Transcript Army After Next: Community and Family Support

Family and Morale, Welfare, and Recreation
Command
FMWRC)
Redesigned Special Needs Accommodation
Process (SNAP)
Judy Eoff
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
SNAP Inter-Agency Process Team
Team Members
• LTC Donna Upshaw-Combs, Army Public Health Nurse, Fort Riley
• MAJ Kathi Hill, Army Public Health Nurse, Fort Campbell
• Shirley Brown, FMWRC-Family Programs
• Judy Eoff, Exceptional Family Member Program Manager, Fort Lee
• Marcina George, FMWRC-CY
• Joann Hollandsworth, FMWRC-CY
• Dorene Jenkins, Outreach Services Director, CYS, Fort Bragg
• Beth McMillan, Community Health Nurse, Fort Huachuca
• Ann Schulte, Exceptional Family Member/FAP Manager, IMCOM NE
• Chris Welde, RCYET Team Chief, IMCOM-W
• Shirley Young, FMWRC-CY
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Mission / Charge
GOAL: Streamline the SNAP Process
OUTCOMES:
• Standardized policies and procedures
• User friendly process
• Decrease barriers to care
• Timely access to care
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Defined Roles
• Installation EFMP Manager
• CER / Outreach Services Director
• CYS Coordinator / Designee
• Army Public Health Nurse
• Parent
• Augmentees
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Installation EFMP Manager
• Establish the SNAP Team as subcommittee of installation EFMP
Committee
• Serve as SNAP chairperson and core member
• Schedule SNAP meetings and case reviews in a two-week period
• Notify all SNAP Team members about meeting agenda
• Ensure SNAP minutes are prepared, disseminated and filed
• Ensure all annual case reviews are tracked and completed
• Review and update annually the installation annex of the HQDA
SNAP SOP in coordination with core members
• Make recommendations for special needs training for direct
staff/providers, SNAP Team members, and parents
• Provide training resources/materials
• Refer parents/guardians to appropriate installation and/or
community services
• Establish an installation SNAP Review Team; serve as member
• Keep command informed about difficult cases or complex issues
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
CER / Outreach Services Director
•
Ensure Tool 1 is completed – initial screening; provide parent with the appropriate
Medical Action Plan
•
Explain SNAP process - Inform parent about the SNAP process
•
Collect forms/Tools and forward to appropriate person
•
Refer to specialist - CER Staff can talk the basics but once the parent discusses
intimate details, then the parent could speak to the Outreach Services
Director/Special Needs Director
•
Identify to parent documents needed for SNAP review
•
CER serves as the central repository for SNAP documentation
–
CER = one stop shop
•
Documentation – input into CYMS and forwarded to relevant info and paperwork to
assigned program
•
Attend SNAP
•
Recapture medical update and child information at re-registration or changes are
indicated
•
Parent that has not followed thru on documentation – pass can be expired in CYMS
•
Transfer child data from losing Garrison to receiving Garrison
•
Keep Chain of Command advised of any special needs cases as warranted
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Child & Youth Services Coordinator / Designee
• Adhere to the recommendation of the SNAP
• Ensure CYS Staff are trained related to Special Needs
• Quality Control for CYS SNAP administration responsibilities
• Keep Chain of Command advised of any special needs cases as
warranted
• Ensures procedures are established for ensuring emergency
intervention child care is established.
• Attend SNAP or appoint a designee
• Establishes an Installation annex for CYS to the Special Needs
SOP
• Attend SNAP Cases for placement for complex cases
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Army Public Health Nurse
•
Attend SNAP
•
Review and validate medical documents – Pre-SNAP and on going
•
Make referrals as appropriate for medical care; documents – follow up if
clarification is needed
•
Access medical records
•
Documentation recommended in electronics medical records
•
Special Needs training for direct care staff/parents
•
Translate medical documents
•
Approve and provide exceptions to policies on medication if indicated
•
Serve as Health Consultant/
•
Quality control (assurance) for the entire SNAP Process – e.g. during
inspections looking to see the process is working
•
Forward appropriate forms to EFMP / CER
•
Review Medical Action Plans for efficiency
•
Case Management of EFMP/Special Needs/SNAP Children
•
Keep Chain of Command advised of any special needs cases as warranted
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Parent
•
Complete the forms/provide required docs.
•
Attend SNAP and follow up meetings
•
Follow-up with SNAP care plans/recommendations
•
Liaison between the medical provider and the SNAP Team
•
Communicate concerns to SNAP
•
Provide authorized release of information to get services for child
(HIPPA, Privacy Act, etc.)
•
Advise SNAP team, direct care staff and program where child is attending
of any changes to child’s condition/status
•
Want parent to be a partner in the SNAP process
•
Attend Training if applicable
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
AUGMENTEES
Child &Youth Services Nurse
•
Case Management
•
Special needs training (meds, care)
•
Administer medication – recue meds *(Not allowed at this time)
•
Perform medical procedures within the scope of practice
•
Attend the SNAP
•
Review documentation in CYMS
•
Maintain actions/documentation/Institute action plans and ensure action
plans can function on a day-to-day basis
•
Validate Medical Action Plan/Revalidate Plan – ongoing - to ensure child’s
needs are met / monitor change in conditions
•
Observations of children – re: Child behavior issues
•
Quality control/Assurance (under the direction of the APHN and CYS
Coordinator
•
Keep Chain of Command advised of any special needs cases as warranted **
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Augmentees
• JAG Rep. SJA
– (Advisor to the Commander on all legal issues)
– Serve on the Review Team
– Adjunct member on call to SNAP – on call Subject Matter
Expert (SME)
– Legal Advise related to DA Policy on Special Needs
• School Liaison Officer
– Liaison to schools and other educational resources
– Serve as a Resource to parent on school related to Special
Needs issues
– Partner with EFMP
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Forms
• Original Forms have gone from 8 pages to 3
• Developed 4 Medical Action Plans (MAP)
• Benefits
– Process of registration is streamlined
– Increased ease of SNAP process
– Standardized MAP staffed though OTSG for
approval
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Forms
• Enrollment and Assessment Forms
– Tool 1 (replaces 7625 -1 & 7625 – 2)
– Tool 2 (replaces 7625 – 3)
• Medical Action Plans
– Asthma
– Diabetes
– Allergies
– Seizures
– Special Diet Plan
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Health Screening Tool 1
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Health Screening Tool 2
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Asthma Medical Action Plan
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
Seizure Medical Action Plan
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008
SNAP Flow Chart
Patron Completes CYS Army CYS Screening Tool 1 in CER
Patron CYS Screening Tool Responses/Answers
Yes
No
No
Register
Enroll
Place in CYS program
APHN
Medical Action Plan
Required
Forward Tool 1
To APHN
Yes
CER
Patron Takes
Medical Action Plan
To Provider and Returns
To CER
• Reviews Tool 1, medical
records, contacts patron, etc.
• Returns Tool to CER and
EFMP
SNAP Required
Yes
Schedule for SNAP
No
Register
Enroll
Place in CYS program
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
EFMP Manager
• Conduct SNAP Meeting
• Complete Tool 2
Accommodation
Yes
• Place in CYS Program
• Send SNAP Tools to CER
• Forward SNAP Tool 2 and
Medical Action Plan to Program
Service site
No
• Provide Resource and
Referral Services
• Maintain SNAP Tools in CER
• Provide Patron copy Tool 2
21 July 2008
Questions????
M.-A. Lucas/IMWR-CY/(703)
681-5378
(DSN
761) 761)
[email protected]
Delores
Johnson/IMWR-FP/(703)
681-5375
(DSN
/ [email protected]
Judy
Eoff
21 July 2008