June 15, 2020 DDD Presentation DD Council 1
Overall Approach to Reopening Services in the Community 2 3 1 Align with State’s DDD Framework Support Individual Reopening Guidelines Transitions • Phased-in approach • Readiness for participants and • Governor’s Proclamations • Assessment of risk families • County Guidelnes • Self-assessment- TQM • Things have changed; people • Public Health Framework • Based on course of COVID-19 may be rethinking • Listen/have conversations 2
Current Status: Reopening Hawaii • Defined as cases are on a downward trend/manageable within the healthcare system • In Phase 2, high-risk populations and kūpuna should continue to stay at home when possible • High-risk businesses and activities are scheduled to resume in Phase 3: “Recovery” • Even during Phase 3, high-risk populations and kūpuna continue to stay at home when possible • The reopening strategy includes the option to move back Hawaii is in Phase 2 • 9 th Proclamation on 6/10/2020 3
Public Health Framework for Reopening • 3 principles: 1. Evaluation of environmental conditions 2. Risk Stratification 3. Phased Approach • Conditions Everyone follow Safe Practices Following higher levels of Safety Precautions Individuals at higher risk must continue to minimize time and contact outside the home
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Consider: Not everyone will come back Participants and families Being knowledgeable about to services at the same time- may be rethinking what they risk and tracking changing many variables in play want guidance is critical Providers are responsible for Things may change implementing standards and depending on community safeguards to help protect conditions participants’ health and safety 6
Balancing • Comfort with returning • Needs of families • Level of Risk (underlying and spread) • Staffing levels • Plans including for infection control • Transportation • PPE availability and tolerance • Social distancing and physical plant • Phase in management: Working with CMs • Overall program and participant/family readiness 7
Case Managers Talking with Participants and Families: Person-Centered Transition Readiness Tool Life During Stay at Home •Are you able to do the things you liked doing before the stay at home order? PPE •Do you have a mask? Are you able to wear it when you go out? Ready to Transition •Are you interested in returning to community services? Mental Health •Do you have concerns? Are there things you are worried about Physical Health •Do you have underlying health conditions that need to be considered? 8
DDD’s Guidance For Opening Day Services in the Community • Self assessment approach to assist providers to ensure Organization-wide systematic implementation, Support for participant needs and choice, The safety of participants, families, caregivers, and provider staff, and Proper training for staff to support participants as they phase back into services
Sections of Self Assessment Tool 1. Emergency Preparedness 2. Transportation 3. Preventing the Spread of Infection Screening, Social Distancing, Infection Control 4. Person-Centered Planning 5. Training and Support 6. Community Based Services Supports in the Community, Supports in the Participant’s Workplace
Teamwork • Talk Story Support for participant needs and choice • Plan and Prepare For the safety of participants, families, caregivers and provider staff • Make it work Be flexible. Be informed. Work together Version 3: 5/14/2020 11
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