Effective Service and Treatment Plan Development that is Person-Centered
The overall quality of our life is directly impacted by the status of our health. The Individualized Support Plan should be a document that forges a path to a better quality of life for the person. Therefore, it should come as no surprise that information regarding health risk would be a key component to the development of this plan. No matter what population you support, the person should always be at the heart of the planning process. A major factor of that process is an intense awareness of the person’s health risk, both overall and in specific areas. Any support plan that directs a person’s services or affects how the person lives their life must include information about not only where the person is at risk currently but also what to do about those identified areas of risk and destabilization.
The information gathered in the HRST screening process plays a vital role in the development and content of an effective person-centered plan. This information can be included in the health and safety sections of the plan, making these sections more robust and useful especially with regards to triggering other evaluations, assessments, or staff training that may be needed. This information can even be used to create meaningful goals and action plans that foster overall better health and greater quality of life for the person.
New CMS Final Rule
New CMS regulations went into effect on March 17, 2014 (CMS Final Rule – 2249/2296 –F). These new regulations require person-centered planning that addresses each individual’s long-term care services and supports.
These new regulations allow for the identification of “…risk factors and measures in place to minimize them.” These steps “…assist the individual in achieving personally defined outcomes in the most integrated community setting, ensure delivery of services in a manner that reflects personal preferences and choices, and contribute to the assurance of health and welfare” (§ 441.301(c)(2)(vi)).
The HRST can help users comply with this Final Rule in multiple ways. It is used within the person-centered planning process to inform on risk factors to develop plans and strategies that are effective and beneficial for the individuals receiving supports and services. Because the HRST is objective, it can direct the support team on how to manage these risks and to help ensure that the health and welfare is not overlooked in the planning process. The HRST can help accurately determine the intensity and degree of clinical supports that are needed to manage and minimize risk so it can provide valuable information needed to plan for long-term services. Using the HRST can provide a consistent, standardized method of assessing risk across all individuals served by your program thus assisting you in compliance with the CMS Final Rule.