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

Lessons Learned from Agnews

Presenter: Alan Wilens M.Ed.

Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS

Disclosures

• None

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Lanterman Developmental Disabilities Act Regional Centers State Developmental Centers

Background

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Regional Centers

DC2

Slide 4 DC1

Doreen Canton, 2/10/2014

DC2 Severe

Doreen Canton, 2/10/2014

State Developmental Centers & State Operated Facility

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Population in CA Developmental Centers from 1994 through December 2013

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Population on January 29, 2014

• Agnews Developmental Center 0
• Fairview Developmental Center 322
• Lanterman Developmental Center 96
• Porterville Developmental Center 413
• Sonoma Developmental Center 460
• Canyon Springs 52
• Sierra Vista 0
• Total: 1,343

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HISTORY Agnews Developmental Center

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Residents of Agnews June 30 2004

Demographic Characteristics Level of care Regional Center Affiliations

10 63% 37%

Gender

FEMALE MALE

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5 10 15 20 25 30 35 40 45

< 5years 5-10 years 11-20 years 21-30 years > 30 years

PERCENTAGE POPULATION

YEARS OF RESIDENCY

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12 126 159 52

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10 20 30 40 50 60 6-12 YEARS 13-17 YEARS 18-21 YEARS 22-40 YEARS 41-64 YEARS > 65 YEARS PERCENTAGE AGES

AGE OF RESIDENTS

13 14

SNF 40% ICF 60%

LEVEL OF CARE

SNF ICF

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52% 22% 17% 9%

POPULATION BY REGIONAL CENTER

SARC RCEB GGRC OTHER

SARC GGRC OTHER RCEB

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Individual Program Plan (IPP) Partnerships Permanent Housing Enhanced QA Agnews Staffing

UNIFIED PLAN (Closure

• f Agnews

Developmental Center)

Key Elements

Individualized Planning (Individual Program Plan IPP)

Team participants:

• Resident
• Family members
• Licensed professionals
• Direct care staff
• Agnews social workers
• Regional Center social

workers

• Advocates
• Family members are

integral part of IPP Team

• Small caseloads for

regional center social workers

• Development of Individual

Transition Plan

• All supports in place

before move

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Permanent Housing

Housing Stock (AB 2100 – Bay Area Housing Plan)

• Pay for housing once
• Separation of ownership and provision of service

Agnews Staff in the Community

• Residential Service Providers
• State staff working in the community

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Partnerships

• Managed Health Care Plans & State Department of

Social Services - Community Care Licensing (DDS-CCL)

• Development of Puente Clinic by GGRC, San Mateo

County Behavioral Health Services and Health Plan of San Mateo

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Enhanced Quality Management System

• Quality Service Review – detailed review and

certification process

• Providers and QMS Specialists work together to

improve quality in the home in pursuit of meeting all expectations

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Residential Models

• Specialized Residential Homes
• Supported Living
• SB 962 Homes - Adult Residential Facilities for

Consumers with Special Health Care Needs (ARFPSHN)

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Specialized Residential Homes

• Serves individuals without skilled nursing needs
• Accessible with individual bedrooms for 3 or 4

individuals

• Enriched staffing
• Negotiated rate

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Supported Living

• Own apartment with customized supports to meet

individual needs

• Tailored staffing
• Negotiated rate

Senate Bill 962 Homes –

Adult Residential Facilities for Consumers with Special Health Care Needs (ARFPSHN)

• Provides licensed nursing staff 24 hours/day, 7

days/week

• Each resident has an Individual Health Care Plan
• Licensed by DSS-CCL
• Nursing care monitored by Regional Center
• Accessible; individual bedrooms for 4 or 5 persons;

enriched staffing; negotiated rate

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962 Home –Panel Discussion

• Development
• Operation
• Challenges

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Conclusion

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Why Closure Plan Worked

Resources

• http://www.dds.ca.gov/AgnewsClosure/docs/AGNEWSCLOSUREPLAN

_Finalw_Attachments.pdf

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