Twogether Consulting 2nd Annual IDD Provider & Family Resource Conference

April 23rd – 25th, 2014

Location:  “The Center” -3550 W. Dallas St. Houston, TX 77019

Conference_Agenda_&_Scheduleforhandout-2014

Conference_Speaker’s list 0414- website format updated

 

This Conference Will Address HCS, TXHmL, ICF/IID Providers

Some Additional Resources For Families will be available During The Conference

Theme:                        “TRANSITIONS” 

“This year’s conference will focus on types of “transitions” that many Individuals with IDD, their families and IDD Providers have been through or may even currently be experiencing.  This includes transitioning from school out into the community and adult life, moving from adult services to possibly services for the elderly or now that many individuals live longer lives- “special needs trusts”, hospice needs, etc.., Providers and individuals are also in the process of moving from current IDD waiver services as we know it to Managed Care services.  Our hosts for this year’s conference location “The Center” which many of you know is part of the “United Way” has been going through their own “transition” and we are so excited about these changes.

Speakers:         See Speaker’s Page is On The Website For Bio’s on Everyone!

 

“Launching Young Adults”
Presented By Dr. Ed Hammer, B.A., M.S., M.Ed., LPC, LMFT, Ph.D.

Dr. Ed Hammer is a licensed mental health professional who has worked for many years for the Department of Pediatrics at the Texas Tech School of Medicine in Amarillo in the area of Behavioral Pediatrics.  He is currently a Clinical Professor of Pediatrics at the Department of Pediatrics, School of Medicine, Texas Tech Health Science Center at Amarillo since 2001.  His concern is for the treatment of the total child and persons with special needs, including support for the family, coordination of community services, and public and private agencies.  He is the author or co-author of six published assessment devices (the Callier-Azusa Scale, the Functional Skills Screening Inventory, the Helen Keller Functional Profile, the Assistive Devices Analysis Matrix (A.D.A.M.), the Classroom Management system, and the Neuropsychological Monitoring Inventory). He served as Project Director for the 6-year medically fragile grants that led to the Amarillo Pediatric Protocol, an NICU intervention for neonates and a PICU intervention for patients with head injury. He also is the founder and Principal Investigator for the Pediatric Research Network (PRN).

  • Dr. Ed Hammer, B.A., M.S., M.Ed., LPC, LMFT, PhD (Amarillo, TX) – Keynote Address:  “Launching Young Adults”  Discussion of the importance of support in the community for our young adults coming out of school, preparing them to live in the community, preparing them to be productive, providing ongoing learning opportunities, and taking advantage of today’s technology and resources to increase learning opportunities.  (We encourage family members especially to attend this keynote address and Dr. Hammer’s breakout session.)

 

    • Breakout session:   Neurodevelopmental Interventions and its impact on Disabilities”  This session addresses behavioral issues in IDD population and a different approach to learning concerning actual consideration of the “brain” when working with our population.  In this session he teaches us to learn how to work with the neuroplasticity of the brain to help it reach its goals of surviving and using all its space and resources for our individuals.  Some of you attended last year’s conference know that Dr. Hammer did present this session, but so many people asked for him to do this session again and  he has updated the presentation with some great new information.) 
  • Julie Blacklock (IDD Consultant & Owner of Twogether Consulting, Limited-Austin, TX)                                                          Opening Remarks & Panel Member
  • Kim Littlejohn (IDD Consultant For Twogether Consulting, Limited-Austin, TX)  Opening Remarks & Panel Member
  • Eva Aguirre  (CEO For “The Center”- Houston, TX)   Opening Remarks For The Center & Panel Member                      “New Transition and Direction For The Center”    
  • Gina Carrandas Peterson, RN (RN Consultant with Twogether Consulting- Houston, TX)                                                                   BON Expectations For Implementing Nursing Peer Review Process At Your Facility
    • For HCS , TXHmL, ICF/IID Providers:  The Texas Board of Nursing Requires all businesses to have Nursing Peer Review Process implemented, if they have 10 or more nurses employed or contracted by the facility.   
    • How Twogether Consulting Can Help You With Developing Your Nursing Peer Review Process and Implement It Correctly.
  • Dr. Deborah Jean Harding (Owner of WWWERC “Win-Win-Win- Education & Research Consultants” –Amarillo, TX)  Deborah is an associate professor at Amarillo College, in the areas of  psychology, criminal psychology, social psychology, and sociology, including the sociology of marriage and family and criminology. “Transitions in Sexuality:  What To Do When My Little Kitten Becomes A Tom Cat!”   (Providers & Families Welcome To This Session)

Bernadette Richardson (Director of Program Services at Kenmar Residential – Austin, TX)  Bernadettehas worked in the Social Service field since 1986.  She is a Graduate from Gannon University, Erie PA.  Her field of study was in Social Work with a minor in counseling.   She obtained a strong background in Autism and Autism spectrum disorder when Bernadette assisted the founder of Autistic Services in Amherst NY in the opening the first group home in that area for the Autistic population in 1988.  The program was unique for it was placing 12 autistic men within one group home.  “Navigating Services For Individuals With Autism Thoughout One Lifetime”   (Providers & Families Welcome To This Session)

  • Michelle Garcia  (Owner of Michelle Garcia, Psy. D.  & Associates-Houston, TX/Behavioral Supports & Workshops) Michelle and her group provide Individual Group Counseling, Psychological Neuropsychological Testing Testing, Behavioral support (BSP’s), IEE’s/IEP’s and ARD Advocacy.   As well as, training for professionals, educators, and families as well as providing workshops, social skills training, social stores, and resource building as well as coordination with healthcare providers, work and day programs, state and other agencies.    “The Compliance Game” and “FIE: A Whole Person Perspective”     (All Providers & Families Welcome To This Session)                                                                              
  • Carole Smith (Executive Director of Private Providers Association of Texas-Austin, TX)     (Panel Member)  Update on the Redesign of the IDD System of Services & Supports (SB 7-83rd)   (All Families Utilizing Waiver Services & Providers welcome to this session)
    • Discussion of Waiver Services Transitioning to Managed Care                                                                       
  •   Carla Cheatham (Pastor For Buckner Village Hospice- Austin, TX)  “Hospice 101:  What Caregivers Need to Know”    (All Providers & Families Welcome To This Session)
    •  One area of healthcare for which most persons are not prepared is the end of life.  Hospice is one of the most misunderstood aspects of care and also one of the most overwhelming to consumers and caregivers, but the benefits and resources available are incredible.  This presentation will describe what hospice is and isn’t and how the Medicaid Hospice Benefit can be of extra support to patients, families, and agencies.  The hospice team works closely with all involved to make the final 6 months (or more) of a person’s life more peaceful and dignified while managing pain and other physical symptoms.  The more those caring for persons with IDD understand, the greater the benefit for all.
  • Mary Alice Jackson, Esq.  (Esquire of of Boyer & Jackson, Inc.-Austin, TX) Focusing on special needs planning for individuals with disabilities and their families and navigating SSI, SSDI, CDB, and Medicaid/Medicare.  Special Needs Trust Planning in 2013 – Who Needs One, Who Doesn’t, and Why?  and Alphabet Soup:  SSI, SSDI, CDB, Medicaid and Medicare”   (All Providers & Families Welcome To This Session)
  • Kay Smith   (Department of Aging & Disabilities Services/ Waiver & State Plan Services Center For Policy & Innovations/Policy, Rules & Curriculum Development Unit -Houston, TX)  Writing Plans of Corrections”  (For ICF/IID Program Providers)
  • Russell Golden (Representative From Taskmaster Pro- Abilene, TX)  “Utilizing New Technologies To Provide Better & More Efficient Services For Our IDD Population”  (For HCS, TXHmL, & ICF/IID Providers)
  • Yolanda Daggs, MBA, BSN, RN  (MHMRA Harris County- Division Nurse Manager For IDD Services-Houston, TX)                    “Determining What Healthcare Needs Exceed RN Delegation In The Community” (For HCS, TXHmL, & ICF/IID Providers)
    • Presentation will focus on determining when health care needs exceed the parameters of RN delegation in the community setting. We will discuss The Texas Board of Nursing Rule 225-RN Delegation to unlicensed personnel in independent living environment for individuals with stable and predictable conditions. Discussion also includes when the healthcare status of individuals living in a community setting exceeds the nurses’ ability to deliver services due to the level of health acuity and complex healthcare needs rendering that the individual is no longer suitable for RN delegation. We’ll also talk about developing and implementing operative guidelines/policies and procedures and or protocols to address these growing concerns. about developing and implementing operative guidelines/policies and procedures and or protocols to address these growing concerns.

 

 

Schedule of Events

Day 1    (April 23rd-Tuesday): 

8:00 AM                       Registration Opens-Please sign in and pick up a badge (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

8:00 AM-9:00 AM         Continental Breakfast and Refreshments In Exhibitor Hall

9:00 AM-12:00 PM       Opening Remarks- Julie Blacklock/ continental breakfast with vendors  ( Exhibit Hall  /next to Susan Vaughn Clayton Bldg)

12:00 PM-1:15 PM       Lunch 

1:15 PM-1:30 PM         Opening Remarks By Julie Blacklock/Owner of Twogether Consulting  (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

1:30 PM-2:30 PM         Opening Remarks By Eva Aguirre CEO of “The Center”    “New Transition and Direction For The Center”  (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

2:30 PM=3:00 PM         Choir From “The Center” /Refreshment Break  (Exhibitor’s Hall)

3:00 PM-4:30 PM         Question & Answer Panel  Facilitated By Dr. Ed Hammer  Guest Panel with Q&A “Audience Participation” Session  “Major Concerns With Current IDD Services-Needs & Changes Effecting Services” Facilitated By Dr. Ed. Hammer/Clinical Professor of Pediatrics at the Department of Pediatrics, School of Medicine, Texas Tech Health Science Center at Amarillo since 2001 (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

Day 2    (April 24th –Wednesday) 

8:00 AM-9:00 AM         Continental Breakfast With The Exhibitors                                                                               (Exhibitor Hall)

9:00 AM-9:15 AM         Break

9:15 AM-9:30 AM         Opening Remarks- Julie Blacklock/Owner of Twogether Consulting (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

 

Keynote Speaker:

9:30 AM-10:45 AM                                                                                                                                                                                              Dr. Ed Hammer, B.A., M.S., M.Ed., LPC, LMFT, Ph.D  (Susan Vaughn Clayton Bldg./”Ginger Snaps”)

                             “Launching Young Adults”  Discussion of the importance of support in the community for our young adults coming out of school, preparing them to live in the community, preparing them to be productive, providing ongoing learning opportunities, and taking advantage of today’s technology and resources to increase learning opportunities.  (We encourage family members especially to attend this keynote address and Dr. Hammer’s

Breakout Sessions:

            10:45 AM-11:00 AM                 15 min break & Door Prize Give Away (Exhibitor’s Hall)

11:00 AM-12:00 PM     Carole Smith (CEO at PPAT “Private Providers Association of Texas”)  Update on the Redesign of the IDD System of Services & Supports  (SB 7-83rd) “ (Susan Vaughn Clayton Bldg./”Ginger Snaps”)  seats 200

Mary Alice Jackson, Esq. ( Boyer, Jackson, Bowman, P.A., Austin,TX) Special Needs Trust Planning in 2013 – Who Needs One, Who Doesn’t, and Why?  Legal firm focusing on special needs planning for individuals with disabilities and their families,…..(Classroom # Omega Chi -2nd floor boardroom-Bldg 2

 Dr. Deborah Jean Harding (Owner of WWWERC “Win-Win-Win- Education & Research Consultants” –Amarillo, TX)  Deborah is an associate professor at Amarillo College, in the areas of  psychology, criminal psychology, social psychology, and sociology, including the sociology of marriage and family and criminology. .  “Transitions in Sexuality:  What To Do When My Little Kitten Becomes A Tom Cat!” Bldg 5: Garland Bldg.  Rooms 108-109

12:00 PM-1:15 PM       Lunch

1:30 PM-2:30 PM         Dr. Ed Hammer, B.A., M.S., M.Ed., LPC, LMFT, Ph.D “Neurodevelopmental Interventions & It’s Impact On the Brain”      In this session we will examine Neurodevelopment Interventions and its effects on the brain’s development and how that impacts persons with disabilities.  Now is a very exciting time in research with the studies being done on human brain development; these new studies provide new and interesting insight into the brain and potential new understanding of the thought processes of people with disabilities.   Bldg 5: Garland Bldg.  Rooms 108-109

1:30 PM-2:30 PM         Carole Smith (CEO at PPAT “Private Providers Association of Texas”)                                     Update on the Redesign of the IDD System of Services & Supports   (SB 7-83rd) “ (Omega Chi 2nd Floor Boardroom, Bldg #2)

1:30-2:45 PM                                                                                                                                                                                          Dr. Deborah Jean Harding (Owner of WWWERC “Win-Win-Win- Education & Research Consultants” –Amarillo, TX)  Deborah is an associate professor at Amarillo College, in the areas of  psychology, criminal psychology, social psychology, and sociology, including the sociology of marriage and family and criminology. .. “Transitions in Sexuality:  What To Do When My Little Kitten Becomes A Tom Cat!”  (Providers & Families Welcome To This Session) (Susan Vaughn Clayton Bldg./”Ginger Snaps”) seats 200

2:30-2:45                                Break   (Exhibitor Hall)

 2:45-3:00 PM                          Break- continued  (Door Prize Give-A-Way)

3:00-3:45 PM                                                                                                                                                                                        Dr. Deborah Jean Harding (Owner of WWWERC “Win-Win-Win- Education & Research Consultants” –Amarillo, TX)  Deborah is an associate professor at Amarillo College, in the areas of  psychology, criminal psychology, social psychology, and sociology, including the sociology of marriage and family and criminology.   “Film Presentation”  THE SESSIONS” with Helen Hunt, William H. Macy, and John Hawkes .  Here is an ad for it and the trailer link can be found at https://www.youtube.com/watch?v=Fy2y7UIpgP4            (Susan Vaughn Clayton Bldg./”Ginger Snaps”)  (Providers & Families Welcome To This Session)

3:00 PM-4:15PM          Gina Peterson, RN (RN Consultant with Twogether Consulting) Gina Peterson has over 20 years experience working with persons with intellectual and developmental disabilities as well as the elderly population. She has worked as a nurse consultant for several HCS providers in San Antonio & Houston TX and also with an ICF provider in Livingston, TX. She has also been very active in the past with PPAT serving on several committees. Gina was a State Surveyor for Department of Aging and Disability Services (Geriatric Surveyor Team an HCSSA Surveyor) from 2008-2010. “Nursing Peer Review Process Inn IDD Facilities” For HCS Providers: For HCS , TXHmL, ICF Providers: The Texas Board of Nursing Requires all businesses to have Nursing Peer Review Process implemented, if they have 10 or more nurses employed or contracted by the facility. Review of basic concepts of nursing peer review and importance of implementing nursing peer review process properly(Omega Chi 2nd floor Boardroom-bldg. 2)

Rev. Dr. Carla Cheatham (Pastor For Buckner Village Hospice) Rev. Dr. Carla Cheatham has been a spiritual care counselor for 7 years and now works with Buckner Hospice in Austin, Texas.  She received a B.A. in Psychology and began working as an experiential educator conducting team building for corporate and civic groups. While completing her M.A. in Psychology from Stephen F. Austin State University she served as an outdoor educator/ropes course facilitator with at-risk youth and inpatients at a substance abuse treatment center through MHMR, a therapist serving children and families, a QMRP managing ICF group homes, a crisis counselor certified in Trauma Therapy.  “Hospice 101:  What Caregivers Need to Know” “One area of healthcare for which most persons are not prepared is the end of life.  Hospice is one of the most misunderstood aspects of care and also one of the most overwhelming to consumers and caregivers, but the benefits and resources available are incredible.  This presentation will describe what hospice is and isn’t and how the Medicaid Hospice Benefit can be of extra support to patients, families, and agencies.  The hospice team works closely with all involved to make the final 6 months (or more) of a person’s life more peaceful and dignified while managing pain and other physical symptoms.  The more those caring for persons with IDD understand, the greater the benefit for all.”   Bldg 5: Garland   Rooms 108-109

                                                           

4:30 PM                       End of Day 2!

 

5:30 PM-8:30               Join us for Happy Hour and Networking Opportunity at:                   Doubletree By Hilton Downtown Houston, TX                                                (400 Dallas St. Houston, TX)

 

 

 

Day 3    (April 25th -Wednesday): 

8:00 AM-9:00 AM         Continental Breakfast with Exhibitors                                                                                            (Exhibitor Hall)

Breakout Sessions:

            9:00 AM-10:15 AM

Bernadette Richardson- Kenmar Residential  “Navigating Services For Individuals With Autism Through One Lifetime” Bernadette Richardson has worked in the Social Service field since 1986. She is a Graduate from Gannon University, Erie PA. Her field of study was in Social Work with a minor in counseling. Bernadette worked the overnights at a group home as she attended the University. Bernadette’s work with the IDD population continued after graduation when working in a 56 bed Intermediate Care facility in Buffalo NY in conjunction with assisting program development within People Inc. She obtained a strong background in Autism and Autism spectrum disorder when Bernadette assisted the founder of Autistic Services in Amherst NY in the opening the first group home in that area for the Autistic population in 1988. (Susan Vaughn Clayton Bldg)  Seats 200

Mary Alice Jackson, Esq. ( Boyer, Jackson, Bowman, P.A., Austin,TX) Mary Alice Jackson, Esq. is a Florida Bar board certified elder law attorney, and is a founding partner at the Sarasota Elder Law Firm Boyer & Jackson, P.A. She is licensed to practice law in both Florida and Texas. Her practice includes special needs and long term care planning, estate planning, probate and end-of-life issues. She is a Preeminent rated attorney by Martindale Hubbell, and has also been named as a Florida Super Lawyers annually since 2006.  Alphabet Soup:  SSI, SSDI, CDB, Medicaid and Medicare ”.   Navigating Social Security/Social Security Disability, Medicaid/Medicare CDB.  Bldg 5: Garland Rooms 108-109

Gina Peterson, RN (RN Consultant with Twogether Consulting)                                                                             Gina Peterson has over 20 years experience working with persons with intellectual and developmental disabilities as well as the elderly population. She has worked as a nurse consultant for several HCS providers in San Antonio & Houston TX and also with an ICF provider in Livingston, TX. She has also been very active in the past with PPAT serving on several committees. Gina was a State Surveyor for Department of Aging and Disability Services (Geriatric Surveyor Team an HCSSA Surveyor) from 2008-2010.  “Nursing Peer Review Process Inn IDD Facilities”  For HCS Providers: For HCS , TXHmL, ICF Providers: The Texas Board of Nursing Requires all businesses to have Nursing Peer Review Process implemented, if they have 10 or more nurses employed or contracted by the facility. Review of basic concepts of nursing peer review and importance of implementing nursing peer review process properly(Omega Chi 2nd floor Boardroom-bldg. 2)

10:15 AM-10:30 AM                 15 min. break                                                                                   

10:30 AM-11:45 PM

Michelle Garcia, Psy.D. & Associates   Michelle’s group provides the following behavioral services:  Individual Group Counseling, Psychological Neuropsychological Testing Testing, Behavioral support (BSP’s), IEE’s/IEP’s and ARD Advocacy.   As well as, training for professionals, educators, and families.  They also supply additional supports such as:  Workshops, Social skills training, social stores, and resource building as well as Coordination with healthcare providers, work and day programs, state and other agencies.                            Session: FIE:  The Whole Person Perspective  Bldg 5: Garland  Rooms 108-109

Kay Smith (DADS Waiver & State Plan Services Center For Policy & Innovations/Policy, Rules & Curriculum Development Unit – Houston,TX) “Writing Plans of Correction for the ICF/IID Program(ICF Only)  ( Omega Chi 2nd floor boardroom-bldg 2)

Yolanda Daggs, MBA, BSN, RN. ( Division Nurse Manager for Intellectual Disabilities Services at MHMRA of Harris County ) She is responsible for administrative & operational oversight, leadership, direction and management to licensed and non-licensed staff in the provision of delivering quality nursing care to individuals with mental and/or developmental disabilities in multiple Agency settings.  She assists with Residential/ Waiver Programs- Texas Home Living, Home and Community-Based Services (HCS), IFC-IID, STARS Clinic, Dual Diagnoses and Authority-Nursing Services.   “Determining When Healthcare Needs Exceed RN Delegation in the Community Setting”  Presentation will focus on determining when health care needs exceed the parameters of RN delegation in the community setting. We will discuss The Texas Board of Nursing Rule 225-RN Delegation to unlicensed personnel in independent living environment for individuals with stable and predictable conditions. Discussion also includes when the healthcare status of individuals living in a community setting exceeds the nurses’ ability to deliver services due to the level of health acuity and complex healthcare needs rendering that the individual is no longer suitable for RN delegation. We’ll also talk about developing and implementing operative guidelines/policies and procedures and or protocols to address these growing concerns.  (Susan Vaughn Clayton Bldg.) Seats 200

11:45-12:00 PM           Drop your badge in the“Badge Recycle Box” for Drawing later on for Gift Cards & Other Prizes/Door Prize Give Away (Exhibitor Hall)

12:00 Noon-1:15PM                 Lunch               

1:30 PM-2:45 PM         Michelle Garcia, Psy.D. & Associates  Michelle’s group provides the following behavioral services:  Individual Group Counseling, Psychological Neuropsychological Testing Testing, Behavioral support (BSP’s), IEE’s/IEP’s and ARD Advocacy.   As well as, training for professionals, educators, and families.  They also supply additional supports such as:  Workshops, Social skills training, social stores, and resource building as well as Coordination with healthcare providers, work and day programs, state and other agencies.   Session: Game Compliance  (Susan Vaughn Clayton Bldg/”Ginger Snaps”)

 Russell Golden (Taskmaster Pro-Abilene, TX) Utilizing New Technologies To Provide Better & More Efficient Services For Our IDD Population”  Russell served on the Board of Southwest Society of Services Coordinators and was board president for three of those years.  He also worked as a QMRP for a large ICF facility.  He is currently the Customer Service Coordinator for TaskMaster Pro.  Omega Chi 2nd floor Boardroom-Bldg. 2

Mary Alice Jackson, Esq. ( Boyer, Jackson, Bowman, P.A., Austin,TX) Mary Alice Jackson, Esq. is a Florida Bar board certified elder law attorney, and is a founding partner at the Sarasota Elder Law Firm Boyer & Jackson, P.A. She is licensed to practice law in both Florida and Texas. Her practice includes special needs and long term care planning, estate planning, probate and end-of-life issues. She is a Preeminent rated attorney by Martindale Hubbell, and has also been named as a Florida Super Lawyers annually since 2006.  Special Needs Trust Planning in 2013 – Who Needs One, Who Doesn’t, and Why?”  Bldg 5: Garland  Rooms 108-109

2:45 PM-3:00 PM         Refreshment Break (Exhibitor’s Hall)

3:00 PM- 4:00 PM        Conference Wrap Up – Kim Littlejohn/Julie Blacklock                                                                          Door Prize Give Away/Badge Recycle Drawing (Exhibitor’s Hall)                                                         

End of 3rd day!

 

We Have New Services!

Twogether Consulting has added some new services this year to include:

  • Providing assistance with development of a ” Nursing Peer Review Process” for your program as well as  implementing the “Nursing Peer Review Process” if requested.

If you have 10 or more nurses working for your program (ICF, HCS, TXHmL, etc….), the BON requires the facility to have a “Nursing Peer Review Committee” to review Nursing Infractions and all facilities should have some kind of “Nursing Peer Review Process” in place.

 [NPR §303.0015 ]

“Any person or entity that employs, hires, or contracts for the services of 10 or more nurses (RNs, LVNs or any combination thereof) must have a Peer Review Plan; however, peer review of RNs is not mandatory if the facility employs less than 5 RNs. A person or entity required to have nursing peer review may contract with another entity to conduct nursing peer review.”

 What is Peer Review? [Nursing Peer Review (NPR) §303.001(5)]

Peer review is the evaluation of nursing services, the qualifications of a nurse, the quality of patient care rendered by nurses, the merits of a complaint concerning a nurse or nursing care, and a determination or recommendation regarding a complaint including:

  1. the evaluation of the accuracy of a nursing assessment and observation and the appropriateness and quality of the care rendered by a nurse;
  2. a report made to a nursing peer review committee concerning an activity under the committee’s review authority;
  3. a report made by a nursing peer review committee to another committee or to the Board as permitted or required by law; and
  4. implementation of a duty of a nursing peer review committee by a member, an agent, or an employee of the committee.

A Peer Review Committee may review the nursing practice of a LVN, RN, or APN (RN with advanced practice authorization).

There are two kinds of nursing peer review:

  1. Incident-based (IBPR), in which case peer review is initiated by a facility, association, school, agency, or any other setting that utilizes the services of nurses; or
  2. Safe Harbor (SHPR), which may be initiated by a LVN, RN or APN prior to accepting an assignment or engaging in requested conduct that the nurse believes would place patients at risk of harm, thus potentially causing the nurse to violate his/her duty to the patient(s). Invoking safe harbor in accordance with rule 217.20 protects the nurse from licensure action by the BON as well as from retaliatory action by the employer.

See revised rules 217.19 (Incident-Based Nursing Peer Review and Whistleblower Protections) and 217.20 (Safe Harbor Peer Review and Whistleblower Projections){http://www.bon.state.tx.us/nursinglaw/rr.html}

 

New Trainings now being offered by Twogether Consulting

  • Training (on and off-site) to Providers concerning Direct Care staff’ssurvey interviewer interaction with Surveyors during interviews and how this can affect the provider, particularly the nursing department, as well as preparing for the survey in general.  (HCS, TXHmL, and ICF)
  • Training (on-site) to Providers concerning “Nursing Expectations of Direct Care Staff and It’s Importance”  (HCS, TXHmL, and ICF)
  • Training (on and off-site) to Providers concerning Nursing Staff’s interaction with the Surveyors, particularly during the interview process with the nurse.  (HCS, TXHmL, and ICF)

TASKMASTER PRO “Cloud-Based” Services For HCS, TXHmL, ICF, and CLASS Providers

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As you all know, we often provide webinars for providers receiving TaskMaster Pro services and this year some exciting new changes are taking place.  We are having a webinar on January 28th to review some of the new changes added to the nursing component of TaskMaster Pro, which include Comprehensive Nursing Assessment addition.  For those of you who are not receiving TaskMaster Pro currently, we also provide free demos.

Developed by a provider for providers!

TaskMaster Pro is a web-based cloud computing system designed specifically for managing Waiver and ICF/DD programs. TaskMaster Pro was created by Larry Hill of Hill Resources in Abilene and his team. Through the internet, you will be able to access information and monitor activity from wherever you are and whenever you want and when regulatory changes occur or required forms are updated, TaskMaster Pro is updated so it will never be obsolete. Now this user-friendly, integrated system is available to you.

Request a TaskMaster Pro Demonstration

Manage your program anytime and from anywhere in the world with TaskMaster Pro!

This comprehensive, easy-to-use system has these features:

  •   Secure Communication Center
  •   Program Planning for QMRP’s, Case Managers, and Program Managers
  •   Complete Medical Module
  •   Psychological/Behavioral Module
  •   Service Delivery Log/Billing Waivers
  •   Client Budget
  •   Direct Care Reporting
  •   Incident/Accident Reporting
  •   Scheduling
  •   Report Tracking
  •   Human Resources
  •   Staff Development and Training Module
  •   Time and Attendance
  •   Electronic Data Signature
  •   Off-Site Secure Hosting
  •   Automated File Backup
  •  Customizable Access Control

Whether you have a large, mid-size, small or new start-up company, TaskMaster Pro will work for you!

For a FREE on-line demonstration of how TaskMaster Pro can save you time and money, please contact Julie Blacklock at  512-294-8032 or click on the Request a TaskMaster Pro Demonstration link to sign up.

Please note that before you can receive a demonstration, you must download and complete the Non-disclosure agreement and either fax the form to 512-291-9075 or scan it in and email it back to us available on our website: www.twogetherconsulting.com on the “TaskMaster Pro” page.

Workshops/ & Other Trainings !

workshop

 

The University of Houston’s Families CAN Program is hosting its monthly Transition Workshop on Thursday, March 27, 2014, 6:30-8:00p at Shriner’s Hospital in Houston. The March workshop will include discussion about residential day hab and vocational programs offered through The Center. Attendance is free. For more information and to RSVP, see the attached flier.

 

 

This service is provided to you at no charge by the Texas Department of State Health Services.

Visit us on the web at http://www.dshs.state.tx.us/.

 

 

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Michelle will also be presenting at our 2nd Annual Twogether Consulting IDD Provider Conference April 23rd-25th!

 

 

Twogether Consulting 2nd Annual IDD Provider Conference (April 23rd-25th)

Twogether Consulting

Welcome To 2014!  

Twogether Consulting would like to thank all of you who participated in our very first IDD ( Intellectual & Developmental Disabilities)  Provider Conference in April  of 2013.  This year’s conference will be even bigger and better! Many thanks to all of our speakers, sponsors, exhibitors, volunteers, and attendees in 2013 and thank you to those of you who have already agreed to come back this year.    This year’s 2nd Annual IDD Provider Conference will be held in Houston at “The Center” in downtown Houston, TX (3550 W. Dallas St.) on April 23rd-25th, 2014.  The conference will also be 3 days this year, as we wanted to be sure that everyone could attend as many “breakout sessions” as possible.

Many thanks to “The Center” for agreeing to host us at this wonderful location.  Twogether Consulting is pleased for you to see the amazing transition that has and is still occuring at “The Center”. There are some wonderfully innovative concepts and new programs in place and being provided to our individuals with special needs in the Houston area.

This brings us to our theme for our 2nd Annual IDD Provider Conference:  “Transitions”.  Some of the topics we will include are: transitioning from early childhood services to adult IDD services, graduating from school and heading out into the community and adulthood, moving from receiving adult services to services for the elderly, and even having to transition from current traditional waiver services as an IDD Provider to what will inevitably be, “managed care” services.                   

We will be sending out the agenda, conference registration, and exhibitors registration information in the coming month, by no later than January 20th, 2014.  Please contact us if you would like to present at the conference.  You may also keep checking our website: www.twogetherconsulting.com on our “IDD Provider Conference” page.

If you would like to subscribe to the newsletter or contact list, please be sure to do so while you are visiting the website.  Or you may email at:  javasbja@aol.com

Cognitive Rehabilitative Therapy To Be Added To HCS, TXHmL, & CLASS

DADS is adding the Cognitive Rehabilitative Therapy (CRT) service to the HCS, TxHmL and CLASS programs in accordance with SB 1 – 83rd Legislature.  The target date for the service to be available is April 1, 2014. To meet this deadline HHSC has placed the attached rules on an expedited adoption timeline.

 

In reviewing the rules please note the following:

 

1.  There are 3 sets of rules:

§355.502 is the reimbursement methodology for common services (such as therapies) in HCBS waivers.

§355.505 is the CLASS reimbursement methodology, and

§355.723 is the HCS/TxHmL reimbursement methodology

 

2.  Rule changes are underlined; language proposed to be deleted is in [strikeout and brackets].

 

3.  The rules were presented to the Medical Care Advisory Committee (MCAC) last week – November 8, 2013.   They will be presented to the DADS Agency Council on December 5, 2014 followed by publication as proposed in the Texas Register.    Currently the target date for adoption is April 1, 2014.

 

 

March & April Classes

Please go to www.twogetherconsulting.com for more information and registration. 
 

 HCS sessions posted for March  in Lewisville/Dallas Area, TX:

“Care Coordination & Quality Assurance In The  HCS Program”
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Day 1 (March 27th) – 10:00 am – 4:30 pm
 Day 2 (March 28th)  – 9:00 am – 3:00 pm
  
Price:  $275
Address: 1680 S. Edmonds Lane Lewisville, TX
“Cimarron Living Center”
Contact Person-Julie Blacklock:  (512) 294-8032
For: Program Directors, Care Coordinators/Case Managers, & New HCS Providers
Topics:  Role of the Provider Vs. The Local Authority, Timelines and Communication between the Provider & the Service Coordinator, Discussion of Recent Changes Concerning PDP (Person Directed Plan) &  IP (Implementation Plan), “Back-Up” Plans For Critical Services on The IPC, as well as Monitoring of Progress/Lack of Progress for Objectives, Role of the RN in Development of IP (Implementation Plan),  QA Tools, Billing Guidelines, TAC code changes proposed and new . **All attendees will receive a manual with handouts, recommended forms, samples, and resources.

 HCS sessions in April in San Antonio:

“Expectations of The Nurse In The HCS & TXHmL Program”
Tentative Date only.  Check website for class posting.
Day 1 (April 10th, 2014) – 10:00 am – 4:30 pm
Price:  $275
 Location:  “Reaching Maximum Independence
Address:  6336 Montgomery Dr. Windcrest/San Antonio, TX 78239
For:  Nurses, Medical Appt. Scheduler’s, Program Administrators, Program Directors, & other Medical Staff 
 
Applicable Programs:  HCS,  & TXHmL
Topics:  This class is for current nurses in the program and will focus on changes in nursing services for HCS and TXHmL.  This session will review the Role of the nurse, HCS TAC codes concerning nursing,  RN Nursing Assessments (RN Comprehensive Nursing Assessments)Nursing Service Plans(including samples),  the Role of the Client’s Responsible Adult, and the Unlicensed Assistive Person (staff), RN Delegations, SB1857 (Human Resource Code   Ch. 161) , and FC Exemptions.   Discussion of New Nurse Screening Tool- For Persons Refusing Nursing Services in HCS and TXHmL.  Discussion of Current Survey Expectations (Including Discussion of Participation of RN in Development of Nursing section of the IP).  Recent Nursing Citations Reported By HCS/TXHmL Providers.   *All attendees will receive a manual with handouts, recommended forms, and resources.

 

Changes To HCS Survey Review Process

 

Timelines For Changes00398821

By September 1, 2013: Implementation of revised planning changes by all LAs and HCS program providers begins. The use of the revised forms will occur at the time of the individual’s annual renewal of the IPC.

By September 1, 2014: Full implementation of revised planning changes by all LAs and HCS program providers.

Changes: HCS Handbook

The following sections have been revised to provide descriptive language to support the changes to service planning (revisions will be added to the HCS Handbook September 1, 2013):

  • HCS Handbook Section 4000: Person Directed Planning Process
  • HCS Handbook Section 7000: Implementation Plan

Changes: Person Directed Plan(PDP)

Changes made to DADS Form 8665 (Person Directed Plan) include:

  • Adding information that was previously contained in DADS Form 8583 – Contact Information (making this form no longer be necessary).
  • Adding a person-centered “One-Page Profile,” the format of which is based on work by The Learning Community for Person Centered Practices (TLCPCP).
  • Decreasing repetition of information throughout the document.
  • Simplifying the form and make it easier to determine what the individual wants.

Changes: Implementation Plan (IP)

The changes made to the DADS Form 2125* (Implementation Plan) include:

  • Connects outcomes from the PDP for the service component directly to the IP.
  • Provides additional columns to show how service units were calculated.
  • Provides a space to sign/date when the implementation plan has been discontinued.

*Note: DADS Form 2125 is an optional form but contains the “required elements” of an implementation plan.

For More Information

More information (including links to the forms and tools related to service planning) can be found at the DADS webpage dedicated to the changes in service planning in HCS: http://www.dads.state.tx.us/providers/HCS/serviceplanning.html.

Questions related to the changes to service planning in HCS can be submitted to:hcs@dads.state.tx.us.

 

**Twogether Consulting will continue to provide training sessions in Care Coordination in the HCS Program including these changes in HCS services.

HHSC Schedule of Meetings and Events: To Include Managed Care Initiatives

 

There are currently 9 upcoming meetings scheduled.

January 7, 2014

 

1 p.m. — Austin 
Intellectual and Developmental Disability System Redesign Advisory Committee

 

January 8, 2014

 

1 p.m. — Austin 
Medicaid Managed Care Initiatives Information Session for Providers

 

4 p.m. — Austin 
Medicaid Managed Care Initiatives Information Session for Consumers

 

January 9, 2014

 

9 a.m. — Austin 
Interagency Council on Addressing Disproportionality and Disparities

 

January 13, 2014

 

2:30 p.m. — Statewide Conference Call 
HHSC Stakeholder Forum

 

January 15, 2014

 

1 p.m. — Austin 
STAR+PLUS Quality Council

 

April 14, 2014

 

2:30 p.m. — Statewide Conference Call 
HHSC Stakeholder Forum

 

July 14, 2014

 

2:30 p.m. — Statewide Conference Call 
HHSC Stakeholder Forum

 

October 13, 2014

 

2:30 p.m. — Statewide Conference Call 
HHSC Stakeholder Forum

 

Webinars

Please go to www.twogetherconsulting.com for more information and registration. 
 
Please check the website if you would like to attend Webinar for Billable Nursing Services in HCS on January 27th, 2013 from noon-1:30pm.
Webinar:         “Billable Nursing Services In The HCS Program”
Due to requests from multiple providers we are repeating this webinar. 
Date:  January 27th, 2013MH900312726-nurse
Time:  Noon-1:15 PM
Cost:  $20
QA Session from 1:15pm – 1:30pm
For:  Nurses, Care Coordinators, Program Directors
Webinar will be via “Go To Meeting” 
Instructions  for the webinar and training handouts will be sent to your email, after payment is made online.
Topics:
Billable Services for the nursing staff (RN & LVN)  in the HCS Program,  Service Delivery Log Options For Nursing Documentation, and Review of Key Phrases For Billable Nursing Services To Include In Your Documentation.
Expectations For Nursing SDL’s/Notes form Auditors during Billing Audit.
 
 
Please check the website if you would like to attend  the Webinar:   Taskmaster Pro Updates-Part II “Electronic MARS, Scheduling Vitals & Observations, & Utilizing Client Daily Schedule” on January 28th, 2013 from noon-1:30pm.
Webinar:     Taskmaster Pro Updates-Part II “Electronic MARS, Scheduling Vitals & Observations, & Utilizing Client Daily Schedule”
You may not attend this webinar, unless you are currently receiving services from Taskmaster Pro!
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Date:  January 28th, 2013
Time:  Noon-1:15 PM
Cost:  $20
QA Session from 1:15pm – 1:30pm
For:  Nurses, Medical Assistants/Staff, Program Directors, Case Coordinators
Webinar will be via “Go To Meeting” 
Instructions  for the webinar and training handouts will be sent to your email, after payment is made online.
Topics:
Overview of use of New Electronic MARS component in Taskmaster Pro and ways to start implementing the use of them (MARS) with your Direct Care Staff.  Documenting Orders and Treatment Sheets.  How to Schedule Targeted Observations and Vitals.  Review of how Scheduled Observations and Vitals are integrated into the  Client Daily Schedule function.  Effective utilization of  the Client Daily Schedule function to assist with carrying out objectives on your Nursing Service Plan.  Discussion of recent changes in past few months in use of the Client Daily Schedule.