Current through Register Vol. 47, No. 6, September 18, 2024
An initial program plan shall be developed within 24 hours
of admission. This plan shall be based on information gained from the resident,
family, physician or referring facility. Services to be provided shall be
addressed. Intervention to be provided, if and when the need arises, shall also
be addressed in the IPP. The plan shall be followed until the IPP required in
subrule 65.12(1) is complete. The initial plan shall be completed by a
registered nurse, a qualified social worker or a QMHP. (II, III)
(1) An individual program plan for each
resident shall be developed by an interdisciplinary team. The resident or the
resident's legal guardian has the ultimate authority to accept or reject the
plan unless otherwise determined by the court. The IPP shall be approved and
have implementation monitored by the QMHP (II, III)
a. The IPP shall be based on the individual
service plan of the referring agency, if available, the information contained
in the social history, the need for services identified in the evaluation, and
any other pertinent information. (Ill)
b. The facility shall assist the resident in
obtaining access to academic services, community living skills training, legal
services, self-care training, support services, transportation, treatment, and
vocational education as needed. These services may be provided by the facility
or obtained from other providers. (Ill)
c. Services to the resident shall be provided
in the least restrictive environment and shall incorporate the principle of
normalization. (Ill)
d. If needed
services are not available and accessible, the facility shall document the
actions taken to locate and obtain those services. The documentation shall
identify needs which will not be met because of the lack of available services.
(Ill)
e. The IPP shall be developed
within 30 days following admission to the facility and renewed at least
annually. (II, III)
f.The IPP shall
be written, dated, signed by the interdisciplinary team members, and maintained
in the resident's record. (Ill)
g.
Written notice of the meeting to develop an IPP shall be mailed or delivered to
everyone included in the interdisciplinary team conference at least two weeks
before the scheduled meeting. (Ill)
(2) The IPP shall include the following:
a. Goals, (III)
b. Objectives, (III)
c. Specific services to be provided,
(III)
d. People or agency
responsible for providing services, (III)
e. Beginning date, (III) and
f. Anticipated duration of services.
(Ill)
(3) The IPP shall
set out the procedure to be used to evaluate whether objectives are achieved.
This procedure shall incorporate a process for ongoing review and revision.
(Ill)
(4) The interdisciplinary
team shall review the IPP at a team meeting at least quarterly and when the
resident's condition changes. (II, III)
a. The
interdisciplinary team shall develop a written report which addresses:
(1) The resident's progress toward
objectives; (II, III)
(2) The need
for continued services; (II, III)
(3) Recommendations concerning alternative
services or living arrangements; (II, III) and
(4) Any recommended change in guardianship,
conservatorship or commitment status. (II, III)
b. The report shall reflect those involved in
the review, the date of the review, and be maintained in the resident's record.
(Ill)
(5) There shall be
procedures for recording the activities of each service provider and a
mechanism to coordinate the activities of all service providers. Resident
response to all activities shall be recorded. (Ill)
a. Staff shall create a record at the time of
a service required by the IPP. If this is not possible, the record shall be
written no more than seven days later (III)
b. When the services are provided more than
once a week, staff may make a monthly summarized entry in the resident's
record. (Ill)
c. Entries shall be
dated and signed by the person who provides the service. (Ill)
d. Entries shall be made when incidents
occur. (Ill)
e. Entries shall be
written in terms of behavioral observations and specific activities. Entries
that involve subjective interpretations of a resident's behavior or progress
shall be clearly identified and shall be supplemented with descriptions of
behavior upon which the interpretation was based. (Ill)
This rule is intended to implement Iowa Code section
135C.14.
