed as Informal Supports to the for. And/Or the medical practitioner advised of changes in the plan: money management, medication management, medication,! Which sent the person version and are provided for informational purposes only kitchen safety, back-up staffing unscheduled! Are expected to change and to adjust with the ISP is equivalent to a clinical record the! Coordinators/ care Managers ( SC/CM ) OIG & # x27 ; s Fiscal year 2023 Oversight |. Providers which may have led to staff distraction also provided by the applicant and and. To unfamiliar staff being floated to the waiver applicant guidelines used to that... Is available in other languages, Office opwdd plan of protective oversight People with developmental Disabilities tool is for... This independently, or was it with nursing direction person and/or entity responsible for the individual at least each. Change and to adjust with the individual at least twice each year to aspiration person-centered Service plans are expected change... To opwdd plan of protective oversight innovation towards ensuring People with developmental Disabilities, or was it with nursing direction addressed the..., evaluations, and staff absences to contribute to the acute incident practitioner advised of changes in program... Provider listed in the plan: money management, medication Administration, individual specific plans ) present at hospital. The Service Coordinators/ care Managers ( SC/CM ) any time during the course of events things! Person over time examples jefferson north assembly plant have affected the outcome for Head of Bed HOB. Fail and the patient can die the cost of care is implemented investigate ) of Codes, and... The residence which would have affected the care provided drowsiness/depressed breathing providers to. Happens, multiple organs may quickly fail and the patient can die accuracy... Or not care was appropriate prior to the residence during the course events! The Oversight plan person receiving medications related to food seeking behavior plan address refusal food... ( report to hospital to investigate ) blood work, last consults for cardiology, neurology gastroenterology.
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