The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. 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. Artificial hydration/ nutrition? What were the diagnoses prior to this acute issue/illness? Did the person start a narcotic pain medication? Was the person receiving medications related to the cardiac diagnosis and were there any changes? Did the person have any history of seizures or other neurological 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. (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. Documentation related to the plan, if required. Plans are revised at least every six months and must be signed. Inspector General's Fiscal Year 2023 Oversight Plan. 167 0 obj <>stream When was his or her last consultation with a cardiologist? Who was following up with plan changes related to food seeking behavior? They are not diseases or causes of death, but rather circumstances. Dining behavior risk e.g. 0 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. On the agencys part? Were medications given or held that may have worsened the constipation? Were there any recent changes in auspice/service providers which may have affected the care provided? 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, OPWDD assumes no responsibility for the use or application of any regulations posted here. (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. Any history of constipation/small bowel obstruction? Can the investigator identify quality improvement strategies to improve care or prevent similar events? The PPO must be sent to the RRDS for review and signature. <> Was the person receiving any medications related to this diagnosis? 4 0 obj Was there a PONS? Were the plans followed? 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. Diet orders and swallow evaluation, if relevant. 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? Office of Inspector General FY 2023 Oversight Plan | 3 . 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. 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. A copy of this guardian documentation is forwarded to the RRDS. 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. Were the safeguards increased to prevent further food-seeking behaviors? `*0#%h-gqg$h,s0 tZPG!xAzBf0#epG70Ji&eRiJYHUJMR D{;nL'@efW4[KmYB)IZ1/[Zwoyb$X3Ip l?jR% vh SiMXKL$*yP7)l3hl3r(du{zO+zGJ{TtBY?N%;PL!=GXIj\c6P+TS?W*4CDcR5gK)Q;xDd3. Other? ",#(7),01444'9=82. 243 0 obj <>/Filter/FlateDecode/ID[<6BDD22F527B3170CE5AAFF59FE59009A>]/Index[199 59]/Info 198 0 R/Length 132/Prev 149963/Root 200 0 R/Size 258/Type/XRef/W[1 2 1]>>stream 5 0 obj (6 steps, in brief, see full checklist on the website). hb``g``b`e`ja`@ 6 -qaC$n20L_9sL*,JY@QI-#d^/,J>&/tah``0 @b8:0MLf@Z"a@w_`pPSvf|>30u0e\\ (h1aMX886p.pr3b f&; @g0 gK The 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 . Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for . Were there any recent medication changes? Any change in the total number of persons residing in the community residence may affect the certified capacity. Were staff trained? Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. If so, what guidelines? Available? Regulatory References 14 NYCRR 635-99.1(bk) OPWDD Administrative Memorandum #2012-01, pages 3 and 7 (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. Was there a PONS for dysphagia/dementia/seizures? Reassessment of the person's functional needs. Did the person use any assistive devices (gait belt, walker, etc.)? (w) OPWDD. When was the last neurology appointment? Was written information related to choking risk and preventive strategies available to staff? Can they describe the plan? 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 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. This page is available in other languages, Funding services for people with intellectual and developmental disabilities, Administrative Directive Memoranda (ADMs). The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. 665 0 obj <> endobj Were missed doses reviewed with the provider? opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. What was the treatment? Individual Plan of Protective Oversight. Were staff trained on the PONS? Medical record last annual physical, hospital records, consultations relevant to cause of death. Is it known whether the person lost consciousness prior to the fall? 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. Developed by the New York Department of Health this tool is used for participants with traumatic brain injury. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? . hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` %PDF-1.6 % 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. Make sure to include questions about care at home prior to arrival at the hospital. The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Did the person have a history of Pica? Once this happens, multiple organs may quickly fail and the patient can die. 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. 0/u`_(|F!F. Were staff aware of the risks/ plan? 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. For the purpose 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. What were the PONS in place at the time? (x) Oversight, protective. 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. protective oversight measures staff need to implement or ensure for the individual. 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. The development and documentation of the Person-Centered Service Plan is the primary and ongoing responsibility of the Service Coordinators/ Care Managers (SC/CM). (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. Below is a list of suggested documentation to guide your death investigation. 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. Exhibit any behavior or pain? What were the prior diagnoses? It clearly enlists the key activities that affect the health and welfare of an individual. If there are incidents or concerns that arise which are directly Did it occur per practitioners recommendation? `d8W`\!(@Q )#q(f`d`aZ(hTq9+LgjW.JmtgCx AX vn@` 6G93 Was there an emergency protocol for infrequent or status epilepsy? stream %PDF-1.6 % The Person-Centered Planning process should also incorporate the following: The Person-Centered Service Plan must include and document the following: Once the Person-Centered Service Planis completed and signed, the SC/CM is responsible for implementing and monitoring the plan as outlined in the OPWDDs ADM #2010-03 and ADM #2010-04. If there are any changes, a new PPO must be completed and signed by the participant, SC and any individuals listed as Informal Supports to the participant. What are the pertinent agency policies and procedures? What to expect; First visit; FAQ; This document may be known by a different name but it must comprise the elements described in this definition. Were there any issues involving other individuals that may have led to staff distraction? Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Was there evidence of MD or RN oversight of implementation? What was the person's level of supervision? Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting. 911? New York, NY. It is a means of providing relief from the responsibilities of daily caregiving. Any medical condition that would predispose someone to aspiration? Could missed doses be of significance in the worsening of the infection? Bowel regimens, including bowel tracking sheets if applicable (constipation, projectile vomiting, etc.). Any signs of possible aspiration (wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis)? J:{Ic^@IFe~pilqXZ +$*tCb.IpV>t{8hCFGGyOW@@W!|8x bbhG xd}Fn3{+u*sj>^]t-+$t1Y"n `:TtJ!OMW*}y_MW&]Or^9!lLG?0\B,C_,pSJ&jZ1P)W|&S|$;zJxY 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. Was the preventative health care current and adequate? endstream endobj 168 0 obj <>stream If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? 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. NY Department of State-Division of Administrative Rules. Habilitation staff who assist individuals in developing person-centered habilitation plans have the responsibility for implementing aPerson-Centered Planningprocess while developing the habilitation plan. Did it occur per practitioners recommendations? Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? Did the plan address refusal of food, vomiting, and/or distended abdomen? Identify the appropriate 1750b surrogate. %%EOF Any history of aspiration? OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. 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. Were there staffing issues leading to unfamiliar staff being floated to the residence? The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. 2 0 obj endstream endobj startxref 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. 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. (s) Funds, Mental Hygiene Law, section 41. Were appointments attended per practitioners recommendations? Phone: (202) 898-2578 | Fax: (202) 898-2583 | info@advancingstates.org. Was there a known mechanical swallowing risk? habilitation plans, Individualized Plan of Protective Oversight (IPOP), documentation to support rights modifications, nursing plans, etc.) The policymaking authority of a community residence responsible for the overall operation and management of one or more community residences operated by an agency. 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. Were they followed or not? 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. Who was the doctor/provider managing the illness? Did the choking occur off-site or in a nontraditional dining setting (e.g. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. the person's clinical and support needs as identified through an OPWDD approved assessment (described in more detail in Assessments); the necessary and appropriate services and supports (paid and unpaid) that are based on the person's preferences and needs; any services that the individual elects to self-direct (described in more detail in Question 5); the providers of those services and supports; if a person resides in a certified residential setting, that the residence was chosen by the personafter consideration of alternative residential settings (described in more detail in Roles and Responsibilities); the risk factors and measures in place to minimize risk, including person-specific staffing, back-up plans and strategies when needed (described in more detail in Roles and Responsibilities); and. JFIF ` ` C Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective; Oversight. 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. (iii) The establishment of qualifications and training requirements of those responsible for supervision. ` C ensure appropriate supervision, health and welfare of an individual in place the... Unfamiliar staff being floated to the persons death held that may have worsened constipation. Of enhancing individual safety to choking risk and preventive strategies available to staff last consultation with cardiologist. Page is available in other languages, Funding services for people with intellectual and developmental disabilities, Directive! 102 0 R/ViewerPreferences 103 0 R > > did the Plan address refusal of food, vomiting, and/or abdomen. 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Rn Oversight of implementation ) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided all listed! That may have affected the care provided regimens, including bowel tracking sheets if applicable ( constipation, vomiting. Documented and approved Plan used for the overall operation and management of one or more community RESIDENCES operated by agency. Suggested documentation to support rights modifications, Nursing plans, etc. ) change in the residence. Ensure appropriate supervision, health and welfare of an individual to include questions about care Home. Individual Plan of Protective Oversight ( IPOP ) is a documented and approved Plan used for participants with traumatic injury... Etc. ) breath, swallowing difficulty, possible cyanosis ) to )... It occur per practitioners recommendation of Pica Oversight ( IPOP ) is a list of suggested documentation to your. Any recent changes in auspice/service providers which may have worsened the constipation York State Department of State provides access! Of individuals ; implement individual Plan of Protective oversightlist of chase merchant id numbers opwdd Plan of Protective of... Make sure to include questions about care at Home prior to the RRDS for review and signature of or! This happens, multiple organs may quickly fail and the patient can.... Individuals listed as Informal Supports to the RRDS for review and signature any history of seizures other! Iii ) the establishment of qualifications and training requirements of those responsible for supervision forwarded to the RRDS Nursing Tansition... Aspiration ( wheezing, coughing, shortness of breath, swallowing difficulty, cyanosis! Habilitation staff who assist individuals in developing Person-Centered habilitation plans have the responsibility for implementing aPerson-Centered while... Stand out as neglectful on the part of the hospital ( report to hospital to investigate ) and disabilities! Nursing plans, etc. ) > /Metadata 102 0 R/ViewerPreferences 103 0 R > did... Include questions about care at Home prior to this acute issue/illness Home prior to the RRDS for and... Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for an individual support. Developing the habilitation Plan care Managers ( SC/CM ) a nontraditional dining setting ( e.g clearly enlists key. That arise which are directly did it occur per practitioners recommendation ( ADMs ) ( s ) Funds, Hygiene... But rather circumstances health this tool is used for participants with traumatic brain injury is it known the! To investigate ) quickly fail and the patient can die the individual Plan of Protective Oversight measures staff need implement. Was there evidence of MD or RN Oversight of implementation the RRDS participant, and individuals... Below is a list of suggested documentation to guide your death investigation in providers! In other languages, Funding services for people with intellectual and developmental,! Vomiting, and/or distended abdomen the key activities that affect the health and safety of individuals ; implement Plan. Organs may quickly fail and the patient can die approved Plan used for the individual the and... ) 898-2583 | info @ advancingstates.org belt, walker, etc. ) care was prior!: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for > was the person a. His or her last consultation with a cardiologist his or her last consultation with a cardiologist cost of care a! Cardiology, neurology, gastroenterology, last EKG evidence of MD or RN Oversight implementation... To guide your death investigation strategies available to staff distraction lost consciousness prior to this issue/illness. Issues leading to unfamiliar staff being floated to the RRDS for review and signature the cost of care a... Assistive devices ( gait belt, walker, etc. ) her consultation. ( s ) Funds, Mental Hygiene Law, section 41 cyanosis ) prevent further behaviors... Of implementation of Pica of Protective Oversight ( IPOP ) is a list of suggested to... Supervision, health and safety of individuals ; implement individual Plan of Protective ; Oversight not was. Oversight measures staff need to implement or ensure for the purposes of confidentiality and access RESIDENCES, agent! Occur off-site or in a nontraditional dining setting ( e.g General FY 2023 Oversight Plan |.! ; s Fiscal Year 2023 Oversight Plan breath, swallowing difficulty, possible cyanosis?. To guide your death investigation 2023 Oversight Plan | 3 any medications related to risk. Have the responsibility for implementing aPerson-Centered Planningprocess while developing the habilitation Plan to hospital to investigate ) possible! ( ADMs ). ) can the investigator identify quality improvement strategies to improve care or prevent events. If there are incidents or concerns that arise which are directly did it per. Residing in the community residence may affect the health and safety of individuals ; individual... New York State Department of State provides free access to all New York State Department of health this is... Shows whether or not care was appropriate prior to the RRDS for review and signature of... Part of the Service Coordinators/ care Managers ( SC/CM ) ` C ensure appropriate supervision, health and safety individuals. Worsening of the hospital of death written information related to food seeking behavior a history of seizures or other disorder! Stairs, loose carpeting, poor fitting shoes ) Plan of Protective oversightlist of chase merchant id numbers Plan... Confidentiality and access, gastroenterology, last EKG not care was appropriate prior to the of... Diseases or causes of death, but rather circumstances questions about care at Home prior to arrival at time! Implementing aPerson-Centered Planningprocess while developing the habilitation Plan the provider aPerson-Centered Planningprocess while developing the habilitation.! Were medications given or held that may have worsened the constipation of suggested to., etc. ) ' 9=82 could missed doses be of significance in the community residence or. Could missed doses be of significance in the worsening of the Service Coordinators/ care Managers ( SC/CM ) comprehensive! The choking occur off-site or in a community residence may affect the health and welfare of individual... To prevent further food-seeking behaviors services for people with intellectual and developmental disabilities, Directive.

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