The DDS Definitions Appendix defines the terms and acronyms relevant to the Developmental Disabilities Administration (DDA) service delivery system.
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IMEU
Incident Management and Enforcement Unit within the Quality Management Division of the Developmental Disabilities Administration is the Unit responsible for the management and oversight of the DDA Incident Management System.
Immediate Jeopardy
Crisis situation in which the health and safety of individual(s) are at risk...a situation in which a provider's noncompliance with one or more laws, regulations or requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to an individual. Serious harm, injury, impairment or death does not have to occur before considering immediate jeopardy.
Immediate Protective Service Plan (IPSP)
An immediate plan requested by the IMEU to the DDA Provider to take immediate actions or measures necessary to protect the health and safety of an individual with mental retardation, who may or may not be known to the department.
Immediate Response Committee
Committee within DDA that meets each morning to review, triage and assign for intervention, investigation, and/or follow-up all reported issues, incidents, recommendations or requests for consultation entered into the MCIS within the previous 24-72 hours by any DDA stakeholder or source (e.g. DDA service coordinator, Incident Report, DDA Monitoring/Audit Finding, Evans Court Monitor, ULS, Human Rights Committee, Quality Trust, etc.).
Imminent Harm
A situation or condition in which immediate injury or harm is reasonably expected to occur.
Improper / Unauthorized Use of Restraints
The use of a mechanical device or physical intervention that is approved as part of an individual’s behavior support plan; however, the device/intervention is not implemented according to the plan, and results in injury of any level to the individual.
Incapacity
Lacking the ability to appreciate the nature and implications of a decision (related to health-care and/ or other specified matters), make a choice regarding the alternatives presented and communicate that choice in an unambiguous manner. Lacking the ability to appreciate the nature and implications of a decision (related to health-care and/ or other specified matters), make a choice regarding the alternatives presented and communicate that choice in an unambiguous manner.
Incident Management and Enforcement Unit (IMEU)
The DDA office tasked with conducting investigations and compliance reviews of all serious reportable incidents of abuse and neglect.
Incident Management Coordinator
A provider employee who provides oversight of the incident management process at the provider agency. He/she also reports incidents (reportable and serious reportable) to the Incident Management Enforcement Unit within DDA.
Incident Requiring the Services of a Law Enforcement Agency or Emergency Personnel
Any assistance or intervention given by paramedics, law enforcement, or firefighting personnel. If no assistance or services were rendered, the incident falls under other.
Incorrect Administration
Any preventable error occurring in the medication use process.
Individual
Means, except where otherwise specified, a person receiving services or supports provided, funded, or arranged by the DDS.
Individual Financial Plan (IFP)
A written component of the Individual Support Plan that outlines the individual's spending plan for the year, which includes expenditures and assets. The plan shall determine which individual(s) (co-signer(s)) will have access to the individual's account(s), the manner in which access will be actualized; and defines the individual's ability to manage money as well as the need for training to increase his/her money management skills.
Individual Habilitation Plan (IHP)
That plan as set forth in Section 403(b) of the "Mentally Retarded Citizens Constitutional Rights and Dignity Act of 1978," effective March 3, 1979 (DC Law 2-137; DC Official Code § 7-1304.03(b)).
Individual On Individual Incident Level 1
Incidents involving death, allegation of abuse, neglect, theft and serious physical injury.
Individual On Individual Incident Level 2
Incidents involving serious medication error, improper use of restraints, emergency inpatient hospitalization, suicide attempt or threat, missing person, incident requiring services of law enforcement or emergency personnel, aspiration, property damage, medication error, hospitalization, physical injury, vehicle accident, ingestion of harmful substance, overuse of chemical restraints, burns and other.
Individual On Individual Incident Level 3
All other incidents and issues not included in Levels 1 and 2.
Individual / Person
A person who has been determined eligible to receive services under the HCBW for Persons with Mental Retardation and Developmental Disabilities.
Individual Professionals
Providers in a private practice with a current District of Columbia Medicaid Provider Agreement that authorizes the provider to bill for services under the Waiver.
Individual Program Plan (IPP)
The written plan that describes how the goals as set forth in the ISP are to be implemented. For individuals residing in an ICF/MR, the provider will develop an IPP with the participation of the IDT per 42 CFR § 483.440 (6). For HCBS waiver participants, the provider is responsible to prepare and implement a written support plan per the requirements for the specific waiver service being delivered (e.g. 29 DCMR § 946.5 Residential Habilitation, or 29 DCMR § 993.5 Supported Living)
Individual Service Plan (ISP)
A plan based on the department’s mission and guiding principles, intended to incorporate all aspects of an individual’s life, such as significant past events, accomplishments and strengths, relationships, home life, work, day, retirement, or school, leisure and community life, health and wellness, and finances. An individual plan includes, but is not limited to, the following components:
- An assessment and profile of the individual’s current life situation and future vision;
- Assessment and analysis of the individual’s abilities, preferences, and support need;
- Identification of desired outcomes;
- Development of strategies and action plans to address needs, personal goals and desired outcomes;
- Identification of supports and services to be provided; and
- Evaluation of the individual’s progress on an on-going basis to assure that the individual’s needs and desired outcomes are being met.
Individual Supports
Provision of supports that maintain skills and/or prevent the loss of skills and assist a person to achieve outcomes in rights and dignity, individual control, community membership, relationships, personal growth and accomplishments, and personal well being, including those that are part of a comprehensive set of residential and work/day services.
Informed Consent
The knowing consent voluntarily given by an individual (or by the individual's guardian, if applicable) who can understand and weigh the risks and benefits involved in the particular decision or matter. Whenever the informed consent of the individual or guardian is required, the following criteria shall apply:
- The consent of the individual or guardian shall be in writing and filed in the individual's record.
- The written consent shall be dated and shall expire upon completion of the specific procedure for which it applies; in any event an informed consent shall expire one year after it is signed.
- No coercion or overbearing inducement shall be utilized to obtain consent.
- A written record shall be made which: a. details the procedure utilized to obtain the consent; b. identifies the name, position, and affiliation of the individual securing the consent; and c. summarizes the information provided to the individual from whom consent is secured.
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The person securing the consent shall:
- Explain the intended outcome and nature of, and the procedures involved in, the proposed treatment or activity.
- Explain the risks, including side effects, of the proposed treatment or activity, as well as the risks of not proceeding.
- Explain the alternatives to the proposed treatment or activity, particularly alternatives offering less risk or other adverse effects.
- Explain that consent may be withheld or withdrawn at any time, with no punitive action taken against the individual.
- Present the foregoing information in a manner which can be understood by the individual, or guardian if any; and
- Offer to answer questions that the individual or guardian may have regarding the matter for which consent is being sought.
- The appropriateness of the consent shall be reviewed as part of the annual review of the individual's ISP.
Injury
Any physical harm to an individual caused by an act of that person, others, or an accident, whether or not the cause can be identified.
Intake and Eligibility Determination Unit
The administrative division within DDA that receives and processes applications and eligibility for DDA services.
Intake and Eligibility Determination Unit Service Coordinator
A DDA staff person responsible for facilitating eligibility determination and the initial individual service planning process.
Intake Service Coordinator
A Department on Disability Services/Developmental Disabilities Administration (DDS/DDA) employee assigned to the Intake Unit who has the responsibility for facilitating eligibility determinations and the initial service planning process.
Interdisciplinary Team (IDT)
A group including health-care and other professionals, as well as, people committed to supporting the individual, which meets to design effective, efficient, individual support plans and programs representing various disciplines required for comprehensive support services.
Intermediate Care Facility / Mental Retardation (ICF/DD)
A home or facility for up to eight (8) persons with developmental disabilities certified by the DC Department of Health to provide habilitative and health services under federal healthcare regulations (also referred to as ICF/MR).
Interpretation
The process of orally conveying the meaning of a source from the source's language into the language of the native speaker who is seeking the service(s) and vice versa. There are three different types of interpretation.
Interpreter
An individual who translates orally and/or in writing in one language to another. Interpretive services shall also include a sign language interpreter who is a person trained in translating between a spoken and signed language, and translation services and/or technology for individuals with communication disabilities, deafness and/or hard of hearing. Interpretive services shall also include other reasonable accommodations and materials for the blind, such as materials translated in Braille. Such services shall also be provided through the pre-ISP meeting, formal ISP meeting(s), and if necessary, through the DDS administrative hearing process.
Intervention Strategy
Means training or a teaching procedure, a manipulation or change of environment or the provision of supports designed to teach or assist an individual to achieve a goal or a specific objective. Depending on its content, an intervention strategy may also fall within the definition of a behavior modification intervention.
Investigation
Court Reporting Form