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- ROADMAP TO BETTER
- HEALTH, SAFETY, & WELFARE,
EDUCATION, EXPOSURE & EXPERIENCES
- WSC & PROVIDER
MEETINGS
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Presented by:
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George Andrew, MPA
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Raymond Granston, MPA
- at anytime right mouse click to
stop JUNE 2005 44
slides
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- Delmarva Foundation is monitoring providers of Agency for Persons with
Disabilities (APD) services to determine compliance with Health, Safety
and Welfare for each consumer’s life.
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- Personal outcomes and goals are driven by consumer choice
- These goals and outcomes should not prevent but instead enhance provider
staff’s ability and obligation to protect health, safety and welfare.
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- Responsibility to minimize health and safety risks should be balanced by
actions to empower consumers to manage their own health and safety
needs.
- Balance will depend upon the consumer’s desire and ability to manage
these needs.
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- Health:
- This involves assisting the consumer to learn and be more involved in
their own particular healthcare needs.
- To offer adequate healthcare provider supports to obtain the best
possible health.
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- This results in regular well care exams such as physicals, GYN, dental,
psychiatric, behavioral interventions, vision, hearing or other
specialty exams.
- Providers should assist in providing documentation for and obtaining
specialty assessments such as annual psychiatric reviews, neurological
reviews or pharmacy reviews.
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- Providers should assist consumers to reach specific consumer healthcare
goals such as diet, exercise, lower cholesterol, control HBP or
seizures.
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- Medication records management and dispensing of them should be
adequately maintained.
- Annual nursing assessment reports should be conducted and
recommendations made.
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- Safety To provide a safe
living, working and social environment for the consumer.
- Final Planning Options: This
involves educating on options on: Health Surrogate, DNR, Special Needs
Trust, Will, and funeral pre-planning such as service, burial or
cremation.
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- Effect of Implementation:
- Educating and exposing consumers and families to these health and safety
options will empower them to make informed choices that are
individualized to their needs and desires.
- It will also help to maximize their health potential by increasing their
options and improving their healthcare decisions.
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- Role of Consumer
- To allow providers to assist them in the delivery and available options
of high quality healthcare.
- To give feedback to provider /
WSC about any health or safety changes, concerns or goals they have.
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- To participate in training activities that improve health, safety or
welfare to increase their options.
- To advocate and make informed decisions about their health.
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- Role of WSC
- To inquire and assess what consumer personal outcome measures, health,
safety, welfare and rights are not present and coordinate supports with
provider to reestablish.
- To inquire and establish what health and safety issues consumer desires
for support plan goals?
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- To encourage and promote health and safety concerns and issues with
providers and consumers.
- To measure and establish criteria to track health and safety of each
consumer.
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- To document any health or safety changes or decisions made by consumer
- To report /confront any known /discovered barriers [actions to correct]
to obtaining healthcare goals
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- Role of Provider
- To have staff employment screening tools that help minimize unnecessary
or unreasonable risks.
- Consumer primary healthcare is coordinated, comprehensive and
continuous.
- Emergency procedures are known and used by staff especially for
hurricanes or fires.
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- Fire, Health and sanitation procedures taught and are followed by staff.
- Consumer rights are not only explained and protected but assistance is
given to promote.
- Privacy is given, confidentiality is maintained, HIPPA requirements such
as encrypted emails conducted.
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- Procedures to change behavior or limit personal freedoms, are under
ethical and professional review.
- Abuse and neglect procedures are followed and always reported. Dignity / Respect are promoted.
- Issues comprehensive consumer medical reports.
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- Develops training on health, safety and educational opportunities for
consumers and staff.
- Health, safety & welfare criteria to track progress and awareness of
each consumer.
- Health report results vs. goal
- Safety > any incident reports
- Welfare > satisfaction surveys, feedback
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- Questions for Provider
- What steps will / has the provider taken to assure consumers have the
best health?
- What steps will / has provider taken to address consumer’s SP health
goals?
- Who is responsible for best health and goals?
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- What necessary changes have been considered / made to respond to health-related
goals?
- Has staff been or will be trained on health, safety and welfare ?
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- Delmarva Foundation is now
monitoring providers of services to determine compliance with
implementation of the 3 EEEs into each consumer’s life.
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- Education:
- This involves teaching and educating the consumer about areas or topics
that will promote one or more of the consumer’s identified and chosen
goals identified in the support plan.
- This is similar to the process of Residential Habilitation training.
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- Exposure:
- This normally takes place after some training or education has taken
place within a consumer desired area.
- The consumer is shown how something works (modeling), a demonstration is
conducted such as role playing.
- A consumer watches someone select a preferred item in a store and then
pay for it.
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- Experience:
- This normally takes place after education and exposure has taken place
within a consumer desired area.
- This step is to give several opportunities to increase experiences in
desired outcome areas so that consumers will be able to make real
informed choices about competing community options.
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- Learning about an area and even watching how to do something can only
provide so much assistance in consumer decision making.
- A wide array of new and varied Experiences will broaden opportunities
and choices for consumers.
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- Effect of Implementation:
- With all three Es implemented, it is thought to not only expand
available choices but also to help them determine which ones they desire
as well as which ones they do not want to work towards.
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- Prior to EEEs, they may have had a fixed concept about an area positive
or negative.
- But after implementation of EEEs, they may decide they have a much
different opinion on and select another course of action as a result.
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- The result of fully implementing the EEEs will have a huge impact on the
consumer.
- First, consumer awareness about desired options for goals will be
increased.
- Options for choices they make will increase.
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- Decision making skills will be refined based on their new EEEs.
- Finally since consumers will be realizing more outcome goals being met,
they will be more satisfied, independent
and better integrated within the community with desired social
roles and new natural supports.
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- Role of Consumer
- To allow provider to assist them in participating in the EEEs to obtain
their desired goals / outcomes.
- To give feedback to provider / WSC about any changes or goals they
realize as a result of EEEs.
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- To ask questions and give input to provider and WSC about EEEs.
- To make informed decisions about new or existing options identified.
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- Role of WSC
- To inquire and assess what consumer personal outcome measures are not
present and coordinate supports for.
- To inquire and establish what consumer desires for support plan goals
are?
- To encourage and promote EEEs with providers and consumers.
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- To measure and establish criteria to track EEEs of each consumer.
- To document any changes or decisions made by consumer resulting from
EEEs.
- To report / confront any known/discovered barriers [actions to correct]
to obtaining EEEs, person-centered goals
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- Role of Provider
- To establish a plan of action / procedures in order to fully implement
and track the EEEs.
- To develop educational opportunities, offer exposure to activities and
arrange for experiences based upon consumer established choices and
outcome goals.
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- To measure and establish criteria to track EEEs of each consumer.
- Document dates, actions or topics, frequencies and results of provider /
consumer involvement .
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- Questions for Provider
- What steps will / has provider taken to implement education, exposure
& experience components?
- Has staff been trained on EEEs, if not yet trained, when?
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- How will provider track and document EEE activities?
- How will progress of EEE activities be reported to WSC and Delmarva?
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- THANK YOU FOR YOUR TIME
- THE END
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- To return to George Andrew
website, click
- here: > Home
- OR
- Right mouse
click, then click end show, then left click on yes close window.
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Notes
