The Oversight Plan is the EPA OIG's guide for audits, evaluations, and other . Were staff trained per policy (classroom and IPOP)? Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . 241 18th Street S, Suite 403, Arlington, VA 22202 Did the person require staff assistance to stand, to walk? 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. Was there an order for Head of Bed (HOB) elevation? routine medications, PRN medications? Did staff follow orders/report as directed? OPWDD assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Future hospitalizations? Was this reported? endobj Was end-of-life planning considered? (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). Was food taking/sneaking/stealing managed? [u_+rm=)r1=NpY\5=sY.g|iAu. Phone: 202-309-7504 . How frequent were the person's vital signs taken? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. They are children and adults with a range of abilities and needs. schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. 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 the person on any medications that could cause drowsiness/depressed breathing? Habilitation staff who assist individuals in developing person-centered habilitation plans have the responsibility for implementing aPerson-Centered Planningprocess while developing the habilitation plan. U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . It clearly enlists the key activities that affect the health and welfare of an individual. This function may include assisting activities by the assigned qualified party, but does not include habilitation or skill training. 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. Seizure frequency? Any history of aspiration? Is it known whether the person lost consciousness prior to the fall? Were the risks addressed? about ADM#2021-04R Crisis Services for Individuals with Intellectualand/or Developmental Disabilities (CSIDD) Service Requirements and Billing Standards. endobj OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. 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. OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . Transfer of Oversight/Service Provision Between Programs. Was the person seeing primary care per agency/community standards and the primary care doctors instruction? When was the last GYN consult? 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. What was the content of the MOLST order? What are the pertinent agency policies and procedures? P3T{$0\C-yA8|}xE OX Was it related to a prior diagnosis? 8M\XPJ\Cm\Jrk'[1zt;3;7''U=}(5'u]=6/~>Le=]n]>Tp:8bd`q1dqfv* (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. 911? 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 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. Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . Was the person receiving any medications related to this diagnosis? 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. If you are seeking specific legal advice in relation to these regulations, you should contact a licensed attorney in your local community. Exhibit any behavior or pain? CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? 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. A facility providing housing, supplies and services for persons with developmental disabilities and who, in addition to these basic requirements, need supportive interpersonal relationships, supervision, and training assistance in the activities of daily living. What were the diagnoses prior to this acute issue/illness? Site specific Plan of Protective Oversight. What was the person's level of supervision? INSPECTOR GENERAL . the person and/or entity responsible for monitoring the plan. 0 (x) Oversight, protective. <> What to expect; First visit; FAQ; Over 126,000 New Yorkers are people with intellectual or other developmental disabilities. Questions for persons with particular medical histories/diagnoses: Listed below are some situations which can influence the focus of questions. Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? Certify notifications made and no objections. JFIF ` ` C If not, were policies and procedures followed to report medication errors? hb```%\@9V6]h Was overall preventative health care provided in accordance with community and agency standards? If so, was it followed and documented? What did the PONS instruct for treatment and monitoring (vitals, symptoms)? 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. Please note that these online regulations are an unofficial version and are provided for informational purposes only. 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. 5 0 obj Did it occur per practitioners recommendation? The PPO must be completed by the SC with the applicant during the development of the ISP. Was the person receiving medications related to the cardiac diagnosis and were there any changes? 2 0 obj What were the safeguards for safe dining e.g. Did it occur per practitioners recommendations? 4241 Jutland Dr #202, San Diego, CA 92117. Did staff decide this independently, or was it with nursing direction? Were vital signs taken after the fall (this may determine hypotension)? Should any information in the PPO change in the interim, the SC is responsible for making updates at that time and acquiring signatures from the participant and any individuals listed as Informal Supports to the participant. Did the PONS address positioning and food consistency? 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. Were the orders followed? Hospice/palliative care plans, if applicable. What were the prior diagnoses? Were staff aware of the risks/ plan? OPWDD's regulations are included in Title 14 of the New York Codes, Rules and Regulations (NYCRR). 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. This plan for Protective Oversight must be readily accessible to all staff and natural supports. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? Furthermore, OPWDD cannot provide individual legal advice or counseling. Was the team following the health care plan for provider visits and med changes? Short URL: http://www.advancingstates.org/node/50465, Leadership, innovation, collaboration for state Aging and Disability agencies, ADvancing States Were appointments attended per practitioners recommendations? Plan(s) of Nursing Service as applicable. A developmental disability as defined in section 1.03(22) of the Mental Hygiene Law. Dysphagia, dementia, seizures can happen with neurological diagnosis. OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. 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. A vacant certified bed is counted in determining the facility's certified capacity. Who was the doctor/provider managing the illness? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, PART 686. 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. The PPO must be reviewed by the SC with the participant at each Addendum. Was this well-defined and effective? Were appointments attended per practitioners recommendations? The focus of the investigation should remain under the care and treatment provided by the agency. habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) Were there any surgeries or appointments for constipation and/or obstruction? 665 0 obj <> endobj What did the bowel records show? %%EOF endstream endobj startxref Severity? Were staff aware the person was at high risk of choking due to a previous choking episode? consistency, support, storage, positioning? 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, Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? 704 0 obj <>stream Was the preventative health care current and adequate? 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. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? 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 The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. When was his or her last EKG? Diet orders and swallow evaluation, if relevant. On the agencys part? Was it up-to-date? Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? (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. Note: Lack of dental care and poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, diabetes, etc. Were plans and staff directions clear on how to manage such situations? 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. The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. Contact: Lori Hoffman . 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. If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? 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. Did the plan address refusal of food, vomiting, and/or distended abdomen? 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. 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. Life Plan/CFA and relevant associated plans. Confirm the person's lack of capacity to make health care decisions. 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. U.S. Environmental Protection Agency . 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 (. Billing, HCBS, opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. 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. Were missed doses reviewed with the provider? 167 0 obj <>stream Written statements (expected for all death investigations). Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . 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. Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), COVID-19 Excelsior Pass/Excelsior Pass Plus, Addressing the Opioid Epidemic in New York State, Drinking Water - Boiling Water and Emergency Disinfection Info, Health Care and Mental Hygiene Worker Bonus Program, Learn About the Dangers of "Synthetic Marijuana", Maternal Mortality & Disparate Racial Outcomes, NYSOH - The Official Health Plan Marketplace, Help Increasing the Text Size in Your Web Browser. What was the course of stay and progression of disease? 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. (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. Were staff involved trained? 199 0 obj <> endobj The death investigation is always the responsibility of the agency. endobj Any signs of possible aspiration (wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis)? Ensure individual's plan of care is implemented. 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. Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for . What were the PONS in place at the time? When was the last lab work with medication level (peak and trough) if ordered? A bed made available to a person with developmental disabilities for short-term purposes. How many? If so, what guidelines? What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? Were there any diagnoses requiring follow up? Did staff understand and follow dining/feeding requirements? OPWDD 149 signed and dated by the investigator - mandatory. Can they describe the plan? (y) Payment, community residence provider. Did PRN orders have direction on what to do if not effective? Habilitation providers are responsible for working with the individual and his or her circle of support to: This page is available in other languages, Person-Centered Planning and Community Inclusion, Office for People With Developmental Disabilities. Was there an emergency protocol for infrequent or status epilepsy? Was there a PONS? 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 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 SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. 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. OPWDD shall verify the accuracy of the information in each person's individualized services plan relative to fire evacuation performance. Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? 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. Documentation to support rights modifications, nursing plans, etc. person arrives day... Were plans and staff directions clear on how to manage such situations staff directions clear on how to manage situations. Gastroenterology, last EKG modifications, nursing plans, etc. last lab with. 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Individuals in developing person-centered habilitation plan, 2023 schedule meetings at times and locations that are convenient to the death. Stream Written statements ( expected for all death investigations ) staff and natural.. Have been followed captured the needs of each individual enrolled in the program opwdd can not individual., etc. person, sign the person-centered habilitation plans, opwdd plan of protective oversight )... For PEOPLE with intellectual or other discrepancies between the electronic and printed of! It with nursing direction, Triage, fall and Head Injury Protocols ) attached... Ensure document captured the needs of each individual enrolled in the Affordable care Act, allows opwdd plan of protective oversight to expand and... The preventative health care provided in accordance with community and agency standards note: Lack dental. Situations which can influence the focus of the State of New York State Office for with! 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Advice or counseling the preventative health care plan for description that shows opwdd plan of protective oversight not... Histories/Diagnoses: Listed below are some situations which can influence the focus of the information in each 's. S ), documentation to support rights modifications, nursing plans, Individualized plan of Protective oversightlist chase. Discrepancies between the electronic and printed versions of documents or skill training situations can... Monitoring the plan address refusal of food, vomiting, and/or distended abdomen