Common use of Health Care and Related Services and Supports Clause in Contracts

Health Care and Related Services and Supports. The City shall develop and implement a protocol in order to accomplish the following requirements: 1. The City shall provide LHH residents with adequate and appropriate proactive health care and related services and supports to meet the ongoing individualized needs of the residents and that are consistent with generally accepted professional standards such that the residents may attain or maintain their highest practicable physical, mental, and psychosocial well-being. Health care and related services and supports shall include medical care, neurological care, nursing care and services, basic care, nutritional and physical management, rehabilitative and restorative care, and related therapy services. With regard to each of the areas identified above: a. The City shall provide adequate and appropriate, comprehensive, and in-depth individualized professional assessments of the needs of each resident. b. Based on these assessments, the City shall then promptly develop and implement written, tailored, and individualized care plan(s) to address each area. c. The City shall then provide adequate, appropriate, comprehensive, and in-depth monitoring and follow-up for each resident to ensure that the plan(s), as implemented, effectively meet the ongoing needs of each resident. This monitoring and follow-up may prompt new assessments/reassessments and modification of existing diagnoses, plans and/or implementation efforts, whenever warranted by each resident’s changing condition over time. d. The assessments, diagnoses/determinations, and plans shall be developed by an interdisciplinary team of professionals who are guided by generally accepted professional standards. e. The implementation of the plans and the ongoing monitoring, follow-up, and the determination of the need for new assessments/reassessments shall be accomplished by an interdisciplinary team of professionals in conjunction with direct care and other staff who have been provided with competency-based training in the proper implementation and monitoring/follow-up of each resident’s plan(s), such that the professionals and staff meet the ongoing individualized needs of the residents. f. The City shall identify, on an ongoing basis, those residents who are at-risk, or present at- risk conditions. The City shall ensure that these at-risk residents will be given heightened attention and supervision such that needed health care and related assessments/reassessments, diagnoses/determinations, plans, implementation, monitoring, and follow-up are provided to them proactively, promptly, and whenever they are needed. 2. The City shall take appropriate steps to protect residents’ privacy in living areas, and during bathing and toileting. 3. The City agrees to maintain an effective infection control program. 4. The City shall strive to maintain that all living areas are free of dangers that may cause accidents by providing adequate surveillance of potential hazards and ensure that equipment is in safe operating condition. The City shall take prompt corrective action to remove and eliminate environmental hazards and repair defective or inoperable equipment. Director of Health San Francisco Department of Public Health City and County of San Francisco XXXXXX X. XXXXXXX City Attorney

Health Care and Related Services and Supports. The City shall develop and implement a protocol in order to accomplish the following requirements: 1. The City shall provide LHH residents with adequate and appropriate proactive health care and related services and supports to meet the ongoing individualized needs of the residents and that are consistent with generally accepted professional standards such that the residents may attain or maintain their highest practicable physical, mental, and psychosocial well-being. Health care and related services and supports shall include medical care, neurological care, nursing care and services, basic care, nutritional and physical management, rehabilitative and restorative care, and related therapy services. With regard to each of the areas identified above: a. The City shall provide adequate and appropriate, comprehensive, and in-depth individualized professional assessments of the needs of each resident. b. Based on these assessments, the City shall then promptly develop and implement written, tailored, and individualized care plan(s) to address each area. c. The City shall then provide adequate, appropriate, comprehensive, and in-depth monitoring and follow-up for each resident to ensure that the plan(s), as implemented, effectively meet the ongoing needs of each resident. This monitoring and follow-up may prompt new assessments/reassessments and modification of existing diagnoses, plans and/or implementation efforts, whenever warranted by each resident’s changing condition over time. d. The assessments, diagnoses/determinations, and plans shall be developed by an interdisciplinary team of professionals who are guided by generally accepted professional standards. e. The implementation of the plans and the ongoing monitoring, follow-up, and the determination of the need for new assessments/reassessments shall be accomplished by an interdisciplinary team of professionals in conjunction with direct care and other staff who have been provided with competency-based training in the proper implementation and monitoring/follow-up of each resident’s plan(s), such that the professionals and staff meet the ongoing individualized needs of the residents. f. The City shall identify, on an ongoing basis, those residents who are at-risk, or present at- risk conditions. The City shall ensure that these at-risk residents will be given heightened attention and supervision such that needed health care and related assessments/reassessments, diagnoses/determinations, plans, implementation, monitoring, and follow-up are provided to them proactively, promptly, and whenever they are needed. 2. The City shall take appropriate steps to protect residents’ privacy in living areas, and during bathing and toileting. 3. The City agrees to maintain an effective infection control program. 4. The City shall strive to maintain that all living areas are free of dangers that may cause accidents by providing adequate surveillance of potential hazards and ensure that equipment is in safe operating condition. The City shall take prompt corrective action to remove and eliminate environmental hazards and repair defective or inoperable equipment. Director of Health San Francisco Department of Public Health City and County of San Francisco XXXXXX X. XXXXXXX City Attorney.