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Annual Conference|EITC
NYSACRA wishes you a Happy St. Patrick's Day! THINK SPRING! We’re heading into longer days and milder temperatures, so it MUST be time for NYSACRA’s Annual Conference. We hoped you’ve already marked your calendar with the April 29 – May 2 dates. NYSACRA has once again put together a top-notch program with exciting keynote speakers, Jacqueline and Bruce Blaney on Wednesday morning, four Special Presentations on Thursday morning, fifty-six workshops throughout the conference, and our Executive Leadership Session. We’re also looking forward to our Banquet Dinner on Wednesday evening – which promises to be a powerful and inspiring event - and our Annual Art Exhibit by Individuals with Developmental Disabilities and Reception with a performance by Potential Unlimited on Thursday afternoon. We’ll still be hosting our President’s Reception on Tuesday evening to welcome all of you to our conference and our Theme Party on Thursday night at 9:00 where you can celebrate and relax before you enjoy our Friday morning keynote, David Hingsburger. There’s always a chance that you could win a laptop computer or a weekend at the Sagamore, too! If all of that isn’t enough to pique your interest, below is a schedule of workshops so you can see first-hand what the program is offering. A full Conference brochure is coming soon! Choose the workshops you’d like to attend and join us at the Sagamore. We can’t wait and hope you can’t either!
TAX TIME - EARNED INCOME TAX CREDITS Individuals with disabilities and agency staff who earn modest wages may benefit from earned income tax credits. The program was set up to assist working families. Married couples with two or more children can potentially be making as much as $33,000 a year and still be eligible for the credit. Agency employees who are eligible for the benefit can also take advantage of an Advance EIC program, which can put up to $110 per month in their pay checks. Find out more about the EIC program from the Internal Revenue Website at www.irs.gov and share the information with individuals in your agency that may be able to benefit from this program this tax season.
2003 Annual Conference April 29 - May 2, 2003
PERSON TO PERSON:
AN AMAZING JOURNEY
2003 CONFERENCE SCHEDULE
1. Community Business – An Exciting Approach –Marlene Ruggiero, Director of Adult Services & Liz Reeves, Site Coordinator, Community Resources – Staten Island Marlene Ruggiero, Annette Raia, Barbara Bishop-Lewis, Community Resources – Staten Island This agency’s Day Hab program is designed to allow people, working as volunteers, to pursue activities that are of particular interest and suited to their abilities. Individuals learn all aspects of the repair and retail of refurbished home furnishings, and learn appropriate and effective sales techniques. Individuals with disabilities learn skills, customer relations, stock maintenance and cashiering…all of which may lead to competitive community employment. (Administrative, Consumer/Parent, Service Coordination, Middle Management)
2. Community Inclusion, Participation and Planning: A Committed Endeavor Gilbert Louis, Director of Operations, IAHD This workshop will provide a map to successful community inclusion and participation that is person-centered with input from all stakeholders. Participants will learn a step-by-step process that will include both strategies and implementation techniques. An instructional guide will be distributed. (Clinical, Middle Management)
3. Staff & Peer Mentoring Deborah Brown, Director of Adult Developmental Services & John DePane, Direct Care Hiring Coordinator, The Resource Center To improve the retention rate of new employees, a peer mentoring program was implemented for direct support staff. The program pairs new employees with specially-trained staff who mentor, assist in training and in adjusting to a new job. The presenters will discuss the successes and challenges of the program. (Administrative, Direct Service, Middle Management)
4. Technology: A New Look Into Caring for Consumer Funds Michael Hartung & Alister Guillaume, Residence Supervisors, Nassau AHRC This team building, informative and interactive workshop will make the burden of consumer financial ledgers as easy as pushing a button. The session will be divided into a modern vs. old school team building exercise and an inter-active session where attendees can log-on to a computer for a hands-on financial ledger. (Administrative, Service Coordination, Middle Management) 5. I Believe…… Community Support Workers Talk Abut Putting Their Values into Action Fredda Rosen, Executive Director, Clara Cabrera & Catherine Castillo, Support Workers, Job Path Job Path’s Community Support Workers enable people to establish their own homes and become involved in community living. They believe in expecting the best from people and taking action to make dreams happen. The presenters will outline Job Path’s beliefs and how they underlie the agency’s individualized supports and services. (All)
6. OMRDD 2003-2004 Budget Highlights Jim Moran, Deputy Commissioner, NYS OMRDD Significant elements of OMRDD’s 2003-2004 budget, including updates on current negotiations, will be discussed. There will be a question and answer session. (All)
7. Tales from the Hotline Michael Keck, Quality Services Coordinator, & Jennifer Draper, Quality Services Specialist 1, Jefferson Rehabilitation Center Effective corporate compliance plans make use of a feed-back loop. The HIPAA Law required a mechanism for reporting concerns. Hear how one agency combined both needs into an Ethics Helpline. Learn the number of monthly contacts and their nature, and how the organization has responded. (Administrative, Clinical, Middle Management) 8. Fragile X Laurie Yankowitz, Director of Family Support Services, Heartshare Human Services Although Fragile X is the most common inherited cause of mental retardation, it is not widely recognized. Basic information and treatment interventions can greatly enhance the quality of life for affected individuals. The presenters will discuss identifying characteristics, intervention strategies and resources available to assist this population. (Clinical, Direct Service, Service Coordination)
9. Alzheimer’s and the Developmentally Disabled Adirondack Paul Lounsbury, Training Coordinator, People, Inc. This session will provide a basic understanding of Alzheimer’s Disease/Dementia and how it affects the individual. Suggestions for program development and physical plant considerations when working with individuals with Alzheimer’s to better assist both the individual and the caregiver will be offered. (All)
12:00pm-1:30pm LUNCH
1:30pm-3:00pm SESSION II
10. Quality Improvement: The Next Phase Gabriella Major, Director of Quality Improvement, & Anthony LaGattuta, Coordinator of Quality Improvement, FEGS This presentation will describe the elements of the development of an Annual Performance Improvement Plan, based on an “outcome management system.” It will also discuss the reasons for having a plan that reflects the current trend in provision of services: “outcomes for people.” There will be a demonstration in the use of the results and hands-on experience in the development of the framework. (Administrative, Middle Management)
11. Assisting Employees in Increasing Their Worth and Income Through Economic Development Jennison Heubner, Director of Financial Development, & Ann Meyer, Associate Director of Organizational Development, Heritage Christian Home Do you want to increase your employees’ wealth without increasing their hourly wages? This presentation is for you! Potential topics to be discussed include individual development accounts, tax return assistance, affordable housing and childcare. In an ever-competitive work force environment, gaining the tools you need to recruit and retain quality employees is invaluable. (Administrative)
12. HIPAA – Eric Marks & Brian Wyatt This workshop, facilitated by HIPAA “experts,” will include a “hearty” discussion of best and worst practices, creative successes and ongoing frustrations. Those attending will receive an update on HIPAA rules and regulations even if the implementation deadline has passed. The workshop is for individuals who are implementing HIPAA in agencies. (Q/A, Compliance Officers, Administrative)
13. One Person at a Time Patricia Fratangelo, Executive Director, Cheryl Kantak, Parent & Board Member, & Richard Prue, Individualized Services Coordinator, & Ingrid Much, Staff, Live-in Support, onondaga Community Living Individuals with significant disabilities do not have to live in congregate settings. They can live in homes of their own with people they enjoy and supports that they want. Learn how one agency learned to listen differently and changed its services from group home to personalized homes and vocational options. The presenters will share the story of these changes and what it has meant for the agency, the people supported and their families. (All)
14. Improving Lives by Examining Deaths Tom Harmon, Special Assistant to the Chair & Executive Secretary to the Medical Review Board, NYS Commission on Quality of Care For over 25 years, the Commission’s Medical Review Board has been examining deaths within the mental hygiene system, a system that has changed dramatically during that period. The session will offer insights into the death investigation process (or what a service provider may expect), lessons learned over the years in the changing service system, and current problems and issues providers should safeguard against to ensure the well-being of the individuals they serve. (All)
15. Supervising Direct Support Staff Perry Samowitz, Director of Education and Training, Fred Feibusch, Director of Residential Services, Vera Halpenny, Director of Residential Services & Matt Sturiale, Director of Long Island Services, YAI – National Institute for People with Disabilities Reviewed in this presentation are the essential standards of performance for direct support staff and for working with staff who exhibit challenges in meeting those standards. Methods for increasing the retention of staff who do meet standards, but are not eligible for promotion, will be demonstrated. Practical supervising techniques will be presented and videos will give real-life examples of the standards of performance. (Administrative, Middle Management)
16. Navigating Challenges with a Core Value Compass Peter Smergut, Executive Director & Neil Schweifel, Assistant Executive Director, W.O.R.C. This workshop will present a new framework for facing the challenges of ensuring consistent quality, customer satisfaction, staff loyalty and motivation. Accomplished through an agency wide exploration of the fundamental values which drive the organization, and a forward-thinking implementation initiative, learn how one agency has utilized this process to begin a value-based cultural change that has achieved a measurable impact. (Administrative, Middle Management) 17. HR:101: A Practical Guide to Employment Law Laura Lovelock, Human Resources Director, & Michelle Flood, Residential Administrator, F.R.E.E. Using real life scenarios on everyday issues, the presenters will offer a practical guide to employment law. Family Medical Leave Act, Workers Compensation and Wage and Hour Issues are some of the topics that will be discussed. There will be a question and answer period. (Middle Management)
18. Taking the Mystery Out of Autism Spectrum Disorder Patricia Schissel, CSW & President, Advocates for Individuals with High Functioning Autism, Asperger’s Syndrome & other Pervasive Developmental Disorders This workshop will provide pertinent information about individuals experiencing higher functioning autism. The presenter is a professional and also a parent who is part of a strong network of parents (AHA/AS/PDD) that support each other through the challenges of daily life. (All)
19. Workplace Safety: From Concept to Action Mark Crawford, AVP/Program Manager, & Charles Turner, Loss Control Representative, Program Risk Management A round table discussion designed to identify triggers or areas for potential loss, basic tools to deal with challenging situations and options to foster a safer work environment. (Q/A, Administrative, Middle Managers)
3:00-3:15 BREAK
3:35pm-4:30pm SESSION III
20. Diversity: Cross Cultural Communication Carmela Luciano, Training Manager, & Karleen Mirador, Staff Development Trainer, Nassau AHRC Meeting the challenges of issues of diversity can be difficult. This session will provide participants with an overview of good communication skills, an understanding of how cultural differences can affect communication, how to address language diversity, and how to better communicate with others. How language and communication in a program setting may affect the learning environment of individuals with developmental disabilities will also be discussed. (All)
21. 2 Agencies + 2 Individuals = Great Outcomes Catherine Hendrickson, Project Director & Yvette Nieves, Program Director, UCP of New York City At the request of OMRDD, UCP-NYC launched a “Day Hab Without Walls” for two individuals who had been unable to attend day facilities for health reasons. UCP/NYC staff provide the 1:1 services from a base/residence run by OMRDD. The two women, who are Class members, have a variety of strengths and extensive physical and cognitive impairments. This creative and flexible program model uses activities that are individualized, stimulating and community-focused.(Administrative, Consumer/Parent, Direct Support, Service Coordination, Middle Management)
22. Perfecting the Juggling Act Christine Reinhard, MA, MS, Deputy Commissioner, Westchester County Department of Community Mental Health Everyone is “doing more with less” by wearing many hats and managing multiple priorities within their positions. This session will offer suggestions on how to organize yourself, your time and your space so that your workload is as manageable as possible and even allows time for those components of your job that are the most rewarding, but often the first sacrificed. Topics covered will include running efficient, effective meetings; scheduling and prioritizing; paper processing; organizing your personal work environment and delegating. (Clinical, Service Coordination, Administrative, Middle Management)
23. The Soul of a Business: A Mission-Based Recruitment Strategy Lisa DeGroot, Director of Human Resources & Tara Fredricks, Supervisory of Staff Training, Jawonio, Inc. The most important aspect of hiring qualified individuals is to make the agency’s mission statement the centerpiece of your efforts. Knowing what makes an employee successful, then seeking those qualities in applicants, is a vital step. The presenters will share strategies for learning your statistics to practical quick hire solutions that can be readily applied to any hiring situation. (Human Resources, Administrative)
24. Consumer Drive Quality Measures and Program Implementation Michael Chapman, Vice President, The Council on Quality and Leadership & Lester Parker, Chief Executive Officer, Adirondack Arc During this highly interactive session, participants will explore quality as defined by consumers. They will analyze in depth, the Council’s Personal Outcome Measures, developing an understanding of how to interview consumers, review their national database on people and identify those factors that contribute to organizational success when using consumer driven services. Hear how one provider has successfully implemented an outcomes-based model of services and supports. (All) 25. Parents with Special Needs Lisa Eisenberg, Marlene Murray, Danielle Creegan, ANIBICThis workshop is geared to all staff who work with parents with special needs, including developmental disabilities and TBI. Using a strength-based approach, the importance of assessment as a tool to evaluate parental ability will be discussed. By using a proactive model of support, creative ways of addressing the needs of these parents will be explored. Other areas to be discussed will include barriers to success, child abuse and how to use supervision effectively. (All) 26. Wanted: Agencies to Grow With Us Steve Holmes, Administrative Coordinator, Joey Perez, Board Member, Tony Phillips, Self- Advocacy Association of NYS & Chester Finn, Special Assistant to the Commissioner, NYS OMRDD Self-advocates believe that many people will choose individualized services such as self-determination in the coming years. The system of service is evolving to one that includes supporting people with disabilities through individual, person-controlled funding. What does this mean for provider agencies and staff? How can agencies support people to live the lives they want? What opportunities are there for agencies as the system evolves? These are some of the questions the presenters will discuss. (All)
27. Health Care Decisions Act Paul Kietzman , Desiree Loucks-Baer, Director of Residential Services & Sara Delmarter, ICP Program Supervisor, Schohaiare ARC, Henrietta Messier, Parent-Advocate, Mark Ustin, Assistant Counsel to the Governor & Ben Golden, Director of Government Affairs, NYSARC, Inc. Last year the NYS Legislature passed into law the Heal Care Decisions Act, which become effective March 17, 2003. The law allows an Article 17-A guardian of a mentally retarded person the authority to make all health care decisions that such person could make if they had capacity. This includes decisions to withhold or withdraw life-sustaining treatment. This session will provide an overview of the process and regulations pertaining to the implementation of this new law and discuss the implications it will have on providers, guardians, families and individuals with mental retardation. (All)
28. NYSACRA Policy Forum Robert Budd, President & Ann Hardiman, Executive Director NYSACRA invites you to join the Board of Directors and staff to briefly outline and discuss current and future strategic directions and to share wine and cheese. This time is offered for NYSARA members to provide suggestions and input on future goals, the format and interest in regional meetings and on the priorities of the association. (All)
THURSDAY, MAY 1
7:30am Regional VP Breakfast
9:00am SPECIAL PRESENTATIONS The Partnership for Excellence: Creating Person-Centered Organizations Jacqueline & Bruce Blaney, Reginald Geary, Dr. Beth Mount
Building an Exceptional Workforce Environment Lynda Ford
Ohio Mentoring Project Marianne Taylor
“We Watch the City” Jerry Smith, Tony Phillips, Tom McAlvanah & a panel of Direct Support Professionals
10:45-11:00 BREAK
11:00am EXECUTIVE SESSION AT CLUB GRILL – BY INVITATION onLY “Sailing the Seven C’s” - Greg Kaladjian, President, The Volos Group
11:00am – 12:00pm SESSION IV
29. How to Develop and Maintain Healthy Boundaries Diana Faraci, MS, RCSW, Supervising Social Worker & James Agurri, CSW, Clinical Social Worker, Nassau AHRC Hear how one agency has developed a curriculum to educate all staff on how to develop and maintain healthy boundaries with developmentally disabled individuals. The motivation for developing this curriculum and a demonstration of how it is presented will be discussed. The curriculum used will be provided to participants. (Administrative, Clinical, Service Coordination, Direct Support, Middle Management)
30. Amazing Journey of Obtaining Services Gayle Bertolotti, Associate Director & Sue Sweet, Community Services Program Director, AIM Services This session will describe in detail the importance of open communication in the successful enrollment process of OMRDD Services. The presenters will provide the process from the initial phone call, to determination of eligibility, to completing the paperwork and finally receiving the notice of decision. (Consumer/Parent, Direct Support, Service Coordination)
31. Tolerating Difference & Moving on Esther Weinstein, Assistant Executive Director for Vocational Services & Ed Harris, Program Director, Lifespire Tolerating differences and respecting individuals is the focus of this presentation. It will demonstrate how a combination of behavior clinical interventions coupled with humanistic interactions and approaches that focus on each person’s strengths and individual style has led to great success. The presenters will talk about their unique philosophies and methods of developing effective interventions for individuals with challenging behaviors. (Consumer/Parent, Clinical, Direct Support)
32. Square Pegs and Round Holes: Designing Treatment for People on the Autistic Spectrum within MR/DD Systems Valerie Gaus, Ph.d., Senior Psychology Supervisor, YAI When creating treatment plans for consumers in MR?DD Programs (residential and day services), professionals must rely on approaches and systems that were designed for people with mental retardation. Unfortunately, the needs of people with autistic spectrum disorders cannot b met by adhering to these conventions. This presentation wil offer approaches for “thinking outside the box” when designing habilitative and behavioral programs for people on the autistic spectrum.
33. Let’s Talk About Sex Lisa Sperling, Nurse Educator, & Joe Marutuollo, Residential Director, WORC This workshop will explore the sensitive subject of sex and how one agency turned an unforeseen problem into a positive learning experience. The discussion will focus on the use of education to support the consumers, staff and parents to answer any “not easy to discuss” questions that could arise while living in a coed environment. Participants will learn the successes of the educational supports, with pre and post evaluation of the consumer’s educational and comfort levels. Resources will be shared. (Administrative, Clinical, Consumer/Parent, Direct Service)
34. Supporting Micro Enterprise… through the Visual Arts Pamala Rogers, Director of Expressive Art Therapy Services, The Shield Institute The Shield Institute has opened an art studio in New York City dedicated to the artistic and professional development of artists with developmental disabilities. The presentation will discuss how to work to support individuals who have expressed interest in building lives with art as the central theme of their daily routine. These activities provide natural opportunities for individuals to develop their portfolios, market their creations, become active members of the community, develop valued roles as artists and build relationships with others based on their interests and talents. (All)
35. Automated Consumer Case Record Management Ernie Haywood, Director if ICF/IRA/Family & Foster Care, Lifetime Assistance, Inc. & Christine Casillo, Precision Care Software The presenters will be discussing PrecisionCare, a web-based software application designed in collaboration with Lifetime Assistance, Inc. The presenters will demonstrate how computer technology can increase staff efficiency and play an integral role in corporate compliance. The many aspects of successful computerization and their experiences in making the transition to a web-based record keeping model will be addressed. (All)
36 Quality Assurance in New York State Jan Abelseth, Deputy Commissioner, Department of Quality Assurance, Lisa Kagan, Associate Commissioner, Administration & Revenue, Dennis Collins, Director of Central Operations, NYS OMRDD The presenters will provide a brief update on recent QA happenings in New York State. In addition, information on the new survey protocols for clinics and an update on clinic issues and changes will be provided. (All)
37. Alternatives to Group Home Living: A Call for Innovative Solutions Hanns Meissner, Chief Operating Officer, & Christopher Liuzzo, Director of Residential Services, Rensselaer ARC Residential agencies are facing a dual challenge of supporting individuals in ways that promote self-direction at a time when it is difficult to find appropriately qualified staff. The problem set is to find greater skill levels and flexibility from support providers to fit each uniquely individualized living situation with the context of a workforce crisis. Paradoxes such as these call for increased levels of innovation and creativity from service providers. This session will explore alternatives to group home living and the practice of organizational innovation.
11:30am-1:30pm LUNCH
1:30pm-3:00pm SESSION V
38. Poster Session
39. Promoting Cultural Diversity in the Workplace Lee Rambeau, Vice President, Developmental Disabilities Services, Harry Nussbaum, Assistant Vice President, Day & Consumer Services & Christopher Long, Assistant Vice President, Residential Services, FEGS Culturally appropriate services are essential for individual success within the framework of the Individual Service environment. This session will address ways to nurture a more competent and sensitive perspective on cultural diversity within the Developmental Disabilities system of care. You will learn how to gain greater acceptance of co-workers to establish better working relationships and gain greater awareness of cultural factors impacting on service provision. (All)
40 HIPAA – What’s it all about? Emily Santoro, Corporate Compliance Officer, & Kirk M. Lewis, General Counsel, Schenectady ARC Come listen, share and learn all about HIPAA. How will HIPAA help your agency promote better confidentiality standards? How will your agency fare with the privacy and security rules? These topics and the privacy, security and National standards for Electronic health care and code sets will be reviewed. You will be provided with examples of HIPAA policies and authorization forms. (Administrative)
41. Delivering the Promise Tom McAlvanah, Associate Executive Director, & Paul Cassone, Associate Executive Director, Lifespire, Promise of Opportunity Statewide Planning Committee Consumers, self-advocates, families, state and voluntary agencies have furthered their commitments to providing individually tailored service environments and towards recognizing the unique contributions of direct support professionals. The presenters will highlight past accomplishments in these areas, recognize the obstacles to implementation and jointly strategize on developing action plans to move the system (All)
42. Enhancing Care through Incident Management and Quality Improvement: Lessons Learned in Twenty-five Years Mark Keegan, CSW, Director, Peter Behm, M.S.W., Team Leader, and Katherine Bishop, M.P.A., Team Leader, Quality Assurance and Investigations Bureau, NYS Commission on Quality of Care Over the past twenty-five years, CQC has examined more than 150,000 allegations of abuse. As a result, the important role that incident management plays in improving care has been recognized. This discussion will include the definition and process of Incident Management, case examples showing common problems and a list of the “top ten” incident and programmatic management recommendations. (Administrative, Clinical, Middle Management)
43. Creating an Effective Board of Director’s Manual Katie Meskell, Executive Director, UCP of Westchester Do you need to establish better communication with your board of directors? Stressing the importance of clear and open channels of communication, participants will learn how to create a simple, yet effective Board manual that serves as a permanent resource in your governance tool box. (Administrative)
44. Quality Enhancement Margaret Batson, Division Director of Adult Services, Peg Hilborn & Amy Falvo, Directors of Residential and Day Services, UCP of Utica This agency’s Quality Enhancement Plan focuses on satisfaction and respect for the individuals supported. It is a multi-discipline approach to go from philosophy of service to assessment and implementation of tools and techniques. This presentation demonstrates a comprehensive approach that provides ideas and tools for development and implementing an enhancement plan. (All)
45. The JFK Jr. Institute for Worker Education William Ebenstein, Executive Director Hear about the four programs administered by Reaching Up, based at the JFK Jr. Institute for Worker Education, including Director Support Worker Fellows, Disabilities Studies & Career Ladder, Direct Care Worker Incentives and Health Benefits Survey & Analysis. In addition to facilitating worker recruitment and retention, programs focus on career ladder initiatives and workforce research. (All)
46. The Community Forum: Community Members as Agency Partners and Leaders in Creating Personal Communities Jacqueline & Bruce Blaney, Emily Etheridge, & Reginald Geary, Partnership for Excellence This workshop will discuss the Community Forum and Community Building Teams as effective strategies for supporting relationships and contributing roles in one’s community. one of the Partnership for Excellence Community Building Teams received the American Association on Mental Retardation 2002 National Community Inclusion Award. (All)
3:00-3:15 BREAK
3:15pm-4:30pm SESSION VI
47. Living Life as Your Legacy Creighton Drury, Assistant Executive Director, Cardinal McCloskey Services Using Steve Covey’s “Seven Habits of Highly Effective People” as a reference, this workshop will engage participants in assessing areas of their own personal and professional lives. Habit number two, “Begin with the End in Mind,” serves as the central theme and participants will reflect on their legacy, how they wish to be remembered by colleagues, consumers, friends and family. This workshop is experiential in nature and uses music, video clips and group activity to highlight key concepts. (All)
48. What is Assertive Community Treatment? Kristin Williams, Director of Service Coordination, & Nicole Rizzo, ACT Team Leader, Community Services for the Developmentally Disabled Meeting the needs of individuals is a delicate balancing act. For individuals who have been treatment resistant and are hard to reach, the ACT model may be a less intrusive approach. For individuals who are diagnosed as developmentally disabled and have mental health issues or challenging behaviors, supports can be time-consuming and frustrating. The ACT model can provide those extra supports that are often not available in the typical brokering model. Creativity is the key to a successful ACT team with achievement based on alternate options and methods. (Clinical, Service Coordination, Direct Support, Middle Management)
49. Nursing on-Call: How to Outsource It June Crawford, RN, BSM, The Bonadio Group Faced with limited resources and a nursing shortage, many agencies struggle to provide access to RNs twenty-four hours a day. Learn how one agency outsourced its “after hours” nursing on call. Participants will learn how to negotiate RN on call services from a home health agency and develop protocols for information sharing, reporting and documentation that follow OMRDD guidelines and HIPAA Privacy Regulations. (Administrative, Clinical)
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