NOND Board Directors Participate in National Disability Leadership Alliance (NDLA) Retreat in DC on June 6, 2016

National Disability Leadership Alliance (NDLA) is a national cross-disability coalition that represents the authentic voice of people with disabilities.

NDLA is led by 15 national organizations run by people with disabilities with identifiable grassroots constituencies across the United States. The NDLA steering committee includes: ADAPT, the American Association of People with Disabilities, the American Council of the Blind, the Association of Programs for Rural Independent Living, the Autistic Self Advocacy Network, the Hearing Loss Association of America, Little People of America, the National Association of the Deaf, the National Coalition for Mental Health Recovery, the National Council on Independent Living, the National Federation of the Blind, the National Organization of Nurses with Disabilities, Not Dead Yet, Self Advocates Becoming Empowered, and the United Spinal Association.

The NDLA Steering Committee held its annual full day retreat on June 6 in Washington, DC in order to discuss issues and challenges facing the disability community, to set priorities directed to policies, action steps to confront discrimination and, positive aspects of the coalition working together. Two members of NOND’s Board of Directors, Karen McCulloh and Leenie Quinn attended the retreat.

NDLA Meeting on 6-6-16

NOND Board Directors Karen McCulloh and Leenie Quinn

NDLA Meeting on 6-6-16

From left to right: Gary Arnold, Little People of America Barbara Trader-guest, TASH Bruce Darling, ADAPT Samantha Crane, Autistic Self Advocacy Network and Karen McCulloh, NOND

NOND Board Directors Participate in National Disability Leadership Alliance (NDLA) Retreat in DC on June 6, 2016

National Disability Leadership Alliance (NDLA) is a national cross-disability coalition that represents the authentic voice of people with disabilities.

NDLA is led by 15 national organizations run by people with disabilities with identifiable grassroots constituencies across the United States. The NDLA steering committee includes: ADAPT, the American Association of People with Disabilities, the American Council of the Blind, the Association of Programs for Rural Independent Living, the Autistic Self Advocacy Network, the Hearing Loss Association of America, Little People of America, the National Association of the Deaf, the National Coalition for Mental Health Recovery, the National Council on Independent Living, the National Federation of the Blind, the National Organization of Nurses with Disabilities, Not Dead Yet, Self Advocates Becoming Empowered, and the United Spinal Association.

The NDLA Steering Committee held its annual full day retreat on June 6 in Washington, DC in order to discuss issues and challenges facing the disability community, to set priorities directed to policies, action steps to confront discrimination and, positive aspects of the coalition working together. Two members of NOND’s Board of Directors, Karen McCulloh and Leenie Quinn attended the retreat.

NDLA Meeting on 6-6-16

NOND Board Directors Karen McCulloh and Leenie Quinn

NDLA Meeting on 6-6-16

From left to right: Gary Arnold, Little People of America Barbara Trader-guest, TASH Bruce Darling, ADAPT Samantha Crane, Autistic Self Advocacy Network and Karen McCulloh, NOND

LTSS Service Coordinator RN Clinician (RN Field Nurse) – Texas Multiple Opportunities!

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LTSS Service Coordinator RN Clinician (RN Field Nurse) – Texas Multiple Opportunities!
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination.  It’s the foundation upon which we’re creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

This is a field position supporting our LTSS (Long Term Services and Supports) members throughout Texas. You must live in this area where you will be working from home or in the field, coming into the Houston office as needed.  Training will be held in the office for the first 3-4 weeks.

Opportunities available in:

As a Service Coordinator, you will be responsible for overall management of member’s case within the scope of  licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum serving members enrolled in the health plan; provides supervision and direction to non-RN clinicians participating in the member’s case in accordance with applicable state law and contract.

  • Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
  • Coordinates internal and external resources to meet identified needs.
  • Responsible for performing telephonic and face-to-face clinical assessments for the identification, evaluation, coordination and management of member’s needs, including physical health, behavioral health, social services and long term services and supports.
  • Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits.
  • Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
  • The RN has overall responsibility to develop the care plan for services for the member and ensures the member’s access to those services.
  • May also assist in problem solving with providers, claims or service issues.


Requirements
:

  • • 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted RN license in Texas required.
  • Travel required within assigned territory.
  • Computer literate: MS Word, Outlook, Excel
  • Preferred:
  • Masters in Health/Nursing preferred.
  • Previous pediatric experience
  • Behavioral health experience
  • Previous managed care experience


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at 
antheminc.com/careers. EOE. M/F/Disability/Veteran.

Job Accommodation Network Releases Publication on Monitoring Reasonable Accommodations

Job Accommodation Network Releases Publication on Monitoring Reasonable Accommodations
http://askjan.org/media/monitoring.html
The Job Accommodation Network (JAN) has published a new document in its Accommodation & Compliance Series: Monitoring Reasonable Accommodations. Employers frequently disregard the importance of monitoring reasonable accommodations after they have been implemented to ensure that they continue to be effective. Accommodations can stop being effective for various reasons, such as: the employee’s limitations change, workplace equipment changes, the job changes, the workplace itself changes, or the accommodation becomes an undue hardship for the employer to continue to provide. This publication offers JAN’s tips for employers to follow and provides a sample form for monitoring accommodations

National League for Nursing Publishes Vision for Achieving Meaningful Inclusion in Nursing Education

National League for Nursing Publishes Vision for Achieving Meaningful Inclusion in Nursing Education
Calls on Nursing Education Community to Lead Efforts to Expand Diversity Among Faculty and Students

Achieving Diversity and Meaningful Inclusion in Nursing Education A Living Document from the National League for Nursing
February 2016
Download PDF

Physician Assistant or Nurse Practitioner

Capital Digestive Care
Job Description

Job Title: Physician Assistant or Nurse Practitioner
FLSA Status: Exempt
Job Code: Department: Divisional

Job Purpose: An exempt position responsible for practicing medicine with physician supervision including conducting examinations and writing prescriptions. Contributes to the physician’s effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives.

Duties/Responsibilities:

  • Assesses patient health by interviewing patients; performing physical examinations; obtaining, updating and studying medical histories
  • Determines abnormal conditions by administering or ordering diagnostic tests, such as x-rays, sonograms and other laboratory studies; interpreting test results
  • Monitors and documents therapies and provides continuity of care by charting in patient electronic medical records
  • Instructs and counsels patients by descripting therapeutic regimens; promoting wellness and health maintenance
  • Triages patient calls or emails through the secure patient portal; evaluates patient problems
  • Protects patients and employees by adhering to infection-control policies and protocols
  • Complies with federal, state and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
  • Contributes to a team effort


Supervisory Responsibilities:
Reports to Practice Manager, Supervising Physician

Qualification Requirements: In order to perform this job successfully, an individual must be able to perform each essential duty satisfactorily and regular attendance is required. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Good understanding of CPT and ICD-10 codes and Modifiers
  • Good knowledge of Medical Insurance plans
  • Should be able to work in both a team and individual environment
  • Strong inter-personal skills
  • Computer skills


Education and/or Experience: Bachelor’s degree and successful completion of accredited program. Four years of health care experience prior to applying to a physician assistant or nurse practitioner program, plus one year of experience as a physician assistant or nurse practitioner.

Certifications/Licenses: National certification from the National Commission on Certifications of physician assistant. Must log 100 hours of continuing medical education every two years and sit for recertification every six years. State physician assistant license required. State DEA and CDS license required

Skills, Knowledge and Abilities:
Working knowledge of the following:

  • Knowledge of medical model and roles of physicians and physician assistants. Familiar with anatomy, pharmacology, pathophysiology, clinical medicine and physical diagnosis with special attention relation to Gastroenterology
  • Knowledge of patient assessment techniques including taking medical histories, performing physicals, evaluating health status including state of wellness, and compliance with care recommendations
  • Knowledge of diagnosing and treating medical problems and developing care plans.
  • Knowledge of documentation in electronic medical records in a confidential manner
  • ICD-10 and CPT coding – with a focus on Gastroenterology codes

Demonstrating skills of the following:

  • Skill in gathering and analyzing physiological, socioeconomic, and emotional patient data
  • Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral
  • Skill in developing/revising patient care plan based on patient status

Ability to:

  • Problem Solve, prioritize
  • Multitask and be detail oriented
  • Use Active Listening Skills
  • Work independently as well as a in a team environment
  • Communicate effectively verbally and in writing
  • Communicate effectively with patients, co-workers and physicians


Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee must be able to sit and stand for long periods of time. Fluency in English (spoken and written) is required. The employee is required to use dexterity of hands and fingers to operate a computer keyboard, mouse and other office equipment. Specific vision abilities required by this job include close vision and ability to focus.

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this position, the employee works in a clinical office environment and is exposed to a patient health issues daily. Before and after hour meetings are required. Some travel is required; the employee may travel by automobile and is exposed to the changing weather conditions.

Lessons in Increasing Access to Care: Symposium at Rush brings together disability and health care leaders

https://www.rush.edu/news/lessons-increasing-access-care

By Kevin McKeough, Anne Burgeson and Kathleen Ziemer

Illinois Attorney General Lisa Madigan observed that “at almost any moment, any of us could be living with a disability, whether through our life circumstances or as we age. This is an issue that is personal to all of us, whether we realize it our not.”

Madigan the was the featured speaker at the Rush ADA 25 Symposium, held on Oct. 6 at Rush University Medical Center. The event celebrated the 25th anniversary of the Americans With Disabilities Act, which became law on July 26, 1990.

She was among more than a dozen disability rights leaders who shared their expertise with an audience of more than 100 Chicago area health care and disability rights leaders. Rush held the symposium to provide them with information and guidance about how to make programs and policies more inclusive of individuals with disabilities. As of 2010, approximately 56.7 million people in the U.S. — 19 percent of the population — had a disability, according to the U.S. Census Bureau.

The Disability Rights bureau in the Office of the Attorney General fields 1,200 calls a year and currently has 250 investigations of disability rights violations pending, Madigan said. These problems extend to health care providers.

“We find doctor’s offices that are too high for somebody with a wheelchair. We find doctor’s offices where the examination rooms are too small to access if you are in a wheelchair,” she said. “Shockingly, event the entities where a significant percentage of their clientele have disabilities have not been able to get up to standard.” 

Obstacles to care lead people with disabilities not to seek out care, which in turn can cause health problems to go untreated and become life threatening, said Marca Bristo, the co-founder, president and CEO of Access Living, a Chicago-based disability rights organization.

“The physical environment can create the most tangible of barriers,” said Bristo, who is a member of the Rush Board of Trustees and helped author the ADA.

Leading by example

In contrast, Rush long has been recognized as a leader in accommodating people with disabilities. Within a year of establishment of the ADA, Rush established an ADA committee to guide the institution’s accessibility efforts.

This commitment is reflected in the numerous design features in the hospital Tower Rush opened in 2012 that make it accessible to people with disabilities; the recent hiring of an employment recruiter focusing specifically on hiring military veterans and people with disabilities; and many other initiatives.

Rush also promotes the cause of disability rights with its annual Eugene J-M.A. Thonar, Ph.D., Award, which is presented to a member of the Rush community who helps Rush further its commitment of offering opportunities to individuals with disabilities. It is named for a retired Rush professor of biochemistry and orthopedic surgery who himself overcame a disabling illness and become an internationally renowned researcher.

This year’s honoree is Tania Friese, an assistant professor in the Rush University College of Nursing who is a member of the ADA Committee and has a disability herself. Friese received the award in a ceremony at Rush on Oct. 13.

Accessibility 101
In addition to Madigan and Bristo’s opening remarks, the symposium also included an “Accessibility 101” session providing an overview of disability issues, panel discussions and a concluding lunch keynote address.

During the Accessibility 101 session, Laura Paul, JD, chief if the Disability Rights Bureau in the Office of the Illinois Attorney General, noted the universality of disability. “If you don’t personally identify as having a disability today, you may have aging parents who do, a relative who was born with a disability or someone you know who was in an accident and now has disabilities,” Paul said. “The bottom line is disability affects us all.”

Shestressed the importance of making medical facilities easily accessible to people with disabilities, delving particulars such as exam room tables and grab bars. “Work with your architects to make sure accessibility is a priority,” Paul said. “Make sure it’s a place where people can easily get in and navigate.”

Paul was followed by John Wodatch, whom she dubbed “the Moses of the ADA.” The retired chief of the Disability Rights Section of the U.S. Department of Justice, he put the ADA in the larger context of civil rights during the session.

“The ADA recognized that people with disabilities are entitled to rights, they are entitled to nondiscrimination. Disability rights are human rights,” said Wodatch, who oversaw all interpretation, technical assistance and enforcement of the ADA at the Department of Justice. 

Wodatch stressed that effective communications, such as sign language interpreters and video communications equipment, are equally important as removing architectural barriers. He also said that one priority for the next 25 years of the ADA will be increasing opportunities for employment with people for disabilities.

Opening doors and more
Wodatch also was the moderator of a panel discussion titled Facilities Requirements and Best Practices. Organizations must abide by three standards to ensure their building(s) provide accessibility, explained John H. Catlin, FAIA, partner, LCM Architects. Those standards are the Illinois Accessibility Code, the Chicago Building Code (or the relevant city code) and the ADA.  Under the codes, building plans for new construction and renovations must undergo inspection before permits are issued. 

Catlin noted, however, that all buildings – old and new – must abide by the ADA, which is.  Also, ADA is the only act that requires all buildings to be made accessible for people with disabilities.  He added that the Illinois Accessibility Code ensures that at least five percent of all individual work areas be accessible, which is not part of the ADA.

Irene Bowen, JD, founder of consulting firm ADA One, provided a framework for organizations to put in place to allow for people with disabilities to express preference, make choices and be given equal opportunity. Bowen’s framework suggests that all organizations have an ADA coordinator who insures accessibility is part of how all business is done; proper technology, equipment, and information for people of all abilities; established policies; self-assessment and training.

Accessibility is about information technology too, observed Robin Jones, MPA, project director and principal investigator of the Great Lakes ADA Center, which provides training and assistance in ADA compliance. For example, the U.S. Department of Justice is revising regulations to establish specific requirements for state and local governments and public entities to make accommodations to their websites for individuals with disabilities.

“To fix a website to make it accessible is as complicated as building a building,” Jones said. “You have to look at the infrastructure first, before you look at what you put into it.”  

Making sure their voices are heard
The members of the Disability From the Patient’s Perspective panel noted that progress in health care for people with disabilities has been made thanks to the ADA, but that barriers to care still exist.  Moderator Karen Tamley, who uses a wheelchair, noted that she was weighed in a health care setting for the first time just two years ago. Tamley is the commissioner of the City of Chicago’s Mayor’s Office for People With Disabilities.

Judy Panko Reis, MA, MS, recalled that prior to the ADA pap smears and mammograms were more frequent for women with disabilities, resulting in more diagnoses of cancer later. Even today, though, “people (with disabilities) get turned down for appointments all the time,” she said.

A health care policy analyst at Access Living who uses a wheelchair, Panko Reis recommended health care providers screen patients when they make appointments to determine what accommodations they need and seek their input. “We do have experience,” she said.

“Too many of us don’t get services that make us better, and sometimes make us worse,” said Fred Friedman, JD, co-founder of Next Steps, an organization that advocates for the inclusion of people who have experienced mental illness, substance abuse and homelessness are involved in policy decisions affecting their care.

Communicating via sign language with assistance from an interpreter, Benro Ogunyipe cautioned about health care providers using family members to interpret for hearing and speech impaired patients, noting they may misunderstand medical terms and may have difficulty conveying bad news about a medical condition to a family member. For those reasons, Ogunyipe prefers the use of video remote interpreting, which uses web cameras or videophones to provide interpreting services.

Underestimating ability
Lingering discrimination against people with disabilities despite the ADA also was a theme the Disability Inclusion –Students and the Workforce panel discussion.  Ben Lumicao, JD, senior attorney at Allstate Insurance Company and chair of the Board of Directors of Access Living, served as the panel moderator. 

“I was told, ‘you can’t be a nurse – you can’t see,’ recalled Karen McCulloh, RN, co-founder and co-director of the National Organization of Nurses with Disabilities. “I said under my breath, ‘you just wait and see.’”

McCulloh also discussed her organization’s work with a community college applicant who was forced to withdraw when the school discovered she had a significant hearing disability. “Sometimes the barrier to admission is based on, ‘you have to see, you have to hear, you have to bend, you have to reach,’ she said.”

This type of discrimination is based on misunderstanding of the true potential for inclusion of people with disabilities in the health sciences and a misunderstanding of the laws, said Lisa Meeks, PhD, assistant professor of medicine and director of medical school disability services, UCSF School of Medicine.

Like Rush, UCSF provides accommodations for students who need them and has several faculty who have disabilities. Meeks said they work to convey to students the importance of being open about what they need.

“I attend every orientation and we very clearly say, ‘if you’ve had accommodations in past, or, if you haven’t and need them, let us know,’” said Meeks, who also is co-founder of the Coalition for Disability Access in Graduate Health Sciences and Medical Education.  “’This is not necessarily the time to keep hiding disability. We have built a program to support you. We want to engage with you and ensure that their information will be confidential.’”

The tendency to underestimate what people with disabilities can do extends to the workplace,  according to Melissa Reishus, founder of the Sea Glass Group, a firm that specializes in recruiting people with disabilities to work for corporate clients.  She recalled a Fortune 500 company being surprised by the number of qualified candidates she was able to provide.

“Many people make these assumptions that candidates aren’t out there, but people with evident and non-evident disabilities are going to college in record numbers and are highly qualified,” Reishus said.  

Who gets to judge?
The importance of better understanding of the health needs of people with disabilities extends to ethical issues in health care, which were the topic of the concluding keynote address, “Ethical Challenges for the Next 25 Years: Tackling Ignorance, Prejudice and Funding Priorities.” Kristi Kirschner, MD, a physiatrist at Schwab Rehabilitation Hospital and clinical professor of disability and human development and of medical education at the University of Illinois at Chicago, gave the address.

“Health care professionals are not good at judging the quality of life of people with disabilities,” Kirschner said. “They don’t know what they don’t know. Incorporating more people with disabilities into the health care workforce can make a difference.”  

The Guide to Assisting Students With Disabilities Equal Access in Health Science and Professional Education

The Guide to Assisting Students With Disabilities Equal Access in Health Science and Professional Education

Lisa M. Meeks, PhD Neera R. Jain, MS, CRC Editors

We highly recommend using this guide with students and the information in the accompanying book chapter for faculty training. We are also in process of developing a faculty training module which should be ready in January. 

We would love your feedback on this guide, especially if you are already using it as an intervention or proactive measure. 

I have placed specific questions below. We plan to use your responses to adjust this tool and to report on its potential as an intervention or proactive approach to improving communication between students and faculty/administration. 

I appreciate any and all feedback, especially direct responses to the following questions (responses will be de-identified, summarized and reported back to this list-serv): 

Questions for administrators and faculty:
1.     What are the major concerns you and your colleagues have about communication with and from students with disabilities?
2.     Do you see the Communication Guide as a useful tool for students? If so, how? If not, why not?
3.     Have you used the Guide with students? If so, what have been the results?
4.     Have you seen improvements in communication among students who have been given the Guide

Lisa M. Meeks, PhD

UCSF School of Medicine
Director, Medical Student Disability Services
Assistant Professor of Medicine
505 Parnassus Avenue, U266, Box 0454
San Francisco, CA 94143 | Phone (
415)-502-5759
lisa.meeks@ucsf.edu | http://sds.ucsf.edu/

Associate Dean, College of Nursing

UWOshkosh_Logo

Associate Dean, College of Nursing

The University of Wisconsin Oshkosh is currently seeking nominations and applications for Associate Dean of the College of Nursing. This is a full time, 12 month tenured/tenured-track faculty member. The ideal candidate will be a visionary who works as a part of the College of Nursing senior administration. The Associate Dean reports directly to the Dean of the College of Nursing and coordinates with the Dean to achieve the mission and vision of the college. The Associate Dean oversees the policies, and priorities that create, foster, and sustain excellence in teaching, research and scholarship in the College of Nursing. The Associate Dean will also oversee the Nursing Research Office and is responsible for the measurement and reporting of College of Nursing outcomes. To apply go to: http://www.uwosh.edu/hr/jobs.php.

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veterans