Disability care – Philippine Cerebral Palsy http://philippinecerebralpalsy.org/ Tue, 16 Nov 2021 09:58:01 +0000 en-US hourly 1 https://wordpress.org/?v=5.8.1 https://philippinecerebralpalsy.org/wp-content/uploads/2021/11/cropped-icon-32x32.png Disability care – Philippine Cerebral Palsy http://philippinecerebralpalsy.org/ 32 32 International recognition for ERH stroke care https://philippinecerebralpalsy.org/international-recognition-for-erh-stroke-care/ https://philippinecerebralpalsy.org/international-recognition-for-erh-stroke-care/#respond Tue, 16 Nov 2021 08:43:17 +0000 https://philippinecerebralpalsy.org/international-recognition-for-erh-stroke-care/ Echuca Regional Health has been recognized for excellence in stroke care nationally and internationally.

The health service received the Angels Gold Status award from the World Stroke Organization in October for meeting the highest standards in stroke treatment and care.

The Angels Initiative aims to optimize the level of treatment in stroke centers around the world and improve patient outcomes by setting global benchmarks for best care practices.

ERH treats approximately 100 strokes each year, with 202 people from the wider catchment area experiencing stroke for the first time and over 3,415 people living with the effects of stroke in the region.

“This award recognizes major developments in stroke care at Echuca Regional Health,” said ERH Executive Director of Medical Services, Dr. Glenn Howlett.

“The collaboration between members of the stroke medical, nursing and paramedical teams provides best stroke care practices to our community. “

The training, protocols and performance of the hospital’s stroke unit were evaluated as part of the Angels Initiative, which includes a goal of restoring blood flow to the brain in more than half of patients. eligible within 60 minutes of arrival at hospital.

ERH Stroke Coordinator Lauren Arthurson said earning WSO Gold status was a great honor and a testament to a team effort to improve stroke care in the region.

“Stroke is an urgent medical emergency where the blood supply to the brain is interrupted or reduced,” she said.

“With every passing minute, more brain cells can be lost and the risk of disability and death increases.

“Acting quickly on signs of stroke and implementing best care practices requires coordination between ambulance, emergency department, radiology and stroke unit staff. “

ERH was also one of 13 hospitals named recipients of the 2021 Australian Stroke Coalition Quality Stroke Service Awards of Excellence, having achieved nine benchmarks in stroke treatment and care.

“Ensuring that the appropriate patients receive anticoagulant therapy within 60 minutes of arriving at the hospital door is the gold standard and means more people will survive and live well after a stroke,” Ms. Arthurson said. .

“Unfortunately, people living in the Australian region have higher stroke rates and face the challenge of providing access to treatment over great distances.

“To solve this problem, Echuca Regional Health is using telehealth technology to ensure that our patients have access to stroke specialists for critical assessment and the development of patient-specific care plans. “

Stroke Foundation Executive Director Sharon McGowan said it was encouraging to see many regional hospitals win the award of excellence this year.

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Special Child Care Center opens at Govt Model HSS – The New Indian Express https://philippinecerebralpalsy.org/special-child-care-center-opens-at-govt-model-hss-the-new-indian-express/ https://philippinecerebralpalsy.org/special-child-care-center-opens-at-govt-model-hss-the-new-indian-express/#respond Wed, 10 Nov 2021 01:34:00 +0000 https://philippinecerebralpalsy.org/special-child-care-center-opens-at-govt-model-hss-the-new-indian-express/

Express news service

THIRUVANANTHAPURAM: Many children escaped the monotony of online learning at home and started going to school. However, classes for students with disabilities have not yet started. As part of the Samagra Shiksha Kerala (SSK) program, a special care center for disabled children has been set up at the Government’s Model Upper Secondary School in Venganoor.

According to Venganoor panchayat president RS Sreekumar, around 75 children from different schools in the panchayat will benefit from the special care center which will focus on academic activities. “Many students with disabilities could not cope with online education due to their special nature. Therefore, face-to-face training sessions were needed to help them learn the lessons better. The special center will help ensure the physical and mental well-being of students with disabilities. Even parents faced mental stress due to their children’s inability to cope with online lessons. These special centers will also help provide a support system for parents, ”Sreekumar said.

A survey has been carried out to identify children in need and to join the center, children must have a medical certificate of invalidity. Four specialist educators appointed in the SSK resource block centers will attend classes for the children.

Valsala P, CRC coordinator of the Venganoor panchayat, says: “One of the classrooms of the HSS government model has been converted into a special center. Special children attending regular schools and those who are apprenticed at home will benefit from training sessions. Different study materials such as number and color models will be used to teach the students.

She added: “Every Saturday parents can accompany their children to the center. Parents will also learn to keep their children engaged and socialize with others by taking the necessary precautions. Extra-curricular activities will also be organized for the pupils. “There are currently 12 block resource centers in Thiruvananthapuram district under the responsibility of SSK and special centers for students with disabilities will be set up in each panchayat.

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Health Care Client Alert – The Centers for Medicare and Medicaid Services (CMS) New Rule | Kaufman & Canoles https://philippinecerebralpalsy.org/health-care-client-alert-the-centers-for-medicare-and-medicaid-services-cms-new-rule-kaufman-canoles/ https://philippinecerebralpalsy.org/health-care-client-alert-the-centers-for-medicare-and-medicaid-services-cms-new-rule-kaufman-canoles/#respond Wed, 10 Nov 2021 00:01:12 +0000 https://philippinecerebralpalsy.org/health-care-client-alert-the-centers-for-medicare-and-medicaid-services-cms-new-rule-kaufman-canoles/

The new requirement
Yesterday, November 4, 2021, in addition to the OSHA ETS applicable to most employers with 100 or more employees, the US Department of Health and Human Services (HHS) issued a “Provisional final rule with comment periodKnown as the “IFC,” requiring most hospitals and other Medicare and Medicaid certified providers and providers to develop and implement rules for mandatory COVID-19 vaccination by their employees. HHS estimates that approximately seventeen million employees will be covered by IFC. HHS also released Frequently Asked Questions to assist in the implementation of the IFC.

No test and mask option
Unlike OSHA ETS, CMS IFC does not not allow the substitution of a test and mask option. Compulsory vaccination is compulsory.

Some exclusions
IFC takes the form of several new regulations, each applicable to one or more types of facilities. The regulations have a lot in common with the OSHA ETS, although there are some important distinctions. Generally, regulations impose an obligation to ensure that all staff are fully immunized, “regardless of clinical responsibilities or patient contact”. Employees may, however, be excluded if they practice telemedicine exclusively or work exclusively in a separate outside facility, without contact with patients or other staff. IFC does not apply directly to individual physician practices or other facilities not regulated by CMS.

General requirements
In general, each of the different regulations of the mandate requires that a covered healthcare facility adopt policies and procedures that, at a minimum, include:

  1. A process to ensure that all non-exempt staff have received the first dose of the primary immunization series for a COVID-19 multidose vaccine or a single dose of the Johnson & Johnson vaccine ** before staff provide care, treatment or other services for the establishment and / or its patients by December 5, 2021;
  2. A process to ensure that all staff are fully vaccinated against COVID-19, with the exception of staff who have been granted exemptions or staff for whom COVID-19 vaccination should be temporarily delayed, as recommended by the CDC, due to clinical precautions and considerations by January 4, 2022;
  3. A process to ensure the implementation of additional precautions (as yet unspecified), intended to mitigate the transmission and spread of COVID-19, for all staff who are not fully vaccinated against COVID-19;
  4. A process for monitoring and securely documenting the COVID-19 vaccination status of employees;
  5. A process to safely track and document the COVID-19 vaccination status of any personnel who have been given booster doses as recommended by the CDC;
  6. A process by which staff can request an exemption from COVID-19 vaccination requirements based on applicable federal law (presumably on the basis of religion or disability);
  7. A process for securely tracking and documenting information provided by staff who have requested, and for which the facility has granted, exemption from immunization requirements;
  8. A process to ensure that all documents that confirm the recognized clinical risks for COVID-19 vaccines, and that support staff requests for medical exemptions from vaccination, have been signed and dated by a licensed practitioner who is not not the person requesting the exemption, and who is acting within their respective scope of practice;
  9. A process for ensuring the tracking and secure documentation of immunization status of personnel for whom COVID-19 vaccination should be temporarily delayed, as recommended by the CDC, due to clinical considerations, including, but not limited to, people with acute illness secondary to COVID-19 and people who have received monoclonal antibodies or convalescent plasma for COVID-19 treatment; and
  10. Contingency plans (not specified) for staff who are not fully vaccinated against COVID-19.

Specific directives by type of installation
IFC amends existing federal regulations applicable to outpatient surgery centers; Hospices; Residential psychiatric treatment establishments; All Inclusive Care Programs for the Elderly (PACE); Hospitals (including acute care hospitals, psychiatric hospitals, hospital swing beds, long-term care hospitals, children’s hospitals, transplant centers, cancer hospitals, and rehabilitation hospitals / institutions rehabilitation for inpatients); Long-term care facilities (LTC), including skilled nursing care facilities (SNF); Nursing facilities generally referred to as nursing homes; Intermediate care establishments for people with intellectual disabilities; Home Health Agencies; Complete outpatient rehabilitation facilities (CORF); Critical access hospitals; Clinics, rehabilitation agencies and public health agencies as providers of outpatient physiotherapy and speech therapy services; Community mental health centers (CMHC); Home infusion therapy providers; Rural health clinics / federally approved health centers and end-stage renal disease facilities. The actual regulations governing each installation differ in detail – sometimes important details – and should be read individually.

** Yesterday, the White House issued an announcement attempting to create consistency in vaccination timelines between the CMS rule, OSHA ETS and rules for government contractors saying that “employees reporting to the ETS, CMS or federal contractor rules will need to receive their final dose of vaccination – either their second dose of Pfizer or Moderna, or a single dose of Johnson & Johnson – by January 4, 2022. However, The White House announcement did not address the two-phase structure of the CMS rule.

It is not clear whether an employee’s receipt of a single dose Johnson & Johnson vaccine after December 5, 2021, but before January 4, 2022, would comply with the CMS rule. Although this employee will be fully vaccinated by January 4, 2022, he would not have met the phase 1 requirement under the CMS rule. Our team is closely monitoring any advice from CMS or the White House regarding this inconsistency, and our team is ready to advise clients on navigating their available options.

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Nurse Adopts Twins With Rare Disability After Parents Couldn’t Care For Them: “I Fell In Love” https://philippinecerebralpalsy.org/nurse-adopts-twins-with-rare-disability-after-parents-couldnt-care-for-them-i-fell-in-love/ https://philippinecerebralpalsy.org/nurse-adopts-twins-with-rare-disability-after-parents-couldnt-care-for-them-i-fell-in-love/#respond Tue, 09 Nov 2021 19:20:00 +0000 https://philippinecerebralpalsy.org/nurse-adopts-twins-with-rare-disability-after-parents-couldnt-care-for-them-i-fell-in-love/

Although her family and friends sometimes don’t understand her decisions, a nurse’s determination to transform the lives of two little angels is unaffected by the opinions of those around her.

In 2017, 3-year-old twins Matthew and Marshall Trepanier were reported to have oversized, misshapen heads due to Pfeiffer’s Syndrome. They inherited this genetic condition from the father, and because it is type 2, it affects many other parts of the body, including the child’s hands and feet.

Because of this condition, twins need 24/7 care, including hospital appointments, breathing tubes, wheelchairs, and more. Sadly, these children who desperately needed 24-hour help had to be taken away from their birth parents because Child Protective Services (CPS) deemed them unfit.

So it’s a chance that nurses like Linda Trepanier, 58, of Minnesota exist. In the mid-1980s, she gave up her career to become a foster parent of sick children. Speaking of her current lifestyle, she Express:

“When I was little I always thought I wanted to be a nurse and take care of babies and children.”

Until 2017, she had so far looked after 16 children. Those numbers were about to climb to 18 as the adorable twins made their way into her life.

After cheering on the cute duo for a while, social services finally asked if Linda would consider adopting one of the two. However, the nanny, who had fallen in love with the babies, could not separate them, Express:

“When I first saw the twins I thought they were the cutest little things I had ever seen.”

Therefore, Linda declined the offer, and instead of adopting one of them, she kissed them both. The mother said she already knew they were hers and beyond that it was doubtful that other parents would be able to care for two children with their illness.

Although adamant about his decision, many of his relatives were worried. As a mother of 3 older biological children, along with grandchildren, and at retirement age, they wondered why she would take such a responsibility.

“My family and friends think I’m crazy because I’m 58 and should be looking forward to my retirement, but I don’t care.”

If anything, this mother feels privileged helping her babies as much as possible, hoping her care and love will help them grow independent. If anyone can do it, it’s this nurse. This is not only because of his expertise but also because of his heart of gold.

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Mandate rules The mother cannot take care of a disabled daughter https://philippinecerebralpalsy.org/mandate-rules-the-mother-cannot-take-care-of-a-disabled-daughter/ https://philippinecerebralpalsy.org/mandate-rules-the-mother-cannot-take-care-of-a-disabled-daughter/#respond Tue, 09 Nov 2021 16:11:40 +0000 https://philippinecerebralpalsy.org/mandate-rules-the-mother-cannot-take-care-of-a-disabled-daughter/

Covid-19

Although they live together, Sophia Malthus will have to find new caregivers to replace her own unvaccinated mother – expanding her bubble beyond her desire or control.

Sophia Malthus takes containment measures very seriously.

After a spinal cord injury from a horseback riding accident five years ago left her quadriplegic, the 24-year-old needs to be especially alert to the virus that continues to spread in Auckland.

Diseases affecting the respiratory system can be particularly dangerous for survivors of spinal cord injury, who may have an impaired ability to breathe, swallow or cough independently and have decreased overall immunity. Respiratory infections kill more spinal cord survivors than any other cause.

So, every time the lockdown has been called in the past two years, Malthus has been diligent in keeping his bubble small and his risk level low.

“Since the start of this lockdown, I haven’t had a picnic – I’ve left home twice,” she said. Living with her parents and with her mother as one of her primary paid caregivers, she was able to keep her bubble tight and controlled to reduce the risk of infection from outside.

But a clarification made yesterday by the Ministry of Health to its healthcare agency calls into question its ability to continue to do so.

She has learned that by next week, when healthcare workers need to get vaccinated, the agency will be forced to come up with a new plan and replace her mother with other caregivers.

Malthus’ mother is not medically vaccinated, and despite a letter from her attending physician, she has yet to receive confirmation from the Department of Health to be exempt from the warrant.

And with the tenure going into effect next week, Malthus fears he will be caught off guard and forced to inflate his bubble far beyond his comfort zone.

With her mother working five 12-hour shifts a week, her replacement would likely require a number of new caregivers.

“It really scares me, because in all the deadlocks we’ve been in before, we’ve automatically entered a very tight bubble,” she said. “I live with my parents – my stepfather quickly started working from home. And we have three more caregivers coming in, but they were also in very tight bubbles, and I really trust them. “

But now, a rule that is presumably in place to protect her puts her at greater risk.

“This mandate, which aims to protect me, roughly doubles my exposure to Covid,” she said. “I’ll have two or three new caregivers come into the house and they all have their own families that they live with, and everyone wants to go back to work – so my bubble would be bigger than everyone’s bubble.”

The tenure leaves her in the absurd position she still lives with her mother in, but cannot get CCA funding to play the role of caregiver due to the risk she poses on paper by being near. of his own daughter.

“It just doesn’t make sense,” said Malthus. “I could understand the logic if it came from another household.” And she is sure that she is not the only one affected by the rule. Many members of the disability community have members of their household who act as caregivers – especially during the pandemic, when keeping the bubbles manageable has become a part of life.

“I am very scared for myself and for other people with disabilities whose family members are working to reduce their bubble and their risks,” said Malthus.

The solution, she suggests, is to give people with disabilities a little more decision-making power in their own lives.

“People with disabilities should be able to decide who takes care of us,” she said. “You can’t expect the government to look at each person on a case-by-case basis. “

And unless you do, it seems that the general rule of mandate of vaccines for health workers has created at least one counterintuitive situation.

The Ministry of Health’s mandate update of the Covid Ordinance states that healthcare and disability workers must receive their first dose of the vaccine by November 15, 2021 and be fully immunized by January 1, 2022.

“A high rate of vaccinations will help protect staff from disease and transmission of Covid-19 to others,” the Ministry of Health website says after the order details.

This clearly does not apply to Malthus’ mother, who will share her house, whether she is a caregiver or not. But in a time-critical Mandate rollout, situations like that of Malthus and his mother seem to have been overlooked.

“While most of the people working in these sectors are already fully or partially vaccinated, we cannot leave anything to chance and make it mandatory,” Covid Response Minister Chris Hipkins said when announcing the mandate of the health and disability workers early last month.

“It’s not an easy decision, but we need people who work with vulnerable communities who have not yet been vaccinated to take this extra step.

Hipkins made the announcement nearly a month ago, but Malthus said his care agency initially said his mother would not be affected. It wasn’t until this week that the agency got back to the Malthus family and told them that in fact, they were under order.

And with the first doses needed next week, they don’t have much time to come up with another plan.

At this point, all Malthus can really do is hope for a change of mind from the Department of Health.

“I don’t know what to do,” she said.

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Foxburrow Grange wins prestigious care award https://philippinecerebralpalsy.org/foxburrow-grange-wins-prestigious-care-award/ https://philippinecerebralpalsy.org/foxburrow-grange-wins-prestigious-care-award/#respond Tue, 09 Nov 2021 15:55:00 +0000 https://philippinecerebralpalsy.org/foxburrow-grange-wins-prestigious-care-award/

Foxburrow Grange Colchester. Great British Care Awards Winners

Prestigious care award given to Foxburrow Grange staff

Foxburrow Grange wins prestigious care award

The Badger Wing team at Foxburrow Grange Care Home is officially the “Best Care Team” in East England according to the Great British Care Awards

The Badger Wing team at Foxburrow Grange Care Home is officially the “Best Care Team” in East England according to the Great British Care Awards.

– Bonnie Longfoot

COLCHESTER, ESSEX, UNITED KINGDOM, November 9, 2021 /EINPresswire.com/ – The Badger Squadron team at Foxterroir barn Nursing homes are officially the “Best Care Team” in East England according to the Great British Care Awards.

This is a fabulous accomplishment as hundreds of nominations are submitted for the awards each year.

Based near the army garrison at Colchester, Essex, Foxburrow Grange provides housing, nursing and dementia services to 69 people with a variety of care needs, including dementia, Parkinson’s disease, general and specialist nursing, and end-of-life care.

The team was shortlisted as a finalist because of the great work they do, including the incredible transformation of one of the residents who came to Foxburrow Grange in need of care and support.

Following the nomination and an online interview with the judges in early October, team members attended the gala dinner at the East of England Arena in Peterborough on October 28. Around 300 people gathered to promote best practices in the healthcare sector and celebrate the extraordinary work of healthcare workers.

The team had a wonderful evening, culminating in winning their category. They will now qualify for the national finals which will take place next year.

The Best Care Team Award recognizes a team that best demonstrates a shared vision and agreed-upon goals; a team that has a leader whose role is known and accepted and who takes personal responsibility for their tasks. The award recognizes the team which has an excellent communication process and the skills of each member are recognized within the team. The award also recognizes the team who demonstrate a commitment to the dignity and privacy of clients and respect for team members is also paramount.

The Badger Wing specializes in the care and support of people with dementia. People may have lost the ability to take care of themselves, but the team is looking beyond that prognosis and actively supporting them to become more independent and enjoy life.
Since the application of the Montessori Method for people with dementia and aging at Foxburrow Grange, the wing, residents and the house as a whole have grown stronger.

Badger Wing team member Rachel said:

“Being up against 13 other nursing homes, I was really nervous when they called Foxburrow Grange Badger Wing. We jumped in the air and felt so proud of our team because we are a fantastic group. I am overwhelmed, so happy!

Lola Richards, Home Manager, said: “Winning this award is a fantastic achievement. We are extremely proud of the Badger team who, along with all the staff in the house, continue to do an exceptional job with so much passion and dedication.

————————————————– –

Foxburrow Grange is owned by Outlook Care, a non-profit organization that has been providing person-centered care and support since 1990. Outlook Care provides support and care to people with learning disabilities, people with health needs. mental health and the elderly. across north and east London and Essex.
Maximizing independence and allowing people to have choice and control over their lives is at the heart of her work.

Foxburrow Grange is located at Ypres Road, Colchester, Essex CO2 7NL.
For more information about Foxburrow Grange, you can contact Lola Richards, Home Manager, on 01206 586900.

Bonnie longfoot
Outlook care
+441277637535 ext.
Bonnie.Longfoot@outlookcare.org.uk
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Rewarming the oxygen-deprived newborn may trigger epileptic seizures – Intensive care https://philippinecerebralpalsy.org/rewarming-the-oxygen-deprived-newborn-may-trigger-epileptic-seizures-intensive-care/ https://philippinecerebralpalsy.org/rewarming-the-oxygen-deprived-newborn-may-trigger-epileptic-seizures-intensive-care/#respond Tue, 09 Nov 2021 13:52:16 +0000 https://philippinecerebralpalsy.org/rewarming-the-oxygen-deprived-newborn-may-trigger-epileptic-seizures-intensive-care/

Image: The warm-up period following the HIE cooling can cause seizures (Photo courtesy of Thermakid)

Newborns who undergo cooling therapy to protect them from hypoxic-ischemic encephalopathy (EHI) are at high risk of seizures and brain damage during the warming period, according to a new study.

Researchers from the University of Texas Southwestern Medical Center (UT Southwestern; Dallas, TX, United States), the United States National Institutes of Health (NIH; Bethesda, MD, United States) and other institutions conducted a study of 120 newborns (58% male) to determine whether electrographic seizures are more likely to occur during rewarming compared to the previous period, and whether they are associated with abnormal results in asphyxiated newborns receiving hypothermia treatment.

The primary endpoint was the occurrence of electrographic seizures during rewarming initiated at 72 or 120 hours, compared to the previous 12 hours. Serial electroencephalography (EEG) recordings were compared by two blind readers. Secondary outcomes included moderate or severe disability or death at 18-22 months of age. The results revealed that rewarming increased the risk of seizures by about three times. Plus, babies who had seizures while warming up were about twice as likely to die or have a neurological disability by age two. The study was published on October 18, 2021 in JAMA Neurology.

“Plenty of evidence has shown that cooling babies who do not get enough oxygen during birth can improve their neurodevelopmental outcomes, but few studies have examined the events that occur when they are warmed to a normal body temperature. “said Professor Lina, head of the study. Chalak, MD, of UT Southwestern. “This study tells us that there is an untapped opportunity to improve care for these babies during rewarming by making monitoring a standard part of the protocol.”

Millions of newborns around the world are affected by neonatal EHI, brain damage initially caused by a lack of oxygen during childbirth. To help improve results, hypothermia with the help of a cooling blanket that lowers body temperature up to 33.5 ° C is used. But studies have shown that during cooling, these babies usually have asymptomatic seizures, prompting monitoring of the EEG as part of the hypothermia protocol.

Related links:
University of Texas Southwestern Medical Center
United States National Institutes of Health

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Managed Care Company Medicaid Sues Outgoing Co-owner Alleged ‘Sabotage’ | New https://philippinecerebralpalsy.org/managed-care-company-medicaid-sues-outgoing-co-owner-alleged-sabotage-new/ https://philippinecerebralpalsy.org/managed-care-company-medicaid-sues-outgoing-co-owner-alleged-sabotage-new/#respond Tue, 09 Nov 2021 05:00:00 +0000 https://philippinecerebralpalsy.org/managed-care-company-medicaid-sues-outgoing-co-owner-alleged-sabotage-new/

LITTLE ROCK – Empower Healthcare Solutions, a managed care organization that serves nearly 20,000 Arkansas Medicaid beneficiaries with complex health needs, filed a lawsuit in federal court on Tuesday against a Boston-based company that owns a part of Empower but plans to leave by the end of the year.

The lawsuit accuses Beacon Health Options of “seeking to destroy Empower … from within” for the benefit of one of Empower’s competitors.

Meanwhile, a letter obtained by the Arkansas Nonprofit News Network shows state Medicaid officials concerned about Empower’s ability to function after Beacon’s departure is finalized. The Arkansas Department of Human Services (DHS) said in its Nov. 2 letter to Empower that it has until Nov. 24 to complete a “preparation exam” commissioned by DHS, which oversees the Medicaid program. Arkansas.

Empower is one of four managed care organizations that contract with DHS to pay for and coordinate care for Medicaid recipients with severe behavioral disorders, intellectual or developmental disabilities, or both. Known as the Arkansas Provider-Led Shared Savings Entities, or PASSE, they were created by a 2017 state law that promised to both control spending and provide better services to this high-need, high-cost patient group. PASSE primarily play the role of insurance companies but must be partly owned by health care providers; it also provides “care coordinators” who act as case managers for the beneficiaries.

Beacon, one of the largest behavioral health companies in the country, has held a 16.66% stake in Empower since PASSE’s inception in 2017. (The rest of Empower is owned by several healthcare entities based in the ‘Arkansas.) Beacon also contracts with Empower to provide administrative services and has played a vital role in Empower’s day-to-day operations.

But in 2020, Beacon was bought out by insurance giant Anthem. Anthem also owns a stake in another Arkansas PASS, Summit Community Care, a rival of Empower. A state law passed earlier this year prohibited ownership of more than one PASS, and Beacon began to separate from Empower.

Now, Empower’s lawsuit says Beacon “intentionally attempted to sabotage Empower” as he walked for the door.

“Since the merger, Beacon has adopted behavior which suggests that it functions as a Trojan horse for Anthem,” states Empower’s complaint. Empower claims Beacon has refused to hand over critical phone numbers, email accounts and databases and documents as the two companies finalize their divorce.

A representative for Beacon did not respond to a request for comment on the lawsuit. But a letter Beacon sent to DHS on August 26 shows Beacon had his own complaints about the separation.

The August 26 letter, obtained from DHS with a public registration request, described a dispute over Empower’s adoption of new accreditation policies for healthcare providers in its network after Beacon left. Beacon has been responsible for the accreditation of suppliers as part of its management services at Empower. The letter stated that Beacon considered the fruits of this labor to belong to him alone – and not to Empower – and suggested that the Empower board was attempting to “deny Beacon accreditation from its own network”.

“The proposed accreditation policy may have the effect of invalidating accreditation decisions from our existing network,” wrote Melissa Ortega, vice president of Beacon based in Little Rock. “Beacon obviously cannot accept any policy that would have this result. Empower has been combative and uncooperative in addressing these concerns. “

In his lawsuit, Empower cites this episode as further evidence of Beacon’s alleged attempts to sabotage Empower. “Beacon made false statements about Empower to DHS, which representations (if believed by DHS) could jeopardize Empower’s future involvement in the PASSE program,” the complaint states.

The Directorate of Personal Services pays a fixed monthly amount for each PASS per registered beneficiary. The PASSE must then cover the costs of taking charge of these members, which may include costly services such as hospitalization or home help for disabled people. In 2020, the cost to Medicaid for the roughly 50,000 PASSE recipients in Arkansas was nearly $ 1.3 billion, according to documents provided to a legislative committee in June. (Empower’s revenue for 2020 was over $ 460 million, according to the lawsuit.)

Empower’s complaint says Beacon was “essentially the director of operations” for PASS. Under a service contract between the two companies, Beacon provided all “services required for [Empower’s] execution of the PASSE Contract [including] all staffing and administrative services. Beacon was “generously paid” for these services, according to the complaint, receiving “over $ 52 million in 2020 alone.”

But because Beacon has played such an important role in Empower’s day-to-day operations, the impending break-up raises questions about the future of PASSE and the beneficiaries who depend on it.

On the same day Empower filed for his lawsuit, Nov. 2, DHS sent him a letter warning PASS that he had not yet completed a mandatory “practice exam” before Beacon released on Dec. 31. DHS has given Empower until Nov. 24 to respond to a list of outstanding requirements. If PASSE does not meet this deadline, the letter suggested, it could be in danger of losing its contract with the state – its only source of business.

DHS is required to “ensure a smooth transition and continuation of services for any Medicaid member of a managed care entity whose contract is terminated or dissolved for any reason,” wrote Elizabeth Pitman, director of DHS Medical Services Division, in the letter. The agency “must be able to make a final decision” by December 1, she added, so that beneficiaries “and their recipient PASSEs have sufficient notice to ensure continuity of services and transition. as smooth as possible “.

A DHS spokesperson did not respond to questions about what action DHS might take if the Nov. 24 deadline was missed or if Empower members were assigned to one of the other PASSEs.

Empower CEO Mitch Morris said in an email the company was “prepared to demonstrate DHS compliance and stay[ed] very confident that he will provide formal approval to Empower to continue operating as Arkansas PASS for calendar year 2022 and beyond. Morris declined to comment on the lawsuit.

When provided with the November 2 letter for review, Thomas Nichols, an attorney for the disability rights organization in Arkansas, said DHS “is probably covering its bases to ensure it there are no gaps in services “for beneficiaries.

PASSE members cannot afford any interruption in their coverage, Nichols said, because they are so dependent on the services Medicaid pays for.

“People don’t rely on this just for primary care appointments,” he said. “You have people who need staff 24/7 because they need them to live safely in a community setting. People sometimes rely on it for tube feeding… Some people rely on it for life-saving drugs.

“These are things people need to have every day. They must be paid for each day.

Nichols said the uncertainty surrounding Empower’s future illustrated the pitfalls of shifting responsibility from Medicaid to managed care companies.

“It is predictable that privatizing Medicaid services and delivering them to a for-profit world would result in the kinds of potential damage we have now,” he said. “It is inexcusable that people with significant developmental disabilities and mental illnesses are suddenly on the verge of collapse due to mergers and acquisitions. “

In addition to Beacon, Empower is co-owned by five other healthcare organizations. These are the Arkansas Community Health Network, a consortium of four hospital systems; Statera, a long-term care company; Independent Case Management, a provider of home and community services for people with developmental disabilities; The Arkansas Healthcare Alliance, a group of behavioral health and developmental health service providers; and ARcare, a network of clinics and other providers.

According to documents provided to a legislative committee in June, Empower has the largest share of beneficiaries among Arkansas’ four PASS, with nearly 20,000 members. Summit Community Care, the PASSE co-owned by Anthem, had over 16,000 members. Arkansas Total Care, part of the Centene health insurance company, had more than 13,000 members. The Fourth PASS is a newcomer to the state: CareSource PASS, part-owned by an Ohio-based managed care company, was licensed earlier this year.

This story is courtesy of the Arkansas Nonprofit News Network, an independent, non-partisan news project dedicated to producing journalism that matters to the Arkansans.

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Concerns over client treatment and governance at Minda, a disability care provider in Adelaide https://philippinecerebralpalsy.org/concerns-over-client-treatment-and-governance-at-minda-a-disability-care-provider-in-adelaide/ https://philippinecerebralpalsy.org/concerns-over-client-treatment-and-governance-at-minda-a-disability-care-provider-in-adelaide/#respond Wed, 27 Oct 2021 07:00:00 +0000 https://philippinecerebralpalsy.org/concerns-over-client-treatment-and-governance-at-minda-a-disability-care-provider-in-adelaide/

A doctor who briefly worked for South Australian disability service provider Minda said she witnessed things she could “never ignore” during her time there.

Minda is one of the state’s largest disability service providers, but has recently seen high staff turnover, including the sacking of CEO Kym Shreeve and COO Jocelyn Graham last week.

Carolyn Harris worked five shifts at the North Brighton site in Minda last year as a substitute.

She said she tried to bring up issues like understaffing and lack of patient-centered care.

“I tried to call the head of clinical services and she didn’t return any calls,” Dr Harris said.

“I tried calling the CEO; she defended herself and said there was nothing to be done, it’s lack of resources, it’s a problem with NDIS.”

Minda is one of South Australia’s largest disability service providers.(ABC News)

During one incident, she heard cries of distress from a male resident.

“When I tried to investigate, a support worker who was supposed to be responsible for this person told me that it was okay to accept these cries of distress because they had behaviors and they were palliative care and in my way of thinking, anyone is under palliative care, it’s a medical emergency, ”said Dr. Harris.

She was unable to obtain any information about her palliative care plan.

The ABC has contacted Minda for a response.

State government call to action

State opposition calls for the Royal Commission on Violence, Abuse, Neglect and Exploitation of Persons with Disabilities to look into Minda.

Labor Social Services spokeswoman Nat Cook said she wrote to Social Services Minister Michelle Lensink asking her to intervene.

“With Minda caring for so many really complex people, it just can’t fall apart,” Ms. Cook said.

“We have to do whatever we can.

“They live in South Australia; the state government must stand up for these people. “

In a statement, Ms Lensink accused the Labor Party of chasing a title.

She said Minda was funded and regulated by the federal government under NDIS.

“Clear problems” in Minda

Sam Paior founded The Growing Space, a company that helps NDIS customers make the best use of their money.

A woman with blond hair
Disability Advocate Sam Paior.(Provided: The cultivation space)

It also monitors providers.

She said Minda was “seriously understaffed” and people’s lives were badly affected.

“I don’t think that’s what it used to be. I think there are very clear issues in Minda,” Ms. Paior said.

“We experience this with a bunch of our own clients as well.

“But I think we’re going to have to be very careful not to throw the baby out with the bathwater, as they take care of a lot of the severely disabled here in South Australia.”

She said Minda did not handle the transition well from receiving block funding from the state government to NDIS, where clients receive individual funding packages.

The NDIS Quality and Safeguards Commission said it was “engaged with Minda on the recent changes in its leadership to convince us that there are no significant impacts on Minda to comply with its guidelines. conditions “.

“At this time, we have no information indicating that these changes will have a direct impact on people with disabilities receiving supports from Minda,” the commission said in a statement.

Ms Paior said she understood Minda had passed an NDIS audit this week without “non-conformities”.

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5 Best Disability Care Homes in Portland, OR https://philippinecerebralpalsy.org/5-best-disability-care-homes-in-portland-or/ https://philippinecerebralpalsy.org/5-best-disability-care-homes-in-portland-or/#respond Sat, 16 Oct 2021 18:42:16 +0000 https://philippinecerebralpalsy.org/5-best-disability-care-homes-in-portland-or/

Below is a list of the best and leading disabled care homes in Portland. To help you find the best disability care homes near you in Portland, we’ve put together our own list based on this list of review points.

Portland’s Best Disability Care Homes:

The top rated disabled care homes in Portland, OR are:

  • Independent living resources – started community service over 5 decades ago
  • Services for the elderly and people with disabilities – provides exceptional social and medical services to people with disabilities
  • Mentor Oregon Portland – Assisted Living – understands and communicates with all his patients
  • Young at Heart Care Home Inc – takes care of each patient with the utmost care
  • Multnomah County Aging, Disability and Veterans Services – direct health care provider

Independent living resources

Dedicated Disability Care Homes in Portland, OR

Independent living resources began community service over 5 decades ago. Plus, they are an expansive agency that caters to the blind community. Since 1994, they have extended their help to more than 200 patients to date. Their medical specialists offer basic services that are sure to assist and help all of their patients. They are proud to say that they help people live a life of independence.

Their agency has 4 basic services in which they have good experience. This includes peer counseling, professional training and referrals. In addition, they offer advocacy, information and independent living resources.

Products:

social service, supervision, retirement homes for disabled people

SITE:

Address: 1839 NE Couch St, Portland, OR 97232
Telephone: (503) 232-7411
Website: ilr.org

COMMENTS:

“The staff in the Tyler Texas area are very helpful and know everything they have to do to help someone in need. They have helped me with my hearing loss for the past eight years. They are always determined to help me solve any problem I have. Call them and tell them if you qualify for their services. – Elaine Murphree

Aging and Disability Services

Best Disability Care Homes in Portland

Aging and Disability Services provides exceptional social and medical services to people with disabilities. They provide comprehensive services to each patient through their long term care. Plus, they have information around the clock, ready to respond to patients at any time. Their specialists are all certified and specialize in various fields. In addition, there are top-notch full-service home caregivers who provide appropriate patient care.

The center offers a wide range of treatments and services for people with disabilities. Additionally, this includes improving equity partners, classes, and meal links. They also have adult protection services, residential care and home assistance.

Products:

nurses, medical specialists, prosthetic arms

SITE:

Address: Five Oak Building, DCHS Director, Ste 510, 209 SW 4th Ave s office, Portland, OR 97204
Telephone: (503) 988-3646
Website: multco.us

COMMENTS:

“Very clean offices, large and beautiful sidewalks, and friendly staff made the minimal time I had to wait to see a social worker much more enjoyable than previous experiences in SE branches that I have always relied on for. similar needs. I think I would take the extra commute time to this one, although I was closer to several other offices it was even better. – Josh Cook

Mentor Oregon Portland – Assisted Living

understanding disability care homes in Portland, OR

Mentor Oregon Portland – Assisted Living understands and communicates with all of their patients. They offer their brokerage services to adults and families who need their help. In addition, they match adults with nurses who get along well with them. Their services are personally selected to meet their unique goals. Their mission is to empower adults as they serve to shape their futures and live full lives.

The clinic offers various affordable services which are carefully selected and organized by patient. These services include brokerage services, IDD services and specialist support. In addition, they provide surveillance support, family supports and ISPs.

Products:

doctors, disability diagnosis

SITE:

Address: 41 SE 102nd Ave, Portland, OR 97216
Telephone: (503) 935-2478
Website: mentororegon.com

COMMENTS:

“Imagine you’re on The Truman Show – except you’re not an actor – it’s all there for you. Does that sound unreal to you? I know, but that’s exactly how I feel every time I interact with this desktop. They constantly go out of their way to make things easier for me and somehow always seem cheerful (although they do what has to be one of the most thankless jobs). I really appreciate them. – Autumn Wodyn

Young at Heart Care Home Inc

Trusted Care Homes for the Disabled in Portland, OR

Young at Heart Care Home Inc takes care of each patient with the utmost care. The goal of their foster home is to provide care and services while supporting their choices and rights. In addition, they offer reliable care around the clock in a family setting. Their wide variety of residents are experienced and have served in adult foster homes. In addition, they are community-certified specialist physicians. They are reliable, friendly and lively.

Home care includes various care services in different health care plans. Their facility provides bathing, bladder care, and behavioral problem solving. In addition, they have transportation arrangements, physical treatment with assistive devices, and feeding assistance.

Products:

caregiver, nurse

SITE:

Address: 7770 SW Garden Home Rd, Portland, OR 97223
Telephone: (503) 246-5653
Website: residentcarecommunity.com

COMMENTS:

“These are never easy decisions – I feel lucky to have made this choice as we made it as my father spent the last year of his life at Young at Heart… it was a difficult year with many. health problems. Dora and her entire team provided exceptional care. They were vigilant, attentive, compassionate and kind even when it might be difficult due to his mood swings, declining health, and loss of independence. Dora kept me informed of any changes and allowed me to be with him in his last days / hours. The house is immaculate and beautifully appointed. The meals were home cooked, hot and tasty, ”- Lani Faith

Multnomah County Elderly, Disabled and Veteran Services

experienced nursing homes for the disabled in Portland, OR

Multnomah County Elderly, Disabled and Veteran Services is a direct health care provider. Their goal is to provide benefit information and assistance to all who have served and their families. Moreover, they provide certified services with reliable benefits. Their health specialists work hard and put extra effort into each patient. They also take the time to communicate with direct family members of the patient.

Their healthcare services range from counseling to food assistance to networking. They also specialize in health care, court hearing and caregiver registration assistance programs. In addition, they offer lectures, seminars and advice.

Products:

feeding aid, medical treatment, nurses

SITE:

Address: 5325 NE Martin Luther King Jr Blvd, Portland, OR 97211
Telephone: (503) 988-5470
Website: veterans.com

COMMENTS:

“Good news this time. Benefits have been increased. There are good people and very nice people. They are reliable with my health care. Exactly where it was supposed to be when it’s needed. Their host family is one of a kind and helpful. – Cheno Cheno

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