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340:100-3-27.3. Person-centered evaluations (PCE)
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Issued 8-1-02
Person-centered evaluations (PCE) evaluate and promote the realization of valued outcomes in an individual's life. These outcomes include safety, protection of personal resources, service provision consistent with individual preferences and essential needs, inclusion, and the development of friendships. In addition, PCEs assess and support the efficient use of public resources.
- (1) A sample of persons receiving services through the Community Waiver is selected by the administrator of Quality Assurance or designee. The identities of individuals in the sample remain confidential until the PCE is initiated.
- (2) Three days prior to a PCE the case manager and residential and vocational services provider(s) are notified of the name of the person(s) and the protocols for the PCE.
- (3) Quality Assurance staff visit with the individual selected in the sample and his or her roommate(s), when applicable, as soon as possible following the initiation of the PCE. The reason and process for the PCE are explained, and the individual is assured that his or her opinions are included in the findings.
- (4) The parent(s), legal guardian(s), and advocate(s) of the selected individual and his or her roommate(s) are contacted unless the adult, non-adjudicated individual requests otherwise. The reason and process for the PCE are described. The family's or advocate's opinions and experiences with services are solicited, and any concerns are investigated during the PCE.
- (5) Unless such visits are deemed inadvisable by the administrator of Quality Assurance, site visits, which are typically unannounced, are made to each individual's home and, when appropriate, work site.
- (A) The family of an individual receiving services may, without reprisal, decline a PCE of supports provided in their home.
- (B) The Quality Assurance staff are sensitive to and minimize potential intrusions.
- (C) Service sites, other than the individual's home and work, are visited as determined necessary by Quality Assurance staff.
- (D) The individual is interviewed and observed in order to determine personal life preferences and goals.
- (E) Support staff are interviewed and observed during site visits to determine whether their actions are consistent with the individual's needs and preferences.
- (6) The claims records of all providers of state funded or Home and Community-Based Waiver (HCBW) services are reviewed during the PCE to determine the consistency of claims with service authorization and delivery.
- (7) The financial records of the individual(s) are reviewed when the provider assists in the management of the individual's personal resources.
- (8) Persons providing supports are interviewed and, when determined appropriate, observed to determine their role in service delivery. Claims for services are reviewed to determine consistency with need, authorization, and supporting documentation.
- (9) Interviews and observations cover the full scope, effectiveness, and quality of service delivery over an extended period of time.
- (10) Personnel and training records for staff providing supports are reviewed.
- (11) A written report is completed to record findings of the PCE.
- (A) The PCE report describes issues, findings, and resolution agreements relevant to the outcomes described in the Developmental Disabilities Services Division (DDSD) guiding principles, OAC 340:100-1-3.1.
- (i) The issues and findings are discussed with Personal Support Team (Team) members during the course of the PCE, and a resolution agreement is reached prior to its conclusion.
- (ii) Issues requiring action are described along with the person responsible for the correction and resolution date.
- (iii) The Quality Assurance staff provide follow-up as soon as possible following the resolution date to ensure that interventions have occurred as promised.
- (iv) An administrative inquiry is initiated when resolution agreements are not implemented according to established time schedules.
- (B) The director of DDSD or designee may identify additional policy or contract compliance issues for data collection during PCEs.
- (i) During the course of the PCE, Quality Assurance staff collect information relevant to these compliance issues and record the outcomes as data points in the PCE report.
- (ii) The data points are recorded on the Quality Assurance database for analysis at least annually.
- (C) When a roommate(s) resides in the home of the individual selected in the sample, a PCE screening is completed.
- (i) The roommate(s) is screened for:
- (I) health concerns;
- (II) issues related to challenging behavior;
- (III) restrictive interventions;
- (IV) due process; and
- (V) the safeguarding of their personal funds.
- (ii) Quality Assurance staff provide follow-up for issues identified for correction on the PCE screening.
- (iii) An administrative inquiry is initiated when issues identified on the PCE screening are not corrected within the established time schedule.
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