opwdd plan of protective oversight

Was the plan clear? Were appointments attended per practitioners recommendations? 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. Could it have been identified/reported earlier? Were missed doses reviewed with the provider? Was there a specific plan? endstream endobj startxref 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)? 241 18th Street S, Suite 403, Arlington, VA 22202 the person and/or entity responsible for monitoring the plan. Site specific Plan of Protective Oversight. 1 0 obj (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. When was the last blood level done for medication levels? What to expect; First visit; FAQ; A Plan of Nursing S ervices (PONS) is required by OPWDD and addresses a service recipient's individual medical needs. OPERATION OF COMMUNITY RESIDENCES. Were staff trained on the PONS? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? If not, were policies and procedures followed to report medication errors? Diet orders and swallow evaluation, if relevant. Direct Support, EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan Exhibit any behavior or pain? (iii) The establishment of qualifications and training requirements of those responsible for supervision. The ISP is equivalent to a clinical record for the purposes of confidentiality and access. 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. habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) Was this well-defined and effective? 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. Plan(s) of Nursing Service as applicable. Were staff trained per policy (classroom and IPOP)? Were the actions in line with training? Inspector General's Fiscal Year 2023 Oversight Plan. What was the content of the MOLST order? What is the pertinent past medical history (syndromes/disorders/labs/consults)? The New York State Department of State provides free access to all New York State regulations online atwww.dos.ny.gov. Is it known whether the person lost consciousness prior to the fall? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? 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. 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. 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. ADMS, Did the person require staff assistance to stand, to walk? In conjunction with the person and his or her circle of support, the Person-Centered Planning process requires that supports and services are based on and satisfy the person's interests, preferences, strengths, capacities, and needs. 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. 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. 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)? Stop/reduce a bowel medication? Were plans and staff directions clear on how to manage such situations? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). 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. Severity? This requires that the SC/CM ensure that all required attachments (e.g. OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. Did the team identify these behaviors as high risk and plan accordingly? Start or increase another medication that can cause constipation? (ii) The use of appropriately trained substitute personnel when the primary assigned personnel are unavailable. 4241 Jutland Dr #202, San Diego, CA 92117. 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 (. Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? Was there a known behavior of food-seeking, takingor hiding? Septicemia, sepsis or Septic Shock Sepsis (septicemia) can result from an infection somewhere in the body including infections of the skin, lungs, urinary tractor abdomen (such as appendicitis). If seizures occurred, what was the frequency? Individualized Plan of Protective Oversight. ",#(7),01444'9=82. What communication occurred between OPWDD service provider and hospital? The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. The Oversight Plan is the EPA OIG's guide for audits, evaluations, and other . Did staff understand and follow dining/feeding requirements? What did the bowel records show? Did staff follow orders/report as directed? Were the orders followed? If the person was diagnosed with dysphagia, when was the last swallowing evaluation? 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). Transfer of Oversight/Service Provision Between Programs. Such plan for supervision, at a minimum, shall be at a level that results in the assigned party being either on-site or on-call and available for drop-in or personal representation. Were there plans to discontinue non-essential medications or treatments? endobj (ac) Policies/procedures or policy/procedure. 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. 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. %PDF-1.5 This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. 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 nursing and/or the medical practitioner advised of changes in the person? Was the person receiving any medications related to this diagnosis? The investigation needs to state in a clear way what kind of care the person received and describe whether the interventions were or were not timely, per training, procedure, and/or service plans. How quickly did they appear? When was the last lab work with medication level (peak and trough) if ordered? Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. Specialist care, per recommendations? Seizure? 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. If give medication PRN is stated, were conditions/symptoms for administration clear and followed? Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Was it communicated? Was it provided? Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective; Oversight. OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . are received by service providers. Life Plan/CFA and relevant associated plans. [u_+rm=)r1=NpY\5=sY.g|iAu. Reassessment of the person's functional needs. 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 . The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed? Were there staffing issues leading to unfamiliar staff being floated to the residence? The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. What was the diagnosis at admission? Did the person have an injury or illness that impaired mobility? Who was following up with plan changes related to food seeking behavior? OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. In New York City, this unit is called the Borough Developmental Services Office (BDSO); elsewhere in the State it is called the Developmental Disabilities Services Office (DDSO). Falls. 911? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. 3 0 obj <> Had the person received sedative medication prior to the fall? Was there a known mechanical swallowing risk? Did it occur per practitioners recommendations? There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Future hospitalizations? Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. What was the treatment? On the agencys part? Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). %PDF-1.6 % 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. 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. What was the infection? Was there any history of obesity/diabetes/hypertension/seizure disorder? 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. Did a plan include identified ranges and were there any outliers? Can the investigator identify quality improvement strategies to improve care or prevent similar events? The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. %%EOF The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? This Inventory is a tool that can help to generate meaningful conversations with a person regarding the possible risk areas in his/her life. What was the bowel management regimen e.g. Did the person receive sedation related to a medical procedure? Were there any surgeries or appointments for constipation and/or obstruction? Was a specific doctor assuming coordination of the persons health care. Previous episodes? OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. (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. respective service environment. 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 decisions regarding care and end-of-life treatment made in compliance with the regulations regarding consent? 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. Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Were there previous episodes of choking? Confirm the person's lack of capacity to make health care decisions. 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. This document may be known by a different name but it must comprise the elements described in this definition. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). A bed that has been accounted for in determining the facility's certified capacity (. When was the last GYN consult? Email: Hoffman.Lori@epa.gov. Was it related to a prior diagnosis? Did the person have a history of Pica? Developed by the New York Department of Health this tool is used for participants with traumatic brain injury. This plan for Protective Oversight must be readily accessible to all staff and natural supports. Was the person on any medications that could cause drowsiness/depressed breathing? Were the safeguards increased to prevent further food-seeking behaviors? Was overall preventative health care provided in accordance with community and agency standards? (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. 0 How and when was the acute issue identified? The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. :@-S[!v:q~|lUsoo=e1aj\,;+Dt]QNN~U0iOuxabJ,cdVM>/gN>+NhS>/}aM]4g=H TtV0M19NK.MU/oNM>$C How many? (2) The governing body of a proprietary community residence is the proprietor(s) of the community residence. 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. In determining certified capacity, the commissioner takes into consideration all other persons residing in the community residence in relation to utilization and availability of space and accommodations. Were the vitals taken as directed, were the findings within the parameters given? Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in three minutes or less, the facility shall meet the. 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. Were there signs that nursing staff were actively engaged in the case? Medical, about Management of Communicable Respiratory Diseases, about Revised Protocols for the Implementation of Isolation and Precautions for Individuals Exposed to COVID-19 Residing in OPWDD Certified Facilities, about Protocols for the Management of mpox (monkeypox) in OPWDD Certified Facilities, about ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract Services Delivered by Providers Who Are Not The Fiscal Intermediary. The form contains two pages. 199 0 obj <> endobj Revised Protocols for the Implementation of Isolation and Precaut Protocols for the Management of mpox (monkeypox) in OPWDD Certifi ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract ADM#2021-04R Crisis Services for Individuals with Intellectualand ADM #2015-02 Service Documentation for Community Transition Servi ADM #2018-06R2 Transition to People First Care Coordination. His or her designee this diagnosis ( 2 ) the governing body of a facility operated or certified by in! 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