The URL can be used to link to this page

Home My WebLink AboutID Provider Meeting Minutes 8-5-16Franklin/Fulton Intellectual Disabilities Provider Meeting Friday, August 5, 2016 ID 1 8/5/16 MEETING MINUTES Welcome & Introductions Everyone introduced themselves and their agency affiliation. Fiscal Updates » Friendly Reminders to our Base Funded Providers  August 15th ~ Quarterly Expenditure Report (April – June) For FY ending 6/30: Salary review, Property Purchased, Property Leased, and Fixed Assets Purchased  September 30th ~ MCR Report (program funded only)  15th of each month ~ monthly invoices, debarment and exclusion checks If anyone has any questions in regards to FY 16-17 contracts, please contact Marion (mrowe@franklincountypa.gov) and/or Jane (jcline@franklincountypa.gov). Amendments for FY 15-16 have been completed. Please check service authorizations as well to make sure there are no issues with units that have been authorized. If you see any issues contact the Supports Coordinator (SC) to make revisions to submit to Marion or Jane for approval. On Behalf of Steve Nevada » Autism Waiver Eligibility Steve is part of a Waiting List Management Initiative that includes Office of Developmental Programs (ODP), Supports Coordination Organization (SCO), representatives, providers, Administrative Entities, etc. The initiative is currently on draft #5. The goal is that autism is going to be included in the ID program eligibility and waiver effective July 1, 2017. Eligibility requirements are Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/ID) and will now add Intermediate Care for Individuals with Other Related Conditions (ICF/ORC). If an individual has that diagnosis and significant limitations in at least three (3) areas, they will be eligible for the ID program and waivers. This initiative will not do away with the autism waiver, combine the autism waiver with consolidated or person/family directed supports (PFDS) waivers nor add additional waiver slots. There is consideration for replacing Prioritization of Urgency of Need for Services (PUNS) with Risk Needs Assessments. Once an individual is deemed eligible for waiver, a Supports Intensity Scale (SIS) will need to be completed at that time not when services are received. LifeCourse planning will be added to the initiative. New curriculum is being developed to train providers to support individuals who have autism. At this point, the initiative is being looked at by the Deputy Secretary. » Communities of Practice – Regional Collaborative ODP has hired Nancy Ritchy. Nancy has presented at meetings across the state, such as Administrative Entity (AE) Meeting and Independent Monitoring for Quality Franklin/Fulton Intellectual Disabilities Provider Meeting Friday, August 5, 2016 ID 2 8/5/16 (IM4Q) Meeting. She will be presenting at the Everyday Lives Conference on developing LifeCourse Planning which is still in development. There has been discussion between LifeCourse Planning and Regional Collaboratives with a community navigator. There are 74% of individuals with intellectual disabilities living in family homes. The LifeCourse Planning is geared for families to find natural and generic supports to help support the individual and the family. Franklin/Fulton County is looking into becoming part of the regional collaborative. A decision of interest is required by the end of August. After that, a plan must be developed and submitted on how it will be done. Currently, it is unknown how it will be funded. Lori encourages providers to attend the Communities of Practice trainings in the next months as it will be part of eligibility and service curriculum. The example given at the Communities of Practice training is a three legged stool representing discovery and navigation, connecting and networking and day to day services. Please review PowerPoint for more information. Marion Rowe » Incident Management: Medical Related Incident Review & Closure Incident Management Training is scheduled for Tuesday, August 16th from 10:00 a.m. to 12:00 p.m. at the Administrative Annex. The training is in regards to getting medical related incident reports closed by ODP. Concerns from providers entering incident reports: The system is not user friendly. More and more medical terminology is being expected by individuals who are not licensed medical personnel. Providers cannot understand how ODP expects medical knowledge from staff that is not trained in that manner. Providers continued to provide examples of issues they have had with incidents. Marion links incident reports together that she feels are related; providers have this capability as well. If a provider feels that particular reports should not be linked together, the link can be removed. Linking reports makes it easier for review and alleviates the need to state “see Incident #” in the report. There are no alerts when there is a comment to an initial report. Before completing the final section, providers should click on regional initial review and county initial review for comments. Incident reports have been bounced back due to providers not being aware of comments and finalizing the report without including the correct information. There have been issues with incidents not getting submitted within the appropriate timeframe. There is now an extra step involved in EIM; please make sure to complete the proper steps to submit incidents. If providers find that they forgot to submit an incident, go back into the report and insert a note “forgot to hit submit” as ODP will ask why the report was late. Franklin/Fulton Intellectual Disabilities Provider Meeting Friday, August 5, 2016 ID 3 8/5/16 » UCP Pathways Update The state should be completing their licensing for Pathways on August 8th or 9th with an official opening being Wednesday, August 10th. An email will be sent out in regards to opening. Staff has been in place for over a month now and the building is open. If anyone is interested in a tour, please stop by. Pathways is located in Chamber Hill Professional Center, corner of Norland and Fifth Avenue, right next to the AM Vets. St. Paul’s Methodist Church is on the hill behind Pathways. An official open house will take place at a later date. Invitations will be sent out. Pathways falls under 2380 regulation for adult training facility. It is different from the typical adult day program as it follows a set curriculum. It is a two (2) year program with outcomes being competitive employment or independent living. Currently, there are nine (9) applicants but Pathways can take up to a maximum of twelve (12). The goal is for individuals to attend three (3) days a week to get the full benefits of the curriculum and program. However, this is not a requirement. Hours of operation are Monday through Friday, 9:00 a.m. to 3:00 p.m. For transportation purposes, arrangements can be made before and after those hours for pick up and drop off if needed as staff will be there. The age limit is eighteen (18) years and older. If there is an older individual who is interested in working in the curriculum they can be considered. There is no cap to the maximum age. Part of the program is independent living and job skills. There are lessons on healthy life styles, budgeting, shopping, cooking, etc. » HCQU Updates: Residential Criteria/Assessment At the last PPC Regional Meeting there was conversation on individuals who are transitioning from RTF settings, state centers, jails, etc. and needing residential services. The requirements and assessments prior to going into residential were discussed. A lot of individuals are not interested in residential nor do they do well in residential. However, the expectation is that group home placement is where everybody should be. The AEs are trying to gather information from residential and lifesharing providers on any assessments or criteria they look for prior to admission to determine if licensed residential is the appropriate placement. If criteria is provided it can be reviewed to see if the individual meets the level of care for placement and if it is something they want. Currently, the only thing AEs have is the residential checklist for the ISP. This is a document that provides information in the ISP but does not state the criteria that must be met for the service. If providers have any information please send it to Marion so she can share it at the next Regional PPC Meeting. The idea is to be in the least restrictive setting. Group home should be the last choice as it is the most restrictive setting. Lifesharing is a requirement at the minimum before anyone goes into a group home. Providers shared some of their criteria. Assessments are geared to when someone is already in their program. The number Franklin/Fulton Intellectual Disabilities Provider Meeting Friday, August 5, 2016 ID 4 8/5/16 one criterion to look for is safety. Another is vacancies. Providers ask for as much information as they can get. ISPs and psychological evaluations are helpful. Provider discussed using the Assessment and Function Living Skills (AFLS). It scores individuals on level of functioning on board range of areas. It is not used to say an individual cannot be served but to see where the individual can progress. In regards to group homes, Jane discussed that finding available housing other than group homes is a struggle. The ID Program has opened four (4) additional independent living apartments. The County holds the rental agreement but the individual signs the lease with the landlord. The County helps supplement the rent. The locations are convenient to stores, restaurants, pharmacies, etc. These apartments have staff come into the home between the hours of 3:00 p.m. and 9:00 p.m. to do home and community and companion services. There are now ten (10) independent living apartments through the ID Program. Lori Young » Everyday Lives Conference (handout) My life, My way will be presented at the Everyday Lives Conference on September 14th – 16th. Pre-conference is September 13th at the Hershey Lodge. Registration deadline for the conference is September 1st. Communities of Practice is a break out session. New Everyday Lives book has been published and will be distributed at the conference. The biggest changes to the book are adding My life, My way which is written from self-advocates and what families value will be added. » 6100 Regulations and Waiver Renewal Waiver renewals are up as of July 1, 2017. The expectation of ODP is that the 6100 will also be approved at that time. The 6100 regulations will be out in October for public comment and the Waiver Renewal will be available for public comment in December. If anyone has any comments, send them to the mailbox that will be provided. The Final Rule is now called the Rule. The expectation is to encompass the Rule into the Waiver Renewals also. Round Table/Provider Updates » PA Mentor ~ Kathy Ibrahim PA Mentor is restructuring; going to be separated by service lines. It is unknown how this is going to work. Kathy will keep everyone informed as they learn more. » Family Care Services ~ Nathan Sullivan FCS has expanded capacity for Lifesharing. There have been ten (10) homes recently opened who can accept placement if the individual meets criteria. If anyone has anyone on their case load that may be interested in pursuing this, Nathan is more than welcome to meet with them. » The ARC ~ Lorrie Miller Franklin/Fulton Intellectual Disabilities Provider Meeting Friday, August 5, 2016 ID 5 8/5/16 The ARC Social is August 18th at 9:00 a.m. at St. Paul’s Church. Kindly K9 Therapy dogs will be there. The ARC expanded their transportation to include Pathways and Red Tomato Farm. If there is a high need, a wait list can be started. The ARC recently became home owners as they purchased the building their office is currently located in. » Person Directed Supports ~ Tim Morris PDS has one individual looking for future placement options. » Service Access & Management ~ Matt Yingling Shanna Golden, ID Supervisor will be out of the office for three (3) months effective sometime in August. Supports Coordinator Becky Frankovich will be out as well. » Occupational Services, Inc. ~ Deb Thomas OSI’s Annual Golf Tournament is September 29th. There are still openings for teams. Annual Picnic is September 9th. It has been relocated to Fayetteville Fire Hall instead of the Memorial Park. Events & Info » Upcoming HCQU Trainings You can submit registration via email to Tammy LaGraffe:  8/12 ~ Intellectual Disability and Psychiatric Disorders (Official ODP dual diagnosis curriculum, #12 in series)  9/9 ~ Communicating with the Psychiatric and Psychotropic Medication (Official ODP dual diagnosis curriculum, #13 and #18 in series) » Lifesharing Conference Conference is scheduled for October 17th and 18th at the Blair County Convention Center in Altoona, PA. Next Meeting Date: Friday, November 4, 2016 at 10:00 a.m. at the Human Services Building located at 425 Franklin Farm Lane Minutes by Erin Nye