Stop/reduce a bowel medication? When was the last lab work with medication level (peak and trough) if ordered? are received by service providers. risk assessment; protective oversight; brain injury; unstaffed time; emergency plan; medication administration; risk assessment; planning tools and products, http://www.advancingstates.org/node/50465. Was written information related to choking risk and preventive strategies available to staff? What is the policy for training? Was the preventative health care current and adequate? Was the PONS followed? 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. 690 0 obj <>/Filter/FlateDecode/ID[<59ED846B642C84478C9F98D6F6215179>]/Index[665 40]/Info 664 0 R/Length 110/Prev 246535/Root 666 0 R/Size 705/Type/XRef/W[1 3 1]>>stream What was the content of the MOLST order? (w) OPWDD. U.S. Environmental Protection Agency . :@-S[!v:q~|lUsoo=e1aj\,;+Dt]QNN~U0iOuxabJ,cdVM>/gN>+NhS>/}aM]4g=H TtV0M19NK.MU/oNM>$C at the mall, picnic, or bedroom)? Was nursing and/or the medical practitioner advised of changes in the person? CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. Sudden changes: If the change was reported to you as sudden or within 24-hours of an ER or hospital admission, review notes a few days back and consider interviews regarding staff observations during that time. p`FE @"U $RE 0.U RE 0.U@Z>)ES 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. What were the symptoms which sent the person to the hospital? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? The PPO must be attached to the Addendum for submission to the RRDS for review. Individualized Plan of Protective Oversight. Antibiotics? When was his or her last lab work (especially if acute event)? 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. 241 18th Street S, Suite 403, Arlington, VA 22202 Medical record last annual physical, hospital records, consultations relevant to cause of death. <> Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Any predispositions? Did the PONS address positioning and food consistency? The ISP is equivalent to a clinical record for the purposes of confidentiality and access. A bed made available to a person with developmental disabilities for short-term purposes. 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. On the agencys part? The focus of the investigation should remain under the care and treatment provided by the agency. Did the person have an injury or illness that impaired mobility? Any change in the total number of persons residing in the community residence may affect the certified capacity. (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. 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). Person-Centered Service Plans are expected to change and to adjust with the person over time. What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. Summary Job Description: The Residential Manager for our OPWDD-funded Individualized Residential Alternatives (IRAs) is an essential position and is responsible for the daily operations of 2 to 3 residential programs, by supervising, leading, and developing a competent and professional workforce, ensuring compliance with all federal, and state . Were appointments attended per practitioners recommendations? 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 Did the person require staff assistance to stand, to walk? Falls. %%EOF OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . Any changes in medications prior to the acute incident? Section 8.ATTACHMENTS. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? 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. An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. General notes, staff notes, progress notes, nursing notes, communication logs. Below is a list of suggested documentation to guide your death investigation. This page is available in other languages, Office for People With Developmental Disabilities. 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. Make sure to include questions about care at home prior to arrival at the hospital. 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. 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 temporary use bed is counted in determining the facility's certified capacity. (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? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? hb```%\@9V6]h Were staff aware of the MOLST? (y) Payment, community residence provider. New York, NY. Was staff training provided on aspiration and signs and symptoms? 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. (ii) The use of appropriately trained substitute personnel when the primary assigned personnel are unavailable. When was the last visit to this doctor? They must be designed to empower the person by fostering development of skills to achieve desired personal relationships, community participation, dignity, and respect. The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Were they followed? A bed that has been accounted for in determining the facility's certified capacity (. Was the fall observed? endstream To request a document in another language, email[emailprotected]. endstream endobj startxref Was overall preventative health care provided in accordance with community and agency standards? endobj Can they describe the plan? Plan and Staff Actions? Did the person start a narcotic pain medication? Short URL: http://www.advancingstates.org/node/50465, Leadership, innovation, collaboration for state Aging and Disability agencies, ADvancing States 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). Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). 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. Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? 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. Reassessment of the person's functional needs. OPERATION OF COMMUNITY RESIDENCES. Was the person receiving any medications related to this diagnosis? Dining behavior risk e.g. The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. (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 vital signs taken after the fall (this may determine hypotension)? Future hospitalizations? Was there bowel tracking? 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. OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. 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. This posting is not intended to replace official publication of regulations in the New York State Register, published by the New York State Department of State. Determine the necessary medical criteria. Was this reported? 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. EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan While the New York State Office for People With Developmental Disabilities makes every effort to post accurate and reliable information, it does not guarantee or warrant that the regulations posted on this web site are complete, accurate or up-to-date. Were there signs that nursing staff were actively engaged in the case? ",#(7),01444'9=82. Dysphagia, dementia, seizures can happen with neurological diagnosis. 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 assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Advised of changes in the person of the MOLST by the agency strategies available to staff availability! 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