Common use of Care Planning Clause in Contracts

Care Planning. Contractor shall designate an administrative employee whose position description includes shared responsibility with the QMHP for scheduling, facilitating, coordinating, overseeing and documenting the weekly IDT meetings and quarterly Care Planning meetings pursuant to OAR Chapter 411, Division 086 rules. The IDT meetings must: a. Include the following persons: Individual and/ or their legal representative, Administrator or designee, RN, Social Services Coordinator, Activities Coordinator, QMHP and LMP. ODHS Designee, Contract Administrator and health care providers shall be invited to participate in the IDT as needed. b. Be scheduled at a time that is convenient for team members to attend. CMHP and facility care planning functions are expected to be integrated into these weekly IDT meetings. c. Review changes in Individual-specific medical or behavioral status, critical incidents, modify Behavior Plans and discuss other clinical and Nursing Facility operational issues, including any necessary staffing changes required to promote resident safety and stability, on a weekly basis. d. Review each Individual’s response to scheduled and PRN medications prescribed for management of psychiatric or behavioral symptoms with the LMP. e. Document participation and attendance in the weekly IDT and quarterly Care Plan meetings. Virtual participation is acceptable but must be documented. Team members who are unable to attend the meeting must receive copies of the updated Care Plans. f. Implement policies and procedures for communicating and documenting Behavior Plan and Care Plan changes to Contractor’s direct care staff in a timely manner. Review of the Care Plan by Contractor’s staff must be documented. g. Define timeframes and protocols for assessments and comprehensive Care Plan and Behavior Plan development as specified in the Memorandum of Understanding between Contractor and CMHP. h. Ensure the Care Plan, in addition to licensure requirements: (1) Describes the reasons the Individual continues to require Services under this Contract; (2) Describes the Individual’s progress towards meeting discharge goals, their potential to transition to a less intensive program and strategies to address barriers to these goals. i. Designate a member to review the Care Plan with the Individual in a manner which encourages the Individual’s fullest participation possible in the planning process, assures the Individual’s preferences, goals and ability to self-direct are maximized and that the Individual is given opportunity to choose IADL, ADL and activities on a daily basis. The Individual’s response to this review must be documented by Contractor. j. Review each Individual’s Care Plan, including interventions in any related plans carried out by Contractors staff and CMHP employees, at least monthly or more frequently if the Individual’s health or behavior deteriorates. Updates to the Care Plan and all attached component plans must be done quarterly. k. Identify changes that are needed to the Care Plan, or any attached component plans, and oversee communication and implementation of these changes. All changes to these component plans or the Care Plan must be documented. l. Engage Contract Administrator and ODHS Designee within 72 hours of a change of condition which results in an immediate revision to the Care Plan or a Less- Than-30-Day notice.

Care Planning. Contractor shall designate an administrative employee whose position description includes shared responsibility with the QMHP for scheduling, facilitating, coordinating, overseeing and documenting the weekly IDT meetings and quarterly Care Planning planning meetings pursuant to OAR Chapter 411, Division 086 rules. The IDT meetings must: a. Include the following persons: Individual and/ or and/or their legal representative, Administrator or designee, RN, Social Services Coordinator, Activities Coordinator, QMHP and LMP. ODHS Designee, Contract Administrator and health care providers shall be invited to participate in the IDT as needed. b. Be scheduled at a time that is convenient for team members to attend. CMHP and facility care planning functions are expected to be integrated into these weekly IDT meetings. c. Review changes in Individual-specific medical or behavioral status, critical incidents, modify Behavior Plans and discuss other clinical and Nursing Residential Care Facility operational issues, including any necessary staffing changes required to promote resident safety and stability, on a weekly basis. d. Review each Individual’s 's response to scheduled and PRN medications prescribed for management of psychiatric or behavioral symptoms with the LMP. e. Document participation and attendance in the weekly IDT and quarterly Care Plan meetings. Virtual participation is acceptable but must be documented. Team members who are unable to attend the meeting must receive copies of the updated Care Plans. f. Implement policies and procedures for communicating and documenting Behavior Plan and Care Plan changes to Contractor’s 's direct care staff in a timely manner. Review of the Care Plan by Contractor’s 's staff must be documented. g. Define timeframes and protocols for assessments and comprehensive Care Plan and Behavior Plan development as specified in the Memorandum of Understanding between Contractor and CMHP. h. Ensure the Care Plan, in addition to licensure requirements: (1) Describes the reasons the Individual continues to require Services under this Contract;. (2) Describes the Individual’s 's progress towards meeting discharge goals, their potential to transition to a less intensive program and strategies to address barriers to these goals. i. Designate a member to review the Care Plan with the Individual in a manner which encourages the Individual’s 's fullest participation possible in the planning process, assures the Individual’s 's preferences, goals and ability to self-direct are maximized and that the Individual is given opportunity to choose IADL, ADL and activities on a daily basis. The Individual’s 's response to this review must be documented by Contractor. j. Review each Individual’s 's Care Plan, including interventions in any related plans carried out by Contractors staff and CMHP employees, at least monthly or more frequently if the Individual’s 's health or behavior deteriorates. Updates to the Care Plan and all attached component plans must be done quarterly. k. Identify changes that are needed to the Care Plan, or any attached component plans, and oversee communication and implementation of these changes. All changes to these component plans or the Care Plan must be documented. l. Engage Contract Administrator and ODHS Designee within 72 hours of a change of condition which results in an immediate revision to the Care Plan or a Less- Less-Than-30-Day notice.

Care Planning. Contractor shall designate an administrative employee whose position description includes shared responsibility with the QMHP for scheduling, facilitating, coordinating, overseeing and documenting the weekly IDT meetings and quarterly Care Planning meetings pursuant to OAR Chapter 411, Division 086 rules. The IDT meetings must: a. Include the following persons: Individual and/ or their legal representative, Administrator or designee, RN, Social Services Coordinator, Activities Coordinator, QMHP and LMP. ODHS Designee, Contract Administrator and health care providers shall be invited to participate in the IDT as needed. b. Be scheduled at a time that is convenient for team members to attend. CMHP and facility care planning functions are expected to be integrated into these weekly IDT meetings. c. Review each Individual’s Care Plan monthly, or more frequently if the Individual’s health or behavior deteriorates. Updates to the Care Plan and all attached component plans must be done quarterly. d. Review changes in Individual-specific medical or behavioral status, status and critical incidents, and modify Behavior Plans and discuss other clinical and Nursing Facility operational issuesas necessary, including any necessary staffing changes required to promote resident safety and stability, on a weekly basis. d. e. Review each Individual’s response to scheduled and PRN unscheduled medications prescribed for management of psychiatric or behavioral symptoms with the LMP. e. Document participation and attendance in the weekly IDT and quarterly Care Plan meetings. Virtual participation is acceptable but must be documented. Team members who are unable to attend the meeting must receive copies of the updated Care Plans. f. Implement policies and procedures for communicating and documenting Behavior Plan and Care Plan changes to Contractor’s direct care staff in a timely manner. Review of the Care Plan by Contractor’s staff must be documented. g. Define timeframes and protocols for assessments and comprehensive Care Plan and Behavior Plan development as specified in the Memorandum of Understanding between Contractor and CMHP. h. Ensure the Care Plan, in addition to licensure requirements: (1) Describes the reasons the Individual continues to require Services under this Contract; (2) Describes the Individual’s progress towards meeting discharge goals, their potential to transition to a less intensive program and strategies to address barriers to these goals. i. g. Document participation and attendance in the IDT meetings. Virtual participation is acceptable but must be documented. Team members who are unable to attend the meeting must receive copies of the updated Care Plans. h. Designate a member to review the Care Plan with the Individual in a manner which encourages the Individual’s fullest participation possible in the planning process, assures the Individual’s preferences, goals and ability to self-direct are maximized and that the Individual is given opportunity to choose IADL, ADL and activities on a daily basis. The Individual’s response to this review must be documented by Contractor. j. Review each Individual’s Care Plan, including interventions in i. Oversee communication and implementation of any related plans carried out by Contractors staff and CMHP employees, at least monthly or more frequently if the Individual’s health or behavior deteriorates. Updates changes to the Care Service Plan and all attached component plans must be done quarterlyto Contractor’s direct care staff in a timely manner. k. Identify changes that are needed to the Care Plan, or any attached component plans, and oversee communication and implementation of these changes. All changes to these component plans or the Care Plan must be documented. l. j. Engage Contract Administrator and ODHS Designee within 72 hours of a change of condition which results in an immediate revision to the Care Plan or a Less- Less-Than-30-Day notice.

Care Planning. Contractor shall designate an administrative employee whose position description includes shared responsibility with the QMHP for scheduling, facilitating, coordinating, overseeing and documenting the weekly IDT meetings and quarterly Care Planning planning meetings pursuant to OAR Chapter 411, Division 086 rules. The IDT meetings must: a. Include the following persons: Individual and/ or and/or their legal representative, Administrator or designee, RN, Social Services Coordinator, Activities Coordinator, QMHP and LMP. ODHS Designee, Contract Administrator and health care providers shall be invited to participate in the IDT as needed. b. Be scheduled at a time that is convenient for team members to attend. CMHP and facility care planning functions are expected to be integrated into these weekly IDT meetings. c. Review changes in Individual-specific medical or behavioral status, critical incidents, modify Behavior Plans and discuss other clinical and Nursing Residential Care Facility operational issues, including any necessary staffing changes required to promote resident safety and stability, on a weekly basis. d. Review each Individual’s response to scheduled and PRN medications prescribed for management of psychiatric or behavioral symptoms with the LMP. e. Document participation and attendance in the weekly IDT and quarterly Care Plan meetings. Virtual participation is acceptable but must be documented. Team members who are unable to attend the meeting must receive copies of the updated Care Plans. f. Implement policies and procedures for communicating and documenting Behavior Plan and Care Plan changes to Contractor’s direct care staff in a timely manner. Review of the Care Plan by Contractor’s staff must be documented. g. Define timeframes and protocols for assessments and comprehensive Care Plan and Behavior Plan development as specified in the Memorandum of Understanding between Contractor and CMHP. h. Ensure the Care Plan, in addition to licensure requirements: (1) Describes the reasons the Individual continues to require Services under this Contract;. (2) Describes the Individual’s progress towards meeting discharge goals, their potential to transition to a less intensive program and strategies to address barriers to these goals. i. Designate a member to review the Care Plan with the Individual in a manner which encourages the Individual’s fullest participation possible in the planning process, assures the Individual’s preferences, goals and ability to self-direct are maximized and that the Individual is given opportunity to choose IADL, ADL and activities on a daily basis. The Individual’s response to this review must be documented by Contractor. j. Review each Individual’s Care Plan, including interventions in any related plans carried out by Contractors staff and CMHP employees, at least monthly or more frequently if the Individual’s health or behavior deteriorates. Updates to the Care Plan and all attached component plans must be done quarterly. k. Identify changes that are needed to the Care Plan, or any attached component plans, and oversee communication and implementation of these changes. All changes to these component plans or the Care Plan must be documented. l. Engage Contract Administrator and ODHS Designee within 72 hours of a change of condition which results in an immediate revision to the Care Plan or a Less- Less-Than-30-Day notice.