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South Carolina Provider Training Review Year 2005-06 First Health Services June 2005

South Carolina Provider Training Review Year 2005-06 First Health Services June 2005. Provider Manual CD. 01 2005-06 Provider Manual Cover 02 2005-06 Provider Manual TOC 03 2005-06 Provider Manual Overview 04 2005-06 Provider Manual SOW

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South Carolina Provider Training Review Year 2005-06 First Health Services June 2005

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  1. South Carolina Provider Training Review Year 2005-06 First Health Services June 2005

  2. Provider Manual CD • 01 2005-06 Provider Manual Cover • 02 2005-06 Provider Manual TOC • 03 2005-06 Provider Manual Overview • 04 2005-06 Provider Manual SOW • A1 2005-06 Provider Manual Admin Indicators (Excel - multiple worksheets)

  3. Provider Manual CD(continued) • A2 2005-06 Provider Manual GA Indicators (Excel - multiple worksheets) • A3 2005-06 Provider Manual EI Indicators (Excel - multiple worksheets) • A4 2005-06 Provider Manual Prep List • A5 2005-06 Provider Manual NCI Provider Surveys

  4. Provider Manual CD(continued) • A6 2005-06 Provider Manual POC • A7 2005-06 Provider Manual Interview Protocols • A8 2005-06 Provider Manual NCI Family Surveys • A9 2005-06 Provider Manual Acronyms

  5. Year-to-Date Aggregate Scores

  6. Administrative Aggregate ScoresReview Year Comparison*Year-to-Date for 2004-05

  7. General Agency Aggregate ScoresReview Year Comparison*Year-to-Date for 2004-05

  8. Early Intervention Aggregate ScoresReview Year Comparison*Year-to-Date for 2004-05

  9. Indicator Reorganization

  10. Administrative Sections • A1 Administrative Issues • A2 Fiscal Issues

  11. General Agency Sections • G1 The Plan • G2 Service Coordination • G3 Facility-Based Day Services • G4 Individual Rehabilitation Supports • G5 Supported Employment • G6 Residential Services • G7 Respite Services • G8 Behavior Support Service • G9 MR/RD Waiver • G10 HASCI Waiver

  12. Early Intervention Sections • E1 Referral / Intake • E2 FSP • E3 Special Instruction • E4 Service Notes • E5 Other Documentation • E6 MR/RD Waiver • E7 HASCI Waiver • E8 BabyNet Only

  13. Crosswalk: Administrative Indicators

  14. Crosswalk: General Agency Indicators

  15. Crosswalk: General Agency Indicators(continued)

  16. Crosswalk: EI Indicators

  17. Crosswalk: EI Indicators(continued)

  18. Sanctionable Indicators

  19. Administrative Indicator Changes

  20. 2005 - 2006 Administrative Indicator Changes A1 Administrative Issues • A1-12 (change) Human Rights Committee is composed of a minimum of 6 members. (previously composed of 5)

  21. 2005 - 2006 Administrative Indicator Changes A1 Administrative Issues • A1-35 (new) For consumers who receive Rehabilitation Supports (facility based or individual), a Lead Clinical Staff attends and chairs a staff meeting at least monthly during which administrative and consumer treatment issues are considered.

  22. 2005 - 2006 Administrative Indicator Changes A1 Administrative Issues • A1-36 (new) Board/Provider has an established procedure for using feedback from the consumer/family satisfaction surveys to improve and expand services.

  23. 2005 - 2006 Administrative Indicator Changes A1 Administrative Issues • A1-37 (new) Sanctionable** BOARD/PROVIDER CONDUCTS ALL RESIDENTIAL ADMISSIONS/DISCHARGES IN ACCORDANCE WITH 502-01-DD.

  24. DeletedAdministrativeIndicators

  25. Deleted Indicators • A2-12 For Respite Service funded by individual and Family Support Services, the Board/Provider maintains bi-annual (i.e. June and December) written reports that contain the following information:-Unduplicated count broken into age groups of 0-21 years of age and over 21 years of age for consumers receiving Respite through Family Support Funds.-Cumulative total Respite hours provided.

  26. General Agency Indicator Changes

  27. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-01 (reworded) *SANCTIONABLE * THE PLAN IS DEVELOPED AND SIGNED BY THE SERVICE COORDINATOR EVERY 365 DAYS.(removed … by a facilitator or under the direction of a facilitator-or a Single Plan is developed by a DSN Board Plan Manager)

  28. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-02 (new) The Record/Plan shows that facilitation was explained and choice was offered.

  29. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-03 (reworded) Needs/goals reflected in the Plan must be justified by formal or informal assessment information in the record.

  30. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-04 (reworded) Record must reflect that the consumer or his/her legal guardian was offered the opportunity to participate in planning.

  31. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-05 (reworded) The Plan reflects the service needs/personal goals, priorities and concerns of the consumer or his/her guardian.

  32. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-06 (reworded) The Plan identifies “Actions”/interventions that address the “Need”.

  33. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-07 (reworded) The Plan identifies the name of the provider and the person responsible by name or title (i.e. CTH Coordinator, Service Coordinator, etc.) for implementing Actions/Interventions.

  34. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-09 (new Sanctionable & reworded) *SANCTIONABLE* THE PLAN IS AMENDED/UPDATED AS NEEDED.

  35. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-11 (reworded) “Needs”/personal goals are written to reflect the consumer’s needs rather than the service to be provided.

  36. 2005 - 2006 General Agency Indicator Changes G1 The Plan • G1-12 (reworded)*SANCTIONABLE* THE PLAN IS MONITORED AT LEAST QUARTERLY (QUARTERLY PLAN REVIEW).

  37. 2005 - 2006 General Agency Indicator Changes G2 Service Coordination • G2-01 (combination)*SANCTIONABLE* SERVICE COORDINATION ACTIVITY REFLECTS ONGOING NEEDS ASSESSMENT, PLANNING, AND MONITORING TO ADDRESS IDENTIFIED NEEDS AND PERSONAL GOALS.

  38. 2005 - 2006 General Agency Indicator Changes G2 Service Coordination • G2-02 (reworded) Face-to-face contacts occur as required.

  39. 2005 - 2006 General Agency Indicator Changes G2 Service Coordination • G2-03 (new) Contacts for Level II Service Coordination are provided at least every 365 days or as determined by the consumer.

  40. 2005 - 2006 General Agency Indicator Changes G2 Service Coordination • G2-09 (reworded) An index is maintained and followed for Service Coordination records.

  41. 2005 - 2006 General Agency Indicator Changes G2 Service Coordination • G2-12 (change) The STS is current. (no longer sanctionable)

  42. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-01 (reworded) *SANCTIONABLE* THE CONSUMER HAS A CURRENT DAY PLAN THAT INCORPORATES 1. CARE: SUPPORTS TO MAINTAIN OR IMPROVE THE HEALTH AND PERSONAL RESPONSIBILITY OF THE CONSUMER; 2. SUPERVISION: SUPPORTS TO PROTECT THE CONSUMER FROM HARM AND/OR INJURY IN COMPLIANCE WITH DDSN POLICY 510-01-DD; 3. SKILLS TRAINING INTERVENTION: GOALS AND OBJECTIVES TO ASSIST THE CONSUMER IN ACQUIRING, RETAINING, OR IMPROVING SKILLS FOR OPTIMAL FUNCTIONING.

  43. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-02 (new) The Day Plan must reflect the authorized service.

  44. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-03 (new) Supports within the Plan correspond to the service definition.

  45. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-04 (reworded) Each support, goal, and objective identified within the Plan corresponds to an assessed need.

  46. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-05 (new) The record must clearly reflect the consumer’s approval of the Day Plan. If the consumer is under 18 or over 18 and deemed unable to consent, the approval come from the consumer’s legal representative.

  47. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-06 (reworded)The consumer’s Day Plan is monitored by the Day Coordinator or Lead Clinical Coordinator (or designee) to insure plans are implemented as specified.

  48. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-07 (new)For consumers who receive rehabilitation supports, a six-month review must be completed and address the following issues: • Are current goals and objectives appropriate and effective in meeting the needs and goals of the consumer? • Are there any other issues pertinent to the functioning of the consumer? • Do the needs of the consumer support the continuation of rehabilitation support services?

  49. 2005 - 2006 General Agency Indicator Changes G3 Facility-Based Day Services • G3-08 (new) For consumers who receive Rehabilitation Supports, a Medical Necessity Statement has been obtained.

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