SAMPLE POLICY WORK

– For example, if increased nursing support is recommended, documented evidence from prior assessments (e.g., health reports, incident logs) must justify this need. • Regulatory References: – The ISP must cite relevant regulatory reference materials such as TN.0357.R05.00 and TennCare guidelines, demonstrating that the services provided align with current state and federal mandates. – Supporting documentation includes copies of assessments, clinician reports, and historical records confirming that the recommended services are consistent with best practices in care coordination.

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Interdisciplinary Consensus:

– All service recommendations within the ISP are reviewed collaboratively by the clinical team. This includes input from nurses, occupational therapists, behavioral specialists, and other relevant professionals. – A documented consensus meeting may be held for complex cases, with minutes recorded and attached to the ISP. f. Roles and Responsibilities for ISP Development Successful ISP development requires clear delineation of responsibilities among all parties involved. The following outlines the key roles and their responsibilities:

The Individual •

Active Participation: –

The individual is at the heart of the planning process and is encouraged to actively express preferences, set personal goals, and provide meaningful feedback throughout the process.

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Informed Decision Making: –

The individual is provided with all relevant information regarding service options, ensuring that their choices are well-informed and representative of their values and needs.

Family Members and Legal Guardians • Advocacy: –

Family or guardians participate in the planning sessions, offering historical context, emotional support, and practical suggestions. Support Liaison: – They ensure that the individual’s wishes are accurately communicated and advocate for services that align with their long-term welfare.

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Care Coordinators and Support Specialists • Service Integration: