Please go to www.twogetherconsulting.com for more information and registration. 
********We also have pre-recorded webinars you can purchase for use at your facility.  Please contact Meghan Jones at: meghanjones.tx@gmail.com for more information, registration, and payment.

 

Thanks for all the wonderful feedback on our Diabetic Assessment & Care Planning Webinar on June 3rd!  We had great attendance and so we are excited to announce that our nurse will continue to provide a series of webinars for Nursing “Best Practices” and “Care Planning” on different diagnoses and issues seen in our IDD population. 

Future sessions will include the following nursing topics: 

G-Tubes-Best Practices and Care Planning In IDD Waiver Programs- Oct. 1st, 2019 

Alzheimer’s & Dementia in Our IDD Population as well as part of  our October -Nov. 2019 Webinar sessions.

We are also thinking about “Assessment & Care Planning For The Medically Fragile in IDD Services” (Especially concerning individuals coming from Skilled Nursing Facilities- Monitoring for and prevention of skin care issues and working with individuals with G/T’s and Trachs and more…  This would be a 2 part general session.) 

Current Scheduled Webinars

Webinar

“G-Tube Clients- Best Practices And Care Planning in IDD Waiver Programs”  (HCS/TxHmL/ICF)

Date:  October 1st, 2019

Time:  10 AM-12:00 PM

Cost: $65/person

For:  Nursing Staff, Quality Assurance Staff, Program Managers, Administrators

Presenter:  Gina Peterson, RN Consultant

Topics: 

-How do I assess an individual with a G-Tube/Peg Tube?  (What am I looking for?)

– Ideas for G/T Care Planning Outcomes and/or Nursing Goals (includes some samples of different nursing guidelines in these areas)

-Things The Nurse Really Needs To Know:

-What Is The Difference Between The Following: Catheter, Peg Tube, J-Tube, G-Tube, a Mickey Button-with Detachable Feeding and Med Tube only?

-When Is A G/T Needed?

-Pre and Post Op Considerations

-Is The Tube Temporary or Permanent?  Can the Process Be Reversed if No Longer Necessary?

-How Often Should The Tube Be Changed- Monthly, Quarterly, Annually, Only As Needed?

-Who Can Change The Individual’s Tube- Surgeon, Gastroenterologist, PCP, FNPC, Nurse (LVN or RN?)

-Enteral Feedings and Nutritional Supplements

 

-What Needs To Be On Physician’s Orders in Relation To The Individual’s G/T- Type of Tube, Size of Tube (if Applicable), Frequency of Changing Tube and Who Does it, Specifying Route of Medications, Requesting Liquid Meds. When Available, How often H20 flushes occur, etc….?

Best Practices To Address Common G/T Issues- example: prevention of aspiration during G/T feedings, trouble-shooting device malfunctions, monitoring bowel movements 

G-T Issues Needing Immediate or Emergency Attention

Training:

-What resources are available for training the Nurses & The UAP’s (Staff)– Previous Provider and Family, HHSC, PCP, Gastroenterologist, Title IX/DME Provider, MCO RN Case Manager, University Libraries, On-Line Videos/Webinars, etc..?

-What kind of training needs should be addressed with UAP’s, the Individual, and/or Family?

-Ideas for training and training tools for the following: (What to Observe and What to Report to The Nurse (ex:blocked tube excoriation of the stoma area, bowel movements), How To Perform Feedings and Flushes, Options on How To Administer Medications (ex: Liquids vs. Pills), and much more. 

– Nurse & Provider ensuring UAP’s and other people involved in individual’s care, have received special needs training

Webinar

“Survey Process/Status of Administrative Penalties/Common Survey Citations”

Update-11/2019  (HCS/TxHmL)

    
Date: November 13th, 2019

Time: 10:00 AM-12:30 PM

Presenter:  Julie Blacklock/IDD Waiver Consultant

For: Administrators, Program Managers, Quality Assurance Staff, Care Coordinators, Nursing Staff

Cost:  $45/person

Topics:  

-New Survey Process:

-May 1st, 2019  ( was the initial transition date )

-Sept. 1st, 2019 ( was the initiation of full change in Survey Process)

— What are the changes to process?

–Serious vs Non-serious and other new terminology

–Has the Entrance and Exit process changed?

–Will we still be able to make corrections during the survey?

— How long will WS&C stay on-site during a survey, has that changed?

–Description of type of survey and frequency of each one.

–IR process changes (Informal Dispute Resolution/Informal Resolution)?

-Administrative Penalties 

 -January 1st, 2020 (Penalties are in effect)

-How will they be assessed?  (Serious vs. Non-Serious)

-Penalty Fees

-Commonly Cited Items at Survey (Including Nursing)

 

More Sept.-Nov. classes will be posted soon here and on the home page of our website.
Previously Recorded Webinar Sessions Available
The following series of 4 webinars have been designed to assist with training of new HCS Case Managers and or those persons at your HCS program, who are responsible for the “Coordination of HCS Services”.  They are now available as pre-recorded sessions for those of you who would like to purchase these webinar links and handouts from this past July and August.  Please contact my assistant at:  meghanjones.tx@gmail.com or myself at javasbja@aol.com to purchase any or all of these sessions. 

Case Management/Care Coordination Webinar Series for HCS Providers 

LIDDA Vs. HCS Provider: “Roles And Responsibilities-Timelines And Communication”

Webinar via Go To Webinar

Time:  2.5 hrs

Cost:  $50/person

You will receive a link to register for the webinar and the training handouts once we have received payment for the session.

For:  HCS Care Coordinator/Case Manager,  Program Manager, Administrator, Quality Assurance Staff, Nurses and more

Description:  This class is designed for anyone who is first starting out in the HCS Waiver Program as a new provider and for those persons coordinating services (case management) for the individuals in the HCS Waiver Program. This class is also effective for Nursing staff who need to know how the program works overall as they are part of the coordination of services for the individuals in the program.  Lastly, this is also a great session for those providing oversight and quality assurance for the program.

The discussion will include:

-What Does the LIDDA (Local IDD Authority) do?

-Who is the SC (Service Coordinator) at the LIDDA and what is their role and responsibilities?

-What are the HCS Provider’s role and responsibilities?

-When does the provider have to communicate with the SC?

-What are the timelines for certain responsibilities and expected communications on both sides?

-Who does “what” during enrollments, transfers, temporary suspensions, and permanent discharges?

-And much more

 

“Developing The IP (Implementation Plan) with Person-Centered Thinking in The HCS Program”

 

Time:  2.5 hrs

QA Session from 12:30 pm – 12:45 pm 

Cost: $50 per person

For:  Program Administrators, Program Directors, Care Coordinators, LIDDA Representatives- Service Coordinators, etc..

The webinar will be via “Go To ”Webinar

Instructions for the webinar and training handouts will be sent to your email after payment is made online or check is received.

Topics:

A review of basic components of a PDP (Person Directed Plan) completed by the LIDDA service coordinator and how this fits in with the IP (Implementation Plan) completed by the HCS provider.

Review of IP components and how to use the PDP to develop the complete IP. Review of some sample IP’S for various services on the IPC ( Individual Plan of Care).

Defining the terms: Action Plan, Desired Outcome, Objective, strategies, justifications.

 

 

LON/ICAP/IDRC Training for HCS, TxHmL, and ICF/IID Programs

 

 

Time:  2.5 hrs

QA Session from 12:30 pm – 12:45 pm 

Cost: $50 per person

For:  Program Administrators, Program Managers, Care Coordinators/Case Managers, Service Coordinators, Nurses etc..

The webinar will be via “Go To ”Webinar

Instructions for the webinar and training handouts will be sent to your email after payment is made online or check is received.

Topics:

-A review of the definition of LON (Level of Need) in the HCS, TxHmL, and ICF/IID programs

-What is the ICAP (Inventory for Client & Agency Planning) and how is it utilized?

-When does the provider complete an ICAP and Why Do They Need To?

-What is the IDRC (Intellectual Disability/Related Condition) form

-When is the IDRC filled out and by who?

-What does LON mean (Level of Need)?  (assistance needed, dollars required for that assistance level, etc…)

-How do I get a Level of Need increase?  Who applies for the Level of Need increase?  

-Utilization Review Department- what is their role?  (Monitoring units in CARE and Utilization of services, Approving Levels of Needs, etc…)

 

 

“Billable Services In The HCS Program-2019″

You will receive a link to register for the webinar and handouts after we receive payment.

 

Time:2.5 hrs

Cost:  $65 per person

Presenter:  Julie Blacklock/IDD Waiver Consultant

For: Administrators, Program Managers, Quality Assurance Staff, Care Coordinators, Nurses, Billing/Data Entry Staff

Topics:  

-Definition of all Billable Services on the IPC (Individual Plan of Care)

Hourly and Daily Unit services such as RSS/SL, HH/CC, CFC (PAS-HAB), DH, REH, PT, OT, SP, DI, BES, CRT, AU, SW, CDS, etc…

-Other Services (Units in dollars only):  Adaptive Aids, Minor Home Modifications, Dental, Pre-Minor Home Mod and OT Assessment, TAS

– Recent and some Upcoming Changes in the HCS Billing Guidelines

-How does this affect the Provider?

-How can I use this change to improve services

-How do I document to capture the most billing?-How to prevent billing for non-billable services?