Archives: Lessons

Reference – 45 CFR 75; §75.403 Factors affecting allowability of costs 

Let us turn our attention to the four tests used in determining the allowability of costs. This is important because proper use of federal funds is required by law. As a recipient of federal funds, you are responsible for knowing the requirements, and if you serve as a pass-through entity, you are also responsible for ensuring any sub-recipient is aware of the requirements. Another key factor is the responsibility for monitoring the use of funds to determine if budget expenditures are allowable, allocable, reasonable, and consistent. 

How budget expenditures are determined

1. Allowable (Conformance): Expenditure is permitted and not specifically prohibited 

2. Allocable: Traceable to specific activities of the grant project 

3. Reasonable: Cost that would be incurred by a prudent person; necessary for the grant’s performance 

4. Consistent: Assignment of costs to cost objectives 

The National Resource Center for Supported Decision-Making is a federal project supported supported decision-making. Their website contains multiple stories about supported decision-making: http://www.supporteddecisionmaking.org/impact.

Explore this resource now before continuing on to the think spot below.

Kentucky has not adopted SDM into guardianship law. SDM has been included in proposed guardianship legislation and is awaiting the approval of the General Assembly.

My Choice Kentucky is a collaboration with the University of Kentucky Human Development Institute and KY Protection and Advocacy to look at alternatives to guardianship. My Choice Kentucky also provides resources and training on supported decision-making: https://mychoiceky.org

The model has also been discussed in Kentucky Working Interdisciplinary Networks of Guardianship Stakeholders (WINGS) meetings as a viable option for guardianship.

National Resource Center for Supported Decision-Making story – Freed From Guardianship A Kentucky First: Suzie Wins Her Rights in Court Using SDM – https://supporteddecisionmaking.org/stories/suzanne-heck/

The National Guardianship Association (NGA) supports ongoing research to determine the effectiveness of supported decision-making models as alternatives to guardianship.

Guardianship should be utilized only when less restrictive supports are not available. Alternatives to guardianship, including supported decision-making, should always be identified and considered whenever possible before the start of guardianship proceedings.

The NGA position statement also says,

“Under all circumstances, efforts should be made to encourage every person under guardianship to exercise his/her individual rights retained and participate, to the maximum extent of the person’s abilities, in all decisions that affect him or her, to act on his or her own behalf in all matters in which the person is able to do so, and to develop or regain his or her own capacity to the maximum extent possible.”

Reference:

Position Statement on Guardianship, Surrogate Decision-Making and Supported Decision-Making https://www.guardianship.org/advocacy/position-statements

Alternatives to guardianship should be considered before a person or entity petitions the court.  

Ronnie says, “The term “dignity of risk” was created in the 1970s around issues of care for people with intellectual disabilities.”

People with intellectual or developmental disabilities were often viewed as incapable of living independently or making decisions for themselves – a view that often deprived them of many typical life experiences that others take for granted.

Ronnie pulls up another video, “This is Max Burrow, a person with a disability who works as a self-advocate for people with disabilities. This is a great overview of why dignity of risk is important.”

Dignity of risk acknowledges that life experiences come with risk, and that we must support people in experiencing success and failure throughout their lives. SDM is a process that supports and preserves dignity of risk.

Ronnie tells you, “Supported decision-making will look different for everyone. It means finding tools and supports to help a person with a disability understand, make, and communicate their own choices.”

Examples of these tools might be:

• Plain language materials or information in visual or audio form.
• Extra time to discuss choices.
• Creating lists of pros and cons.
• Role-playing activities to help the person understand choices.
• Bringing a supporter into important appointments to take notes and help the person remember and discuss their options.
• Opening a joint bank account to make financial decisions together.

“Here is another example of what supported decision-making looks like,” Ronnie says. “Let’s watch this video of Clayton.”

Congratulations!  You have completed DAIL-G 114: Communication and Coping When an Individual Under Guardianship Passes Away. Please note that your supervisor may have follow-up questions or need more information.  Please respond to any requests promptly.    

Once you click “mark complete,” a certificate of completion will be available to you. You may print or download your certificate to verify the completion of DAIL-G 114: Communication and Coping When an Individual Under Guardianship Passes Away. This certificate will also be available at the beginning of the course anytime you log on.    

Reminder from Aida

This course is part of a series of trainings required for all new employees. All new hires are required to satisfactorily complete trainings before being assigned cases.

All courses must be completed in order and in a timely manner.

This includes DAIL:

• New Employee Orientation Part 1 (completed!)
• New Employee Orientation Part 2 (completed!)
• Guardianship Program Overview (completed!)
• Person-Centered Planning (completed!)
• Effective Case Work Documentation (completed!)
• KYGFIS (completed!)
• Universal Precautions (completed!)
• Supported Decision-Making (completed!)
• Guardianship the Law (completed!)
• Court Process and Forms (completed!)
• Guardianship SOP Part 1 (completed!)
• Guardianship SOP Part 2 (completed!)
• Levels of Care (completed!)
• Common Diagnoses Explained (completed!)
• Kentucky Medicaid Home and Community-Based Services (HCBS) Waiver Overview (completed!)
• Incident Reporting (completed!)
• Medical Consent (completed!)
• DNR/EOL (completed!)
• Guardianship Community Partners and Collateral Contacts (completed!)
• Safety Awareness (completed!)
• Communication and Coping When a Client Passes Away (completed!)

Click the “Mark Complete” button below to access your certificate of completion.

Have questions or need help with Universal Precautions? DAIL has nurse consultants available to provide resources, answer questions, and provide assistance.

Handwashing is one of the most important ways to prevent the spread of disease. It is important to use soap and water and wash your hands for at least 30 seconds or the time it takes to sing the ABC’s.

Simon tells you, “I never knew how important handwashing was until I watched this video. It’s gross to see how many germs stay on our skin.”

Watch this video for more information about how and why hands should be washed. The entire video must be watched before being able to move on.

[ld_video]

Copy/paste the think spot text in here

Accessibility Widget

Select the accessibility widget on the right hand of the screen to access features such as:

Screen Reader: Reads content on the page.

Contrast Adjuster: Adjust color to meet your individual needs.

Text Magnifier: Adjust the size of text on the page to make reading easier.

And more!

Need Help?

Use one of the contact buttons below to get assistance.

Congratulations!  You have completed DAIL-G 113: Safety Awareness! Please note that your supervisor may have follow-up questions or need more information.  Please respond to any requests promptly.    

Once you click “mark complete,” a certificate of completion will be available to you. You may print or download your certificate to verify the completion of DAIL-G 113: Safety Awareness. This certificate will also be available at the beginning of the course anytime you log on.    

Reminder from Aida

This course is part of a series of trainings required for all new employees. All new hires are required to satisfactorily complete trainings before being assigned cases.

All courses must be completed in order and in a timely manner.

This includes DAIL:

• New Employee Orientation Part 1 (completed!)
• New Employee Orientation Part 2 (completed!)
• Guardianship Program Overview (completed!)
• Person-Centered Planning (completed!)
• Effective Case Work Documentation (completed!)
• KYGFIS (completed!)
• Universal Precautions (completed!)
• Supported Decision-Making (completed!)
• Guardianship the Law (completed!)
• Court Process and Forms (completed!)
• Guardianship SOP Part 1 (completed!)
• Guardianship SOP Part 2 (completed!)
• Levels of Care (completed!)
• Common Diagnoses Explained
• Kentucky Medicaid Home and Community-Based Services (HCBS) Waiver Overview (completed!)
• Incident Reporting (completed!)
• Medical Consent (completed!)
• DNR/EOL (completed!)
• Guardianship Community Partners and Collateral Contacts (completed!)
• Safety Awareness (completed!)
• Communication and Coping When a Client Passes Away

Click the “Mark Complete” button below to access your certificate of completion.

Handwashing is one of the most important ways to prevent the spread of disease. It is important to use soap and water and wash your hands for at least 30 seconds or the time it takes to sing the ABC’s.

Simon tells you, “I never knew how important handwashing was until I watched this video. It’s gross to see how many germs stay on our skin.”

Watch this video for more information about how and why hands should be washed. The entire video must be watched before being able to move on.

[ld_video]

Copy/paste the think spot text in here

Accessibility Widget

Select the accessibility widget on the right hand of the screen to access features such as:

Screen Reader: Reads content on the page.

Contrast Adjuster: Adjust color to meet your individual needs.

Text Magnifier: Adjust the size of text on the page to make reading easier.

And more!

Need Help?

Use one of the contact buttons below to get assistance.