Health welfare and safety
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Health, Welfare and Safety . General Overview. Overview . Definition Program Responsibility Case Manager Responsibility Emergency Plan Contingency Plan Priority and Risk System Abuse, Neglect and Exploitation. Risk Definition.

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Overview l.jpg
Overview

  • Definition

  • Program Responsibility

  • Case Manager Responsibility

  • Emergency Plan

  • Contingency Plan

  • Priority and Risk System

  • Abuse, Neglect and Exploitation


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Risk Definition

  • Risk is defined as the potential for realization of unwanted, adverse consequences to human liked, health, property or the environment. (Oxford English Dictionary).


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Identification of Risk

  • The process of case management ensures:

    • An Assessment begins the process to identify risk,

    • Consumers are educated on healthy lifestyles,

    • Health related concerns are addressed,

    • Consumer rights are protected

    • Consumers are given provider choice

    • Person-Centered Care Planning

    • Barriers are identified and addressed

  • Consumers who refuse case management are managed through another utilization/service program


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Program Responsibility

  • Case Management to assist individuals to gain access to needed:

    • Medical

    • Social

    • Educational

    • Other Services

  • To assist the consumer to identify strengths, barriers, potential risks

  • To provide Education, Advocacy and Empowerment

  • To Follow-up on identified issues and concerns

  • To Monitor issues related to consumer health, welfare and safety

  • To report to appropriate organizations unresolved issues or concerns to ensure health, welfare and/or safety


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Case Manager Responsibility

  • Educate Consumers on their rights including:

    • Hearing and Appeals

    • Program Specifics

    • Participant Rights and Responsibilities

  • Complete a comprehensive assessment

  • Openly discuss identified strengths, barriers and potential risk with consumer and support system

  • Develop a person-centered care plan

  • Develop a list of barriers and potential risks to follow-up on during subsequent contacts

  • Assess for signs of Abuse, Neglect and Exploitation

  • Partner with the consumer to manage identified needs


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Emergency Plan

  • Two levels of Emergency Plan

    • Organizational Emergency Plan in case of a disaster to ensure protection of our program consumers

    • Consumer Emergency Plan to ensure care needs are addressed at all times in accordance with their priority/risk score


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Contingency Plan

  • Back up Plans for formal and informal supports

  • Caregivers should have a contingency plan in the event a caregiver is unable to provide support and services

  • Agencies need to have a contingency plan to ensure consumer receives scheduled services

  • HHS need to have a contingency plan to ensure timely follow-up, access to services etc.

  • The HHS New Participant Handbook also addresses Contingency Planning


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Priority and Risk System

  • Priority 1

    • If service is not delivered as authorized and planned the client’s health and welfare would be at immediate risk

    • HHS will communicate to the provider the authorized service, day, specific time and specific tasks.

    • Priority 1 participants must have an emergency plan in place and the provider must have a written contingency plan for staff call offs and for holiday coverage. (When the individual receives daily services this includes holidays even if family is taking on care responsibility)

  • Priority 2

    • If service is not delivered as planned and authorized the individual would be at a higher risk for health, welfare and safety issues

    • HHS will communicate to the provider the authorized service, day, and either the specific time or specific tasks

    • Participant and caregiver coordination is required by the provider to work out specific times or tasks as outlined in the authorization.

    • HHS will follow-up with consumer and/or provider to determine what the agreed times or service are to complete the care plan and service authorization.

    • Priority 2 participants must have an emergency plan in place and the provider must have a written contingency plan for staff call offs and for holiday coverage.


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Priority and Risk System

  • Priority 3

    • If the service is not delivered as authorized or planned the individual would be at some risk.

    • HHS provides the provider with at least one component of the service schedule: Day, time or specific tasks

    • To complete the person-centered plan HHS needs to follow-up with consumer/provider to be able to document all components including day, time and/or specific tasks to be completed.


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Abuse, Neglect and Exploitation

  • Abuse includes physical, sexual, verbal and psychological

  • Neglect includes unsafe living arrangements and basic needs not being met.

  • Basic needs include medical care, physical and emotional needs

  • Exploitation for the elderly population is primarily related to financial loss


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Abuse, Neglect & Exploitation

  • Need to look for signs of Abuse, Neglect and Exploitation during contacts

  • Need to evaluate caregiver stress

  • Need to assess for use or mention of restraints by caregivers as this is not an acceptable practice

  • The agency is responsible for notifying Adult Protective Services, Calling 911 if the conditions are unsafe knowing Adult Protective Services is not an immediate response

  • Looking for a great training tool go to http://www.helpguide.org/mental/elder_abuse_physical_emotional_sexual_neglect.htm


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