Date: Friday, May 11, 2007

Time: 12:00 – 4:30

Place: Community Education Center, Legacy Meridian Park Hospital, Tualatin, OR

Attendees:

Mary Cady-Rasmussen, Co-Chair (FMC Quali Centers, Salem);

Janice Rutschman, Co-Chair (Davita Salem),

Patricia Lee, Secretary (PNRS Tualatin, Evergreen & Newberg);

Mary Goranson, Treasurer (DSI Northeast Portland, home training program);

Don Prebus, CNSW Webmaster (Peacehealth Dialysis);

Rosalinda Rendon (PNRS Hollywood);

Katherine Howard-Jones (DaVita Roseberg);

Terry Horton (Davita North Salem/Woodburn),

Joules Haas (Davita Sherwood, Meridian Park, Hillsboro, Vancouver).

Agenda:

Business Meeting Janice Rutschman & Mary Cady Rasmussen

Adult Protective Services Wendy Hillman, APS Supervisor

Northwest Renal Network Aaron Herold & Kathy Hurley

NW Symposium Highlights Janice Rutschman & Mary Cady Rasmussen

Additional Business CNSW Members

Chapter Business -

1. Introduced new Social Worker for Davita - Joules Hass. She is covering the

Sherwood, Meridian Park, Hillsboro, and Vancouver, WA units.

2. Discussed upcoming election of officers.

Mary Goranson announced that she is stepping down from her board position at this time. She will not be running for Treasurer Position but she has graciously offered to continue updating the membership list.
Mary Cady-Rasmussen & Janice Rutschman will run again for 2 Co-Chair positions.
Patricia Lee will run again for Secretary.
Rosalinda Rendon will run for the open Treasurer position.

3. Announcements:

a. CNSW membership – there are currently 34 paying members

b. Current funds = $2,569.49

c. Membership dues are $20/yr due in June.

d. Jan Rutschman & Katherine Howard-Jones are working on a 1 page advertisement to recruit new members.

e. Mary Goranson – is in the process of mailing election ballots and membership renewal forms to all current members.

f. There will also be a separate mailing of applications to all social workers.

g. Don Prebus will recode CNSW website to make it more user friendly; Patricia Lee will be updating member data on the website.

4. Next Meeting: The next meeting will be held in September. Agenda items to

be announced.
Feature: Adult Protective Services

Presented by Wendy Hillman, supervisor of APS in Portland.

Some of the highlights of this presentation:

- In Multnomah County, APS is administered by the county whereas in other parts of Oregon, APS may be administered by the state. Also specific to Multnomah County is a 24 hr helpline and having the capacity to respond to report of abuse in the middle of the night, if needed.

- APS is funded under the Medicaid umbrella, however there is no set $ amount that is allocated by Medicaid for APS.

- What APS looks for: 1. Abuse situations. 2. Is person able to make decisions for self (cognitive impairment, mental health considerations)? 3. Can person provide protection for self?

- Social Workers are mandated reporters because of their education & training.

- APS is not law enforcement. Caseworkers have social work backgrounds. Goal of the caseworker is to involve clients in decision making vs. forcibly removing them from home.

- Types of abuse: physical & sexual abuse; neglect; financial; and emotional.

Physical: slapping, hitting, pinching

Intentional medication mismanagement (not giving pain medication or over-sedation.

Sexual: range of behaviors including nonconsensual sex, inappropriate touching, sexual comments, dirty jokes.

Neglect – 2 types

1. benign: people are doing their best and their best is not good enough (elderly couple struggling to manage on own); also self neglect

2. intentional: drug/alcohol abuse; old grudges.

Financial: most difficult to prosecute because of need to show inability to make financial decisions. APS will attempt to get a conservator or another family member to take over financial management. APS in Multnomah county has a financial abuse specialist team. One of the team’s goals is to work with banks and accountants in prosecuting cases.

Emotional: does person feel unsafe?

Can be difficult to prosecute abuse if adult victim does not want to pursue prosecution.

Feature: Northwest Renal Network

Presented by Aaron Herold & Kristy Hurley

History/Background

Networks began in 1997; 32 networks nation wide

QIO’s: Quality Improvement Organizations

NW Regional Network: is largest network geographically & has smallest patient population; NW Regional Network is contract driven.

What is happening at the CNSW national level?

1. On-line salary survey of CNSW members.

2. Legislation Action Network for patients.

3. Benefits at national level for members include: liability insurance, Renal Social Worker Certification, Academy of Social Workers.

Current Goals of NW Renal Network

1. Get every patient registered & 2. Disaster planning.

Social Workers can ask Aaron for help in getting specific resources.

Network’s Involvement in Formal Grievances

Network can do on-site visits to investigate complaint

Assist with a Plan of Correction

If facility does not comply – Network can recommend that Medicare revoke

license. (Network is a conduit to CMS – provides feedback to CMS)

Grievances are initiated by patients (not by the facilities) and patients control

the process.

Behavior Agreements

If SW or facility wants feedback from Network – do not submit completed copy

of behavior agreement; Submit a draft of the agreement.

Always attach information about Network with behavior agreements.

Termination of pts

Only grounds for termination are 1. danger to others or 2. pt is non-funded.

and reasonable efforts have been made to assist with funding.

Only reason for not accepting a pt is funding.

Contents of packets/handouts:

1. Letter to Patients; Contact info for State Survey Agencies; Patient Advisory Committee; Psychosocial Tools & Resources; Technical Assistance; Role of Network during Emergency & Disaster Situations; Hospice & Dialysis Care; Traveling with Hemodialysis; Network News (blue is for providers); Consumer News (for patients); E=bulletins (must sign up to get these).

2. Connecting with Patients & Providers

Recommended Handouts/Books

“Doctor Can You Hear Me, Patient Are You Listening?”

“Emergency Preparedness”

DPC toolkit.

Feature: Highlights from NW Chapter CNSW Symposium in Seattle and ANNA Symposium in Medford

Presented by Facilitated by Janice Rutschman & Mary Cady Rasmussen

Some Presentation Topics from the Symposiums:

* Chemical dependency in the elderly population;

* D&A Dependence: Issues & Opportunities to assist in aging

Population;

* Nutritional Assessment

* Mike Hayes Guide for Social Work – Promoting Excellence for the

End of life

* Too wet or too dry? How do we determine? BP: high or low?

Blood volume?

*Cultural trends

*Emerging pathogens in the community – infectious disease – mutation

CDC now recommends using an alcohol base hand wash

Recommended reading: Michael Holmes “Crossing the Creek”

http//www.crossingthecreek.com/guts.htm Describes stages of body shutting down before death.

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Additional CNSW Business

CNSW Members

Discussion about hosting a large conference here (like the Issaquah symposium)&

charging admission. (Issaquah charged $190 for 2 days, 12 credits, lunches.)

Don Prebus suggested advertising outside of CNSW – (ex: NASW, ANNA)

Sharing of Patient Resources

Dental:

Oregon Donated Dental Services/National Foundation of Dentistry for the Handicapped:

503-774-3898; 800-767-6334

I-V sedation dental research project @ OHSU - (phone 503-228-6266 for info)

Hospitals: have to treat undocumented patients; free clinics

OMIP – insurance for undocumented patients

OPDP – Oregon Prescription Drug Program – offers discounts for all Oregonians

- any age, income level, with & without insurance.

Don Prebus brought up concern about new limits on EPO. He also noted that Amigen is a major contributor to NKF. Why did NKF advise higher EPO levels than needed? He urges us all to consider the implications and to be involved.

Respectfully submitted by:

Patricia Lee, LCSW, CNSW Treasurer