Annual Training: Protecting the Health & Welfare of People

Items Covered:

  1. Individual Rights

  2. Abuser Registry Annual Notice

  3. MUI Category Review - Reported in Under 4 Hours

  4. 2020 - Present Health & Welfare Alert Review

1. Individual Rights

By completing the acknowledgement survey at the end of this training, I agree to uphold the rights of the person/people I support:

  1. Be treated at all times with courtesy & respect with full recognition of their dignity & individuality

  2. Have a clean, safe place to live that recognizes the person’s need for privacy & independence

  3. Have food that meets standards of nutrition

  4. Be able to practice the religion of their choice or abstain from the practice of religion

  5. Have timely access to appropriate medical or dental treatment

  6. Access necessary services like speech therapy, physical therapy, and mental health services

  7. Receive appropriate care & service is the least intrusive manor (most kind way)

  8. Privacy—including periods of privacy (private time) & places of privacy

  9. Communicate freely with persons of their choice in any reasonable manner they choose

  10. Own & use personal possessions to maintain individuality & personal dignity

  11. Social interactions with all people—regardless of gender

  12. Access to opportunities that enable individuals to develop their full human potential

  13. Right to work & enhance financial independence

  14. Be treated equally as citizens under the law

  15. Be free from emotional, psychological, & physical abuse

  16. Participate in appropriate programs of education, training, & social development

  17. Participate in decisions that affect their lives

  18. Select a parent or advocate to act on their behalf

  19. Manage their personal finances based on their ability to do so

  20. Confidential treatment of all personal & medical records

  21. Voice complaints & recommend changes without fear of restraint, interference, coercion, or discrimination

  22. Be free from unnecessary chemical or physical restraints

  23. Vote & participate in the political process

  24. Refuse to participate in research or experiment

2.  Abuser Registry Annual Notice

By completing the acknowledgement survey at the end of this training, your electronic signature indicates your receipt of this notice.  If you have questions regarding the Abuser Registry, you can contact your Regional Program Director or Operations Manager:

The Ohio Department of Developmental Disabilities (“Department”) maintains an Abuser Registry which is a list of employees who the Department has determined have committed one of the Registry offenses listed below. If your name is placed on the Registry you are barred from employment as a Developmental Disabilities employee in the state of Ohio. Because other state agencies require employers to check the Abuser Registry, placement on the Registry also prohibits you from being employed (1) by a Medicaid agency, being an owner (5 percent or more) of an agency or having a Medicaid Provider Agreement as a non-agency provider; (2) in a position to provide Ombudsman services or direct care services to anyone enrolled in a program administered by the Ohio Department of Aging; and (3) by a home health agency in a direct care position and may prevent you from being hired in a nursing home or residential care facility in a direct care position. After 1 year, the person may petition the Department for removal of their name from the Registry. If the petition is denied, the name remains on the Registry.  The name of any “Developmental Disabilities (DD) employee” may be placed on the Registry. DD employee includes any Department employee, any employee of a county board of DD, an independent provider under Ohio Revised Code section 5123.16, and any employee providing specialized services to an individual with developmental disabilities. A specialized service is a program or service designed to primarily serve individuals with developmental disabilities including services by an entity licensed or certified by the Department.

Abuser Registry Offenses:

  • Physical Abuse - the use of any physical force that could reasonably be expected to result in physical harm.

  • Sexual Abuse - unlawful sexual conduct (unprivileged intercourse or other sexual penetration) and unlawful sexual contact (unprivileged touching of another’s erogenous zone).

  • Verbal Abuse - purposely using words to threaten, coerce, intimidate, harass or humiliate an individual.

  • Prohibited Sexual Relations - Consensual touching of an erogenous zone for sexual gratification and the individual is in the employee’s care and the individual is not the employee’s spouse.

  • Neglect - when there is a duty to do so, failing to provide an individual with any treatment, care, goods or services necessary to maintain the health or safety of the individual.

  • Misappropriation (Theft) - obtaining the property of an individual or individuals, without consent, with a combined value of at least $100. Theft of the individual’s prescribed medication, check, credit card, ATM card and the like are also Registry offenses.

  • Failure to Report Abuse, Neglect or Misappropriation - the employee unreasonably does not report abuse, neglect or misappropriation of the property of an individual with developmental disabilities, or the substantial risk to such an individual of abuse, neglect or misappropriation, when the employee should know that their non-reporting will result in a substantial risk of harm to such individual.

  • Conviction or Plea of Guilty to: Offense of Violence - R. C. 2901.01, including convictions for the offense of Assault, Menacing, Domestic Violence or Attempting to commit any offense of violence; Sexual Offenses - R. C. Chapter 2907; Theft Offenses - R. C. Chapter 2913; Failing to provide for a functionally impaired person – R.C. 2903.16; Patient Abuse or Neglect - R.C. 2903.34; Patient Endangerment - 2903.341; and/or Endangering Children - 2919.22.

 

If someone is in danger, call 911.

To report abuse or neglect, contact your County Board’s MUI Reporting Hotline or call DODD’s Abuse & Neglect Hotline at 866-313-6733. 

Please call DODD at 614-995-3810 with any questions regarding the Registry 

More information is available on the Ohio Department of DD’s website under Health & Welfare: dodd.ohio.gov

3.  MUI Category Review - Reported in Under 4 Hours

By completing the acknowledgement survey at the end of this training, your electronic signature indicates you understand the following MUI categories and that they are to be reported within 4 hours per Frontier's policy - regardless of which MUI category they fall within.

Major Unusual Incidents (MUIs) - The Following MUST be

Reported in Under 4 Hours

Death:  the death of an individual by natural cause without suspicious circumstances, accidental, or with suspicious circumstances.  

Exploitation:  the unlawful or improper act of using an individual or an individual's resources for monetary, personal benefit, profit, or gain.

Failure to Report:  a person, who is required to report pursuant to section 5123.61 of the Revised Code, has reason to believe that an individual has suffered or faces a substantial risk of suffering any wound, injury, disability, or condition of such a nature as to reasonably indicate abuse, neglect, misappropriation, or exploitation that results in a risk to health and welfare of that individual, and such person does not immediately report such information to a law enforcement agency, a county 5123-17-02 4 board, or, in the case of an individual living in a developmental center, either to law enforcement or the department. Pursuant to division (C)(1) of section 5123.61 of the Revised Code, such report shall be made to the department and the county board when the incident involves an act or omission of an employee of a county board.

Misappropriation: depriving, defrauding, or otherwise obtaining the real or personal property of an individual by any means prohibited by the Revised Code, including Chapters 2911. and 2913. of the Revised Code.

Neglect: when there is a duty to do so, failing to provide an individual with medical care, personal care, or other support that consequently results in serious injury or places an individual or another person at risk of serious injury. Serious injury means an injury that results in treatment by a physician, physician assistant, or nurse practitioner.

Physical Abuse:  the use of physical force that can reasonably be expected to result in physical harm to an individual. Such physical force may include, but is not limited to, hitting, slapping, pushing, or throwing objects at an individual.

Prohibited Sexual Relations:  a developmental disabilities employee engaging in consensual sexual conduct or having consensual sexual contact with an individual who is not the employee's spouse, and for whom the developmental disabilities employee was employed or under contract to provide care or supervise the provision of care at the time of the incident.

Rights Code Violation: any violation of the rights enumerated in section 5123.62 of the Revised Code that creates a likely risk of harm to the health or welfare of an individual.

Sexual Abuse:  unlawful sexual conduct or sexual contact as those terms are defined in section 2907.01 of the Revised Code and the commission of any act prohibited by Chapter 2907. of the Revised Code (e.g., public indecency, importuning, and voyeurism) when the sexual conduct, sexual contact, or act involves an individual. 5123-17-02 5

Verbal Abuse:  the use of words, gestures, or other communicative means to purposefully threaten, coerce, intimidate, harass, or humiliate an individual.

Attempted Suicide:  a physical attempt by an individual that results in emergency room treatment, in-patient observation, or hospital admission.

Medical Emergency:  an incident where emergency medical intervention is required to save an individual's life (e.g., choking, back blows or CPR, use of an automated external defibrillator, or use of an epinephrine auto injector).

Missing Individual:  an incident that is not considered neglect and an individual's whereabouts, after immediate measures have been taken, are unknown and the individual is believed to be at or pose an imminent risk of harm to self or others. An incident when an individual's whereabouts are unknown for longer than the period of time specified in the individual service plan that does not result in imminent risk of harm to self or others shall be investigated as an unusual incident.

Peer-to-Peer Act: - any of the following incidents involving two individuals:

  • Exploitation which means the unlawful or improper act of using another individual or another individual's resources for monetary or personal benefit, profit, or gain.

  • Theft which means intentionally depriving another individual of real or personal property valued at twenty dollars or more or property of significant personal value to the individual.

  • Physical act which means a physical altercation that:

    • Results in examination or treatment by a physician, physician assistant, or nurse practitioner; or 5123-17-026

    • Involves strangulation, a bloody nose, a bloody lip, a black eye, a concussion, or biting which causes breaking of the skin; or

    • Results in an individual being arrested, incarcerated, or the subject of criminal charges.

  • Sexual act which means sexual conduct and/or contact for the purposes of sexual gratification without the consent of the other individual.

  • Verbal act which means the use of words, gestures, or other communicative means to purposefully threaten, coerce, or intimidate the other individual when there is the opportunity and ability to carry out the threat.

Significant Injury:  an injury to an individual of known or unknown cause that is not considered abuse or neglect and that results in concussion, broken bone, dislocation, second- or third-degree burns, or that requires immobilization, casting, or five (5) or more sutures. Significant injuries shall be designated in the incident tracking system as either known or unknown cause.

Law Enforcement:  any incident that results in the individual served being tased, arrested, charged, or incarcerated.

Unanticipated Hospitalization:  any hospital admission or hospital stay over 24-hours that is not pre-scheduled or planned. A hospital admission associated with a planned treatment or pre-existing condition that is specified in the Individual Service Plan indicating the specific symptoms and criteria that require hospitalization need not be reported.

Unapproved Behavioral Support:  the use of a prohibited measure as defined in rule 5123:2-2-06 of the Administrative Code or the use of a restrictive measure implemented without approval of the human rights committee or without informed consent of the individual or the individual's guardian in accordance with rule 5123:2-2-06 of the 5123-17-02 7 Administrative Code, when use of the prohibited measure or restrictive measure results in risk to the individual's health or welfare. When use of the prohibited measure or restrictive measure does not result in risk to the individual's health or welfare, the incident shall be investigated as an unusual incident.

Immediately upon identification or notification of a Major Unusual Incident (MUI):

Take all reasonable measures to ensure the health and welfare of at-risk individuals.  Such measures shall include:

  1. Immediate and ongoing medical attention, as appropriate;

  2. Removal of an employee from direct contact with any individual when the employee is alleged to have been involved in physical abuse or sexual abuse until such time as the provider has reasonably determined that such removal is no longer necessary; and

  3. Other necessary measures to protect the health and welfare of at-risk individuals.

4.  2020 - Present Health & Welfare Alert Review

As part of your annual training, the Ohio Administrative Code 5123-17-02 requires all employees working in the developmental disabilities field to review Health & Welfare Alerts released by the Department of Developmental Disabilities (DODD) since the previous year’s training. (We also publish these on the Deputy newsfeed as soon as they are released so you can review them.) By completing the acknowledgement survey at the end of this training, your electronic signature indicates that you have reviewed and understand the following 11 Health & Welfare Alerts. This is required to ensure commitment to health, welfare, and continuous quality improvement to prevent or reduce the risk of harm to individuals.   You can find these alerts on the Ohio Department of Developmental Disabilities' website by clicking here: 

https://dodd.ohio.gov/wps/portal/gov/dodd/health-and-welfare/health-and-welfare-alerts/

2020 H&W Alerts.JPG
2021 H&W Alerts.JPG

Please click here to complete the survey acknowledgement to confirm you completed the self-study training: 

https://www.surveymonkey.com/r/MUI2021

Thank you so much for all you to make sure the people we support are safe, healthy, and happy!