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HomeMy WebLinkAboutIDD Provider Meeting Minutes 08-16-19Intellectual & Developmental Disabilities Provider Meeting Friday, August 16, 2019 MEETING MINUTES Welcome & Introductions Everyone introduced themselves and their agency affiliation. Lori Young  QA&I Self-Assessment Reminder QA&I assessments are due in Question Pro on August 31st. Providers should have received a link. The spreadsheet has been changed a few times but ODP assures that it will not be changed again. If Lori is your assigned AE please send her a confirmation page of your submission.  Autism Fair at CAMS Autism Awareness Fair is Saturday, September 14th from 11:00 a.m. to 3:00 p.m. at Chambersburg Area Middle School South. J.T. Mummert Counseling Jane has invited Josh Mummert to talk about his services and how to complete referrals. Josh is newly qualified to provide Behavioral Support Services. He is based out of New Oxford. Josh is currently employed at Wilson College. He teaches Positive Behavioral Supports, Low Incidences Disabilities and the Master’s program. Josh has worked with Cornerstone agency and Skills. Josh noted that he looks at three (3) phrases – why is this behavior occurring; the big picture; and develops plans, goals and objectives on why the behavior is occurring and ways to reduce the behavior by introducing new skills. The plans, goals and objectives are not only delivered to the individual but also the staff involved with the individual. Josh looks at the process as a partnership not just with the individual but with staff and support team (family, therapist, etc.). He makes sure everyone’s feedback is welcomed. During the time of working with the individual, Josh monitors progress, makes sure things are going okay, and welcomes feedback to assure that the group is not pushing towards a direction that is not working. Josh has worked with individuals with Autism, Down Syndrome and Mental Health. Josh is not a Board Certified Behavior Analysts (BCBA) but hopes to be in the near future when he completes his PhD. Josh specializes in Autism as he has worked with this population the most. He works with individuals on their social skills. Right now, Josh is the only person in practice. He hopes as time goes on to grow and put together a team to cover a range of locations and provide services across Pennsylvania. There are paper referrals for J.T. Mummert Counseling. Josh is in the process of updating his website so that referrals can be completed online; however, that is not complete yet. J.T. Mummert Counseling is a waiver provider as of the end of June. This includes Consolidated, PFDS, Community Living, Adult Autism waivers and base. Services are available to adults only. Josh is in the process of gathering information on providing services for children. IDD Provider Meeting Jane Cline  Fiscal Year End Utilization Requests Jane has requested that providers make sure that everything is billed for and there are enough units for FY18-19. AEs do not want to go into January and still be billing for FY18-19. AEs have been receiving critical revisions for residential with day and without day.  Variances and CPS Based on Monthly Percentages If individuals are out in the community less than 25% of the time, variances were to go into effect by July 1st. Variances need to be reviewed every six (6) months to assure individuals are getting the opportunity to go out in the community; especially if the decision was based on them choosing not to go and not because of medical or behavior concerns. It is up to the providers to track community participation. This will be part of the provider monitoring for CPS providers.  Participation in Meetings For annuals and critical revisions, it is hoped that providers can get as many members of the team together and to stay the entire length of the meeting. An hour meeting is not much to ask for annual reviews to assure that everyone is on the same page regarding individuals. Service Access & Management (SAM) has requested that members of the team at least be present during the beginning of the meeting and to inform the group that they have to leave. SAM has reached out to some providers regarding this. It is understood that there are times you must leave the meeting but there were instances occurring where team members were coming to the meeting, signing in and leaving shortly after the meeting started. If you need to leave, please let the Supports Coordinator (SC) know so they can go over information that is most important before leaving.  Miscellaneous Discussion Office of Developmental Programs (OPD) has approved 20 cap exceptions. Franklin/Fulton has an additional cap exception that they will need to request. Requests must be in by the end of August. Cap exceptions should take affect for not only this FY but also 20-21 and 21-22. It does not appear that Franklin/Fulton will receive many more Community Living Waiver slots. There were seven (7) slots received this year and Jane looks for us to receive about seven (7) more. There will be no new PFDS graduate initiatives. For the slots currently vacant, we have to anticipate for the graduates for May/June of 2020. Central ODP Meeting is September 18th. Adult Protective Services (APS) will be present again. If anyone has any questions, please let Jane know.  A provider asked if SCs or County receives feedback when something is reported. – If something is reported to APS and it is an incident, ODP is notified who then notifies the AEs as they want an incident submitted. The AEs request that the SCs put the incident in. Neither the AEs or the SCs necessarily hear back on the results or outcomes of the incident. The SCs have been working with Lynn who has been doing more throughout the process as far as having conversations with the SCs. As a result, it is getting better with the incidents that the SCs are completing. As of July 1st, Office of Medical Assistance Program (OMAP) is taking over adding sites and rates. ODP is no longer responsible for this. OMAP is on a 60 day back log. As long as you are IDD Provider Meeting a licensed provider and everything is approved, the County will back date. Please be sure to send AEs an email regarding your submission of adding a site and/or rates. Community Services Group – Lori Nimmon Community Services Group (CSG) is a mobile behavioral intervention and dual diagnosis service that includes a clinician and a nurse. CSG would like to thank providers as they have been very welcoming to their services! CSG has been involved in services in Franklin County for a little while now and have been fortunate to help teams and individuals make progress. CSG has been able to look at historical timelines and help discover symptoms that may have been missed in the past that have led to incorrect diagnosis as well as new diagnosis. A nurse is now involved in CSG’s services but was not at the beginning of starting services with Franklin County. Due to this, the nurse has been able to look at the physical health aspect of what is happening with the individual. The nurse has discovered ways to document symptoms to show doctor’s hard data. The hopes is that this can help lead the way to testing that may need done. CSG has a different approach than what most providers are used to. CSG comes in with a biopsychosocial approach as well as trauma-informed care. This approach is a new way to look at symptoms that are happening and show that concerns may not all be behavioral symptoms. CSG has been able to help get outpatient therapy started, attend psych appointments, and help facilitate advocating for individuals in terms of medication suggested by psychiatrist that did not seem to be appropriate. It makes a difference having a nurse come in to speak to a psychiatrist. CSG is currently serving three (3) individuals in Franklin County. CSG is encouraging teams about documentation and having an open mind. Teams have been open to hearing and trying suggestions made by CSG. Providers appear to want the extra support. As CSG looks at future referrals, they have asked that providers pass onto their teams that the clinicians are coming from Dauphin County and working in five (5) other counties. They are traveling a distance to come meet individuals so scheduling communication is important. Please let CSG know if an individual is not going to be home so that they can rearrange another visit. Health Risk Screening Tool – Tony Fisher Family Care Services was asked by Katie Freeman (HCQU) to get approved to test if there were bugs within the Health Risk Screening Tool (HRST) system. There appeared to be several bugs. One of the issues noted was that the only individuals listed in the system were 6400s. Those who were 6500s were not listed and were unable to complete screenings for. This issue was corrected. A question has arose of who puts individuals into the system and who takes them off. It has been noticed that individuals that have been discharged are still on the list as well as those who are transferred to another county. Another issue was sections on medication and diagnosis. It was FCS’s understanding that they would be filled in but they are not. It is assumed that providers will be asked to complete this section. Certification for HRST will take about five (5) to seven (7) hours of uninterrupted time. The certification is online. Katie Freeman is the gatekeeper of HRST. If there are technical issues within IDD Provider Meeting the website, you have to go through the website’s Help Desk. During certification, each section requires you to answer four (4) questions correctly. There are double negatives and the questions can be confusing. If you do not get four (4) out of four (4) correct, you have to redo the section. You cannot move onto the next section until all are correct. It is unknown if there is a limit on how many times you can do the four (4) questions. FCS plans to have all Family Living Specialists become certified to do their own HRST. The first step is training. Providers will receive a log in and password. Once training is complete, you will receive confirmation that you passed. After a few days you will receive a new log in and password which will take you directly to the website. The HRST handout has released training dates. Clinical Reviewers must pick a date to attend. Onsite, instructor-based training is required. Clinical Reviewers must be a Registered Nurse (RN). HRST Raters can still go to this training but it is not required. The initial task to get everyone assessed will be a large project. The understanding is screenings will start with needs group 4 then work their way down the needs groups. FCS has not completed a screening yet. Initially, the first screening will take a couple hours. All information is going into a database. There is approximately 30 reports that can be pulled for information that you are collecting data for. HRST will be a powerful tool to use once all information is in the system. Information must be kept current. Most information will not change from year to year unless something critical takes place. There is a section on medication and diagnosis so if changes occur, it must be updated. As of right now HRST is still for residential providers only. Provider risk assessment is not required but will be eventually. ODP is developing something with some counties piloting it. The plan is instead of each county having their own provider risk assessment, there will be one. HCQU Updates  HCQU Starting in October, we will be piloting a live, online training option. Information will be listed on the next syllabus schedule. In order to attend a live, online training, people will need to register with Katie Freeman via email (so they get the link to the training) and have a computer with internet access the day of the training. Multiple people can attend from one location if they want. Please feel free to reach out to Katie with any questions.  HRST If anyone has not yet received access to take the rater training or to access the HRST database (which will be granted after training is complete), please reach out to Katie so she can follow up. The training for Clinical Reviewers will be starting soon (see announcement).  PPC meetings The next PPC meeting is scheduled for October 4th. If any providers have a complex case that they would like to bring for review, let Katie know. Katie’s email address is kf1@advocacyalliance.org. IDD Provider Meeting Reports  Friendly reminders of due dates for Base funded providers (See Procedure Statement MHIDDEI-416)  August 15th – Quarterly Report of Expenditures (April – June)  Salary Review for FY ending June 30th  Property Purchased/Property Leased for FY ending June 30th  Fixed Assets Purchased with MH/IDD/EI funds for FY ending June 30th  November 15th – Quarterly Report of Expenditures (July – September) Any questions, please contact Ashley McCartney (almccartney@franklincountypa.gov). Round Table/Provider Updates  Tender Hearted Services Tender Hearted Services has taken on additional individuals as well as hired new staff.  AHEDD AHEDD is getting ready to start their transition program back in schools next week. During AHEDD’s update, the discussion took place on OVR’s Order of Selection closure. IDD waiver or base dollars will have to pick up for services that they normally would not pay for such as community-based career assessment.  Angels on Call Intelligent Lives is a documentary about three pioneering young American adults with intellectual disabilities who challenge perceptions of intelligence as they navigate high school, college, and the workforce. The screening is sponsored by Capital Region Civitan and Harrisburg Area Community College. There are two free showings (2:00 p.m. and 6:00 p.m.) on November 19th. (Please see flyer for additional information).  Keystone Human Services Keystone has recently completed their licensing.  Peck Transportation Peck Transportation has finally hired a certified investigator of their own.  Family Care Services FCS staff are anxiously awaiting final 6100 regulations. They were to come out in the fall and be effective as of January 1. Identifying neglect and abuse, incident management and many other things tie into these regulations. Investigations have more than doubled from one year to the next due changes in the new bulletin. Incident Management sessions took place in Harrisburg that include discussion on I2I abuse. I2I abuse is now an investigation. There is a new process for self-neglect. Questions arose as to what self-neglect is versus client choice; how to define imminent risk and what is considerable reasonable as the terminology is not in the bulletin. IDD Provider Meeting There are two conferences coming up – LifeSharing is in October at Kalahari and Everyday Lives is in January. As of September 1st, FCS is done with 6400s. They will be LifeSharing only.  PennCares PennCares is looking to hire additional staff as well as take on additional consumers. Upcoming Trainings  August 21st & 22nd: Dual Diagnosis Conference (Blair County Convention Center)  September 5th & 6th: Autism Conference (Lancaster)  September 13th: Communicating with the Nonverbal Individual (HCQU Training at HSB) Next Provider Meeting Friday, November 15, 2019 at 10:00 a.m. at the Human Services Building Minutes by Erin Nye