Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. - PowerPoint PPT Presentation

Disclosures Lessons Learned from Agnews • None Presenter: Alan Wilens M.Ed. Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS 2 Background Regional Centers � Lanterman Developmental Disabilities Act DC2 � Regional Centers � State Developmental Centers 3 4

Doreen Canton, 2/10/2014 DC1 DC2 Severe Doreen Canton, 2/10/2014

Population in CA Developmental Centers from 1994 State Developmental through December 2013 Centers & State Operated Facility 5 6 Population on January 29, 2014 HISTORY • Agnews Developmental Center 0 • Fairview Developmental Center 322 Agnews • Lanterman Developmental Center 96 • Porterville Developmental Center 413 Developmental • Sonoma Developmental Center 460 Center • Canyon Springs 52 • Sierra Vista 0 • Total: 1,343 7 8

Residents of Agnews June 30 2004 Gender Demographic Characteristics FEMALE 37% Level of care MALE 63% Regional Center Affiliations 9 10 YEARS OF RESIDENCY AGE OF RESIDENTS 60 45 50 40 35 159 30 PERCENTAGE 40 25 PERCENTAGE 126 20 30 15 27 12 10 52 5 20 0 10 < 5years 5-10 11-20 21-30 > 30 years years years years 0 6-12 YEARS 13-17 YEARS 18-21 YEARS 22-40 YEARS 41-64 YEARS > 65 YEARS POPULATION AGES 11 12

LEVEL OF CARE SNF 40% ICF SNF 60% ICF 13 14 Key Individual Elements POPULATION BY REGIONAL Program Plan (IPP) CENTER RCEB GGRC SARC Agnews Partnerships 22% Staffing 17% RCEB UNIFIED 9% OTHER PLAN (Closure GGRC SARC 52% of Agnews OTHER Permanent Developmental Enhanced QA Housing Center) 15 16

Individualized Planning (Individual Program Permanent Housing Plan IPP) Housing Stock (AB 2100 – Bay Area Housing Plan) Team participants: • Family members are integral part of IPP Team • Resident • Small caseloads for • Family members regional center social • Licensed professionals workers • Direct care staff • Development of Individual • Agnews social workers • Pay for housing once Transition Plan • Regional Center social • All supports in place workers before move • Separation of ownership and provision of service • Advocates 17 18 Agnews Staff in the Community Partnerships • Managed Health Care Plans & State Department of Social Services - Community Care Licensing (DDS-CCL) • Residential Service Providers • Development of Puente Clinic by GGRC, San Mateo • State staff working in the community County Behavioral Health Services and Health Plan of San Mateo 19 20

Enhanced Quality Management System Residential Models • Quality Service Review – detailed review and • Specialized Residential Homes certification process • Supported Living • Providers and QMS Specialists work together to • SB 962 Homes - Adult Residential Facilities for improve quality in the home in pursuit of meeting all expectations Consumers with Special Health Care Needs (ARFPSHN ) 21 22 Supported Living Specialized Residential Homes • Own apartment with customized supports to meet • Serves individuals without skilled nursing needs individual needs • Accessible with individual bedrooms for 3 or 4 individuals • Tailored staffing • Enriched staffing • Negotiated rate • Negotiated rate 23 24

Senate Bill 962 Homes – 962 Home –Panel Discussion Adult Residential Facilities for Consumers with Special Health Care Needs (ARFPSHN) • Development • Provides licensed nursing staff 24 hours/day, 7 days/week • Each resident has an Individual Health Care Plan • Operation • Licensed by DSS-CCL • Nursing care monitored by Regional Center • Challenges • Accessible; individual bedrooms for 4 or 5 persons; enriched staffing; negotiated rate 25 26 Conclusion Resources Why Closure Plan Worked • http://www.dds.ca.gov/AgnewsClosure/docs/AGNEWSCLOSUREPLAN _Finalw_Attachments.pdf 27 28

Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. - PowerPoint PPT Presentation

Disclosures Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS 2 Background Regional Centers Lanterman Developmental Disabilities Act DC2

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Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. - PowerPoint PPT Presentation

Disclosures Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS 2 Background Regional Centers Lanterman Developmental Disabilities Act DC2

Lessons Learned Lessons Learned From From Lessons Learned Lessons Learned From From

Institutionalizing Lessons Learned October 25, 2006 Loren Plisco Region II Background

OSHA Lessons Learned Adam Fries OSHA Compliance Officer February 13, 2018 OSHA Lessons Learned

3/8/2019 Epidemiology, Risk Factors, and Outcomes of Pediatric PVD: LESSONS learned from the

DEBUGGING LESSONS LEARNED WHILE DEBUGGING LESSONS LEARNED WHILE FIXING NETBSD FIXING NETBSD

Lessons Learned A Value Added Product of the Project Life Cycle R Gilman April 19, 2006 Agenda

Four Major Events in Our History and the Lessons Learned Coleen Reiswig, Isobel McDonald, Ted

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VALUE: Lessons Learned Kate McConnell &amp; Erin Horan Association of American Colleges and

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General Robert W. Cone Commanding General United States Army Training and Doctrine Command 27

Projection of precipitation changes over global monsoon regions ZHOU Tianjun, ZHANG Wenxia

Contras(ve learning, mul(-view redundancy, and linear models Daniel Hsu Columbia University

Episodic Memory in Lifelong Language Learning NIPS 19 Cyprien de Masson dAutume, Sebastian

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VALUE: Lessons Learned Kate McConnell & Erin Horan Association of American Colleges and

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