Assessments
When addressing your self-med assessments in your OISP what information needs to be included?
Best practice would be detailing word for word what assessment it is for example: self medication assessment for oral and topical medications instead of just self-med assessment. Also it is best to clearly identify word for word what the result of the assessment was and if they can only do specific parts what parts they need assistance with.
Why do we want to verify a copy insurance cards yearly?
To be able to verify Medicaid eligibility for TCM billing purposes and know what insurance plan the individual has to be able to help answer questions and provide support.
If someone gets help refilling their prescription and has diabetes, what assessments should you complete and questions should you ask?
They will need a self-med assessment for oral and topical medications, glucometer assessment, and you need to ask if they take any injectable insulin or metabolic medications. If they take insulin or a metabolic medication that is given via injection, they will need that assessment as well as they would qualify for the medical add-on.
If you did a change of service to update an individual's phone number or address but it is incorrect in your OISP what should you do?
Hit the Download from DODD button and it will pull the current info from DODD.
If you get an incident report that says that someone's Vitamin D did not get refilled and staff could not give it on Thursday, what should you do with this incident report?
Verify with the provider the medication was refilled, and there was not any adverse reaction due to missing it and send the incident report to UIR for a missed med.
If your on-site on call assessment comes back as Inconclusive what services are you able to authorize and what do you need to do with the assessment?
You can authorize OSOC, remote supports or awake staff depending on how your explanation supports what you are authorizing and your SSA Manager needs to sign off on the assessment.
True or False: if you are adding ADS with a new provider you can do meeting minutes over the phone.
False- if you are adding a new service with a new provider you should always have a meeting in person.
If an HPC or Shared Living provider is a family member and lives with the individual they are providing services to, they do not need to have Medication Certification training BUT, what do they still need to do?
Document the medication administration each day on a doc sheet or MAR.
You have to have at least something in this area of your OISP but it does NOT matter which discovery assessment area you put this in.
You have to have at least one Skill and Abilities listed in your OISP.
If you get an incident report that someone tripped and fell at Marimor while getting on transportation, what should you do?
Verify there were no significant injuries, if not track it on your incident report tracking sheet send to report UIR.
What are two times when you would complete a Level Of Care assessment?
At Waiver enrollment or if there is a significant change of condition.
When someone requests a waiting list assessment or has a need is identified, how many days does the County Board have to complete the assessment?
15 days
If a family member is an independent provider and does not live with the individual and wants to provide medication administration, they have to be med certified except for when?
They are an independent provider and the family delgates. (A family can only delegate to an independent provider. An agency provider needs to be med certified.)
When someone is receiving HPC services from an independent provider or an agency provider (but they are NOT in an MRC site), what needs to be identified in the plan?
EVV (CB's are being cited for not having this effective December of 2025.)
True or False: If there is an incident and you don't think it meets MUI you should still send it to MUI for review.
False- if it clearly does not meet MUI you can forward to report UI if it meets those qualifications. If you have concerns about the incident and aren't sure you can always call or email Shelly or Brent to discuss and ask for further direction.
When you send your plan out to the team, aside from sending the self-med assessments to the team members, who else does this assessment get sent to?
Julia Vorst so that she can develop her list for the RN-QAs.
True or False: When sending out a plan revision it only needs to go to the providers and team members affected by the revision?
False- all providers or team members need a copy of the updated plan. This is something that DODD does look at for accreditation purposes.
True or False: If an Independent provider does not have their self-med certification they can not administer any meds.
False- they can if there is a family member who is willing to train and do family delegation. This should be identified and there is a form that needs completed by the family member and the provider showing that they have trained the provider.
True or False: As long as an Ohio ISP assessment has been updated at least once per span, then we cannot get cited for not updating the ISP.
False- ANYTIME something significant changes in an individual's life, their plan needs to be updated. (CB's are cited for assessment and planning issues 112 times between the fall of 2024 and the fall of 2025. Revisions serve to show how the team is addressing concerns and changes.)
If you get a report that someone came to day programming and mentioned that their home staff hit them and they told another ADS staff last week. You ask the other ADS staff if this was reported and they said it was not since they weren't sure if this is accurate since this person sometimes makes up things and they didn't have any noticeable injuries. What should you do?
Contact MUI right away. This would need to be investigated for potential physical abuse as well as the ADS staff now is possibly liable for a failure to report.
What services require an AAI to be completed?
NMT, IES, ADS/Voc Hab, GES.
If I have an adult on my caseload how often and what type of contact should I have with them? What about a child?
Adult- Monthly contact with the individual or other team member if on a waiver but preferably for all individuals. AT MINIMUM there should be a case note showing attempts. And a minimum of two face-to-face contacts yearly, preferably one in their home and at least two other contacts with the individual served.
Children- At least 4 times annually, for children still in educational services not on waivers, three verbally can be with a parent care giver but at least one face-to-face with the child is required.
DODD can site CB's for lack of monitoring. This is the easiest way to demonstrate the monitoring!
If I take Julia's Certification 1 med class I can only do the following things?
13 Health related activities and prescribed Oral, topical, O2 and inhaled medications.
In order to anything with G/J tube this needs a Certification 2 as well as nursing delegation and for any insulin or injectable treatments for metabolic glycemic disorders this needs a Certification 3 with nursing delegation.
Between the fall of 2024 and the fall of 2025, County Board's were cited 17 times for not doing revisions in a timely manner. Revisions are expected to be done as soon as possible or at least how many days?
Within 30 days
You get an incident report that someone had their gallbladder removed. This was a previously scheduled surgery. What should you do with the report?
This still needs sent to UI as it qualifies under any other behavior incidents, inappropriate sexual behavior, scheduled surgeries or other health and safety concerns that do not meet MUI.