1. Health, Welfare and Safety General Overview

2. Overview Definition Program Responsibility Case Manager Responsibility Emergency Plan Contingency Plan Priority and Risk System Abuse, Neglect and Exploitation

3. 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).

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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.

10. 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.

11. 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

12. 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 http://www.helpguide.org/mental/elder_abuse_physical_ emotional_sexual_neglect.htm