September 2005 Edition - Access Press

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September 10, 2005

Inside

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“We must remember that any oppression, any injustice, any hatred, is a wedge designed to attack our civilization.”

■ What Is Sickle Cell Disease— p. 6 ■ Get-a-way to the N. Shore— p. 7 ■ ADA Celebration— p. 12

— Franklin Delano Roosevelt Nonprofit Org. U.S. Postage PAID Mpls. MN Permit No. 4766

Volume 16, Number 9

Minnesota’s Disability

Community Newspaper

September 10, 2005

AGE AND DISABILITY ODYSSEY CONFERENCE by Julia Socha

I Jean Wood (right), of the Minnesota Board on Aging, presenting the Service Award to Linda Morrow, of Elder Circle at the 2005 Age and Disability Odyssey Conference. (More award winners on page 12.)

attended the Building Together: The 2005 Age and Disabilities Odyssey Conference through a scholarship registration from the Department of Human Services and Courage Center. My vacation leave from work was reaching the maximum level for use or lose (again), and with no vacation for the Socha family in sight, I de-

cided to take some time off for professional development. When I saw the The 2005 Age and Disabilities Odyssey Conference program and found out about available scholarships to attend, I knew this was an opportunity right up my alley. The conference was hosted in beautiful Duluth and covered topics that I was already in the process of exploring; it would

PCA Program Changes by Lance H. Hegland

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n June 28, 2005 the Minnesota Department of Human Services (DHS) announced two important changes impacting personal care assistant (PCA) services reimbursed under Medicaid/Medical Assistance (MA), MinnesotaCare, the Alternative Care Program, and certain waivered service programs (i.e., any Minnesota Health Care Program). Background Studies First, the new law prohibits a PCA from working unsupervised with any client of a home care or PCA Choice agency until that agency has submitted a background study of that PCA and received a notice from DHS stating the results are “clear.” Previously, PCAs could begin working unsupervised as soon as the agency submitted the request for a background study—the PCA didn’t have to wait until the results were returned. This change closes a loophole used by individuals with prior criminal convictions or documented abusive behavior. For example, John Doe

has been convicted of a felony two years ago, is looking for a temporary job to help ends meet, knows his background study results will not be known for two to three weeks, and begins working as a PCA. Two or three weeks later, his background study results are received indicating he is prohibited from working in the field; he is immediately fired from his PCA position. However, he has already been working unsupervised, consumers have been exposed to risks. Yet, the change may present new challenges. Judy Elling, the Program Administrator for Twin Cities based PCA Choice provider named People Enhancing People (PEP), recently attended the August 12 DHS PCA Provider Focus Group and offers valuable insights and suggestions. She points out that, “Any new PCA or existing PCA [switching to a different provider organization, perhaps as a result of a client’s choice to move to a different agency] cannot have unsupervised direct contact with a client until they have cleared the

background study. Only an individual with a cleared background check can provide the supervision (a parent, family member, or responsible party can not supervise the PCA)…The PCA Choice law allows consumers to be the supervisor/manager of their PCAs, however this new background study law takes that right away when a consumer hires a new PCA [or switches agencies]. It is understood and agreed that the law is important for the protection the most vulnerable people in our communities. However, by not allowing the parent or a consumer to be the supervisor for a PCA without a cleared background study, it is taking away the empowerment provided to the parent and consumer from the PCA Choice law.” Elling indicated that the law provides the DHS Licensing Division access to all Minnesota county court databases and, according to DHS representatives at the Provider Focus Group, this Division will be conducting daily searches of these databases against all new and existing PCAs. This

enables DHS to see if any PCAs have committed an offense which may reverse the original background clearance. When a particular PCA’s clearance is revoked, the Licensing Division will immediately notify organizations employing that PCA and ensure the PCA prevented from providing any further direct care. She goes on to say, “Every organization a PCA is employed with must get a background study clearance for that [particular] PCA. The DHS background study costs each organization $20. This process is costly and time consuming for the DHS Licensing Division and provider organizations. It also produces increased workloads and backlogs in the processing of the background studies.” She proposes allowing a PCA to use the results of a single background study for up to 12 to 18 months with any provider organization; a simple verification process given the second PCA service change announced by DHS: the use of PCA Program - cont. on p. 8

give me the chance to do something very worthwhile with my vacation leave. Professionally, I coordinate the Institute on Community Integration’s Community Advisory Council. The subject matter that would be presented was exactly what I was looking for as I begin to design topics related to aging and disability for our Council. Personally, I have wanted to know what I have to look forward to as a person living with a disability and aging (some days more rapidly than others)! In addition, my family has also become aware of the need for total family involvement in coordinating resources and support for a family member who has a chronic health condition/disability. My uncle was among many folks who were able to move out of a nursing home facility with assistance from the Metropolitan Center for Independent Living. He had a period of time where his health was declining, his muscle spasms were increasing (he has quadriplegia), and changes were taking place with his kidney function. None of us ever imagined that he would spend any time in a nursing home. We always imagined that the PCA services he received would be enough to sustain his recovery after he was discharged from the hospital. We anticipated his needing an increase in service hours only. Unfortunately, he could not secure regular and consistent support in his home. As a family, we tried to reassure him that the nursing home recovery period would only be temporary. It lasted much

longer than anyone anticipated. He lost the apartment he had been living in due to his length of stay in the nursing home. The folks at the nursing home were fabulous, and the care was very good, but it simply was not his “choice” to live there. He made his needs and wants known while in the nursing home. And the staff and others listened, although they didn’t always know what to do to get a process started. He kept talking, they kept listening, and a plan developed. He now lives in an adult home setting with others who are active like he is and who have the same goal—to live the best life possible. He has also just accomplished getting his very first accessible van with a ramp. By attending the Age and Disability Conference, I learned how our process of family support could have been easier and more organized. The Families as Caregivers session on how to recognize key signs of when a “family meeting” is necessary showed me thatwe could have done much more to keep everyone on the “same page” and organized in the division of assignments to ensure follow up could be easily done. Sometimes it became an issue of “who was on first—and who was doing what!” At times our planning process was “mass chaos” and it did not need to be that way. Another excellent presentation at the conference was on Telehealth. The title itself excited me as I enjoy any process that can make managing healthcare easier and more practical for the consumer. In this session I learned some Odyssey - cont. on p. 13


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