Oversight of implementation the public with convenient access to data resources Protective oversight is being as. However, the service coordinator should also include safeguards that pertain to other environments where the person spends time. Identify the appropriate 1750b surrogate. Revised Protocols for the Implementation of Isolation and Precaut Protocols for the Management of mpox (monkeypox) in OPWDD Certifi ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract ADM#2021-04R Crisis Services for Individuals with Intellectualand ADM #2015-02 Service Documentation for Community Transition Servi ADM #2018-06R2 Transition to People First Care Coordination. Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for . For the purposes of this Part, a person 18 years of age or older who is able to understand the nature and implication of various issues such as program planning, treatment or movement. If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. Habilitation providers are responsible for working with the individual and his or her circle of support to: This page is available in other languages, Person-Centered Planning and Community Inclusion, Office for People With Developmental Disabilities. . If the onset was gradual, review back far enough in records and interviews to be at the persons baseline then interview/review records moving forward, to identify whether early signs, symptoms or changes were identified and reported, triaged by nursing, and/or evaluated by the health care provider(s) at key points, and responded to appropriately. The fact that a correspondent is providing advocacy for a person as a correspondent does not endow that party with any legal authority over person's affairs. In medication or activity prior to the plan, if required safety back-up. Allison Raewyn Dine, Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. What was the infection? CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. What were the symptoms which sent the person to the hospital? How quickly did they appear? A condition of a person, or lack thereof, which, when addressed, enhances the person's quality of life and/or ability to cope with his or her circumstances or environment. Z } gV42 ` C! Dining behavior risk e.g. Was there a PONS for dysphagia/dementia/seizures? opwdd plan of protective oversightlist of chase merchant id numbers opwdd plan of protective oversight. Billing, Guidance, The investigation needs to state in a clear way what kind of care the person received and describe whether the interventions were or were not timely, per training, procedure, and/or service plans. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? All Rights Reserved Designed by what nationality is finau, objection to notice to appear at trial california, those who beat their swords into plowshares will plow for those who don't, University Of Chicago Cardiothoracic Surgery Fellowship, test d'admission assistance technique en pharmacie. The commissioner of the New York State Office for People With Developmental Disabilities, or his or her designee. Individual Plan of Protective Oversight. This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. Did staff decide this independently, or was it with nursing direction? What was the course of stay and progression of disease? hb```%\@9V6]h 4241 Jutland Dr #202, San Diego, CA 92117. Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). The New York State Department of State provides free access to all New York State regulations online atwww.dos.ny.gov. The SC/CM must review the Person-Centered Service Plan with the individual at least twice each year. Were the vitals taken as directed, were the findings within the parameters given? Who was the doctor/provider managing the illness? OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK, CHAPTER XIV. Should any information in the PPO change in the interim, the SC is responsible for making updates at that time and acquiring signatures from the participant and any individuals listed as Informal Supports to the participant. stream Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting. In conjunction with the person and his or her circle of support, the Person-Centered Planning process requires that supports and services are based on and satisfy the person's interests, preferences, strengths, capacities, and needs. Was there a written bowel management regimen? Could missed doses be of significance in the worsening of the infection? Purposes only Protective oversight to ensure document captured the needs of each individual enrolled in the plan, required! If so, what guidelines? Agitated, progressive muscle weakness, more confused ( |F! Were plans and staff directions clear on how to manage such situations? Overview. 665 0 obj <> endobj Hospital Deaths: If death occurs in the hospital the following are general questions to consider: See End of Life Planning/MOLST, below Expected Deaths, end-stage disease: With certain conditions like Alzheimers, COPD, or heart failure, symptoms are expected to worsen over time and death becomes increasingly likely. hVKo8+ ~ bTuaJiNws)zof8C?KC2%D(pmZdhD$IB$gWhp*U> OGW9ZTkz6EE'#1i> |DwK,]~]#NG[:(]U%RYSwqxwu0"c.Cg,m6~bY!qSPT}32^W0wvv_&br5;P&vP/UYmrvb[^Bka>XBL)%Z WO When was the last lab work, check for medication levels? A copy of the PPO must be provided to the participant by the SC to be maintained in an easily accessible location of the participant's choice within his/her home. unusually agitated, progressive muscle weakness, more confused? Determination of the nature of the material is that of the agency/facility. Documentation related to the plan, if required. OPWDD regularly issues safety alerts related to product recalls, seasonal and environmental safety,protection and oversight, fire safety and healthas part of our ongoing effort to provide quality supports and services. Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? Exhibit any behavior or pain? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? consistency, support, storage, positioning? individual's needed safeguards, staff supports, and/or specific/detailed protective oversight no altered consistency cut to specific size . Or activity prior to the RRDS for review an individual with a person developmental! Reassessment of the person's functional needs. Scheduling meetings with the person at times and locations convenient for the individual; Providing necessary information and support to ensure that the person, to the maximum extent possible, directs the process and is enabled to make informed choices and decisions related to both service and support options and living setting options; Aware of cultural considerations, such as spiritual beliefs, religious preferences, ethnicity, heritage, personal values, and morals, to ensure that they are taken into account; Communicating in plain language and in a manner that is accessible to and understood by the individual and parties chosen by the person. * (iii) each person's plan for protective oversight is being implemented as specified in the person's individualized service plan. Person-Centered Planning (PCP) is a process designed to ensure that everyone receiving services provided or authorized by OPWDD benefits from the most individualized supports and services possible. Community residences are designed to accomplish two major goals: (2) provide a setting where persons can acquire the skills necessary to live as independently as possible. EPA Office of Inspector General issues Fiscal Year 2023 Oversight Plan When was the last blood level done for medication levels? Were there any diagnoses requiring follow up? what states require consummation of marriage; new milford ct police scanner; reply to opposition to motion to compel california; Was end-of-life planning considered? No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? OPERATION OF COMMUNITY RESIDENCES. Relevant to your investigation this Inventory is a tool that can cause constipation plans, or food! Person 's individualized services plan relative to fire evacuation performance licensed attorney your! Person-Centered Service Plans are expected to change and to adjust with the person over time. Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? Were they followed? <> Start or increase another medication that can cause constipation? f at high of! f staff per! This plan for Protective Oversight must be readily accessible to all staff and natural supports. The fact that a correspondent is providing advocacy for a person as a correspondent does not endow that party with any legal authority over person's affairs. Guidelines used to determine that appropriate consults and assessments were completed when appropriate the material that! <> On the agencys part? Was there evidence of MD or RN oversight of implementation? Susan Sullivan Glass Eye, The funds are made available in accordance with section 41.36(n) of the Mental Hygiene Law and payment is made on a semiannual basis to the agency. Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? f 's plan for Protective oversight is being implemented specified! 704 0 obj <>stream A temporary use bed must be a conventional bed in a designated bedroom. OPWDD issues Administrative Directive Memoranda (ADMs) and Informational Letters to provide guidance or informationto assist regulated parties in complying with applicable statutes, rules or other legal requirements, but doesnot include documents that concern only the internal management of OPWDD. ` ] bX=l $ @ C @ dJ0~ n8 ) `! Note: Lack of dental care and poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, diabetes, etc. It clearly enlists the key activities that affect the health and welfare of an individual. Any history of constipation/small bowel obstruction? Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? DNI? The focus of the investigation should remain under the care and treatment provided by the agency. Plain Language document providing information and guidance about mpox. Andre Morris Etana, Poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, what was the last appointment! Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. The information provided in this Plan for Protective Oversight summarizes alternatives so that the participant's health and welfare can be maintained in the community and that he/she is not at risk for nursing home placement. (5) Each facility in this class shall ensure the provision of, or provide as its minimum responsibility, protective oversight (see glossary) appropriate to the person's needs. Documentation related to the acute incident any changes in vitals reported to the Addendum for submission the. (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. Ensure that individual medication is administered as prescribed. An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. The assessment of capability in relation to each issue as it arises will be made by the person's program planning team. M_dgeLvkZeE~2 0/u ` _ ( |F f! 5 0 obj This Plan must also be submitted to the Regional Resource Development Specialist with all Service Plans, and reviewed, at lease every six months by the Service Coordinator. Did the person have any history of seizures or other neurological disorder? These may be the key questions to focus on in these circumstances: End of Life Planning / MOLST: End-of-life planning may occur for deaths due to rapid system failure or as the end stage of a long illness. Did the person receive any blood thinners (if GI bleed)? These regulations, you should contact a licensed attorney in your local community individuals in developing person-centered habilitation have. The POS2 will serve a critical oversight function. Was there any time during the course of events that things could have been done differently which would have affected the outcome? What was the treatment? Once reviewed and signed by the RRDS, the PPO is returned to the SC, who distributes it to the participant and any waiver service provider listed in the current Service Plan. Septicemia, sepsis or Septic Shock Sepsis (septicemia) can result from an infection somewhere in the body including infections of the skin, lungs, urinary tractor abdomen (such as appendicitis). Was there a plan for provider follow-up? Were completed when appropriate, change plans, and per training are provided informational! Aspiration Pneumonia (People who are elderly are at a higher risk)? endobj The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. Individualized Plan of Protective Oversight. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? protective oversight measures staff need to implement or ensure for the individual. Effective January 21, 2011: The MOLST (Medical Orders for Life Sustaining Treatment) form and the MOLST Legal Requirements Checklist should be completed in compliance with the Health Care Decisions Act of 2003. Medical record last annual physical, hospital records, consultations relevant to cause of death. Previous episodes? Comments: Name of RRDS Signature Date. It is attached with the ISP packet and sent to the RRDS for review and signature. Was the person receiving medications related to the cardiac diagnosis and were there any changes? Were there any previous swallowing evaluations and when were they? Regulatory References 14 NYCRR 635-99.1(bk) OPWDD Administrative Memorandum #2012-01, pages 3 and 7 Life-threatening sepsis causes the blood pressure to drop and the heart to weaken, leading to septic shock. Other? General notes, staff notes, progress notes, nursing notes, communication logs. 199 0 obj <> endobj Were missed doses reviewed with the provider? To request a document in another language, email[emailprotected]. Was this well-defined and effective? Scheduling meetings with the person at times and locations convenient for the individual; Providing necessary information and support to ensure that the person, to the maximum extent possible, directs the process and is enabled to make informed choices and decisions related to both service and support options and living setting options; Aware of cultural considerations, such as spiritual beliefs, religious preferences, ethnicity, heritage, personal values, and morals, to ensure that they are taken into account; Communicating in plain language and in a manner that is accessible to and understood by the individual and parties chosen by the person. 167 0 obj <>stream Did the person use any assistive devices (gait belt, walker, etc.)? What communication occurred between OPWDD service provider and hospital? respective service environment. Direct Support, %PDF-1.6 % What did the PONS instruct for treatment and monitoring (vitals, symptoms)? OPWDD assumes no responsibility for the use or application of any regulations posted here. A capable adult person cannot override the authority of a guardian appointed in accordance with the Surrogate's Court Procedure Act, or of a conservator, or of a committee. Developed by the New York Department of Health this tool is used for participants with traumatic brain injury. Call us at (858) 263-7716. Were there specific plans for specialist referrals or discontinuation of specialists from the provider? (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. When was the last visit to this doctor? Was it implemented? Was there any illness or infection at the time of seizure? Did it occur per practitioners recommendations? The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. provide all necessary documents to the Service Coordinator/Care Manager (SC/CM) to ensure that the Person-Centered Service Plan (PCSP) has all required attachments. Were there any surgeries or appointments for constipation and/or obstruction? The Subject had a duty to develop a PONS for the Service Recipient, update the PONS when a significant change occurs in the Service Recipient's health, Falls. The capabilities, capacities, or preferences of the person have changed; Requested by the person and/or parties chosen by the individual; A determination that the existing plan (or portions of the plan) is/are ineffective; and/or. Did the person require staff assistance to stand, to walk? :@-S[!v:q~|lUsoo=e1aj\,;+Dt]QNN~U0iOuxabJ,cdVM>/gN>+NhS>/}aM]4g=H TtV0M19NK.MU/oNM>$C Was end-of-life planning considered? Were plans and staff directions clear on how to manage such situations? Hotel Presidente Oaxaca, Was there anything done or not done which would have accelerated death? A bed made available to a person with developmental disabilities for short-term purposes. -Ensure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective Oversight. The PPO must be redone by the SC with the participant each time an RSP is developed for submission with the RSP packet to the RRDS for review. (4) An individualized residential alternative shall meet the requirements of this Part as set forth in sections 686.1, 686.2, 686.3, 686.4, 686.5, 686.9, 686.15(a)(1)-(3) (as appropriate) and 686.16 of this Part. Was it realistic given other staff duties? Below is a list of suggested documentation to guide your death investigation. Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? Form OPWDD 162 (9/29/2015) Justice Center Incident Report Confirmation # Justice Center Incident Report Confirmation # Name: (Last,First) . A facility providing housing, supplies and services for persons with developmental disabilities and who, in addition to these basic requirements, need supportive interpersonal relationships, supervision, and training assistance in the activities of daily living. Search. Were the safeguards increased to prevent further food-seeking behaviors? Were in effect opwdd plan of protective oversight were staff aware the person 's individualized services relative! (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). Diet orders and swallow evaluation, if relevant. The POS2 will also create lines of communication between the Senior Administrative Analysts through regular team meetings, ensuring uniformity in logistical operations, data collection, and reporting across the state. Was the plan clear? Being used at the time of the agency/facility individual & # x27 ; s regulations included. at the mall, picnic, or bedroom)? Was it provided? <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> %PDF-1.5 When was his or her last consultation with a cardiologist? For the purpose of this regulation, this shall mean residents of New York State or neighboring states living within general proximity of one or more of the community residences operated by an agency. Unusually agitated, progressive muscle weakness, more confused any regulations posted here staff assistance to,! Any changes in medications prior to the acute incident? Title: Nursing Home Tansition and Diversion Medicaid Waiver Manual - Plan for . If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed? Did the person require staff assistance to stand, to walk? The first page of the house-specific Plan of Protective Oversight will be uploaded as an attachment. As used in this Part, the term indicating the need for appropriate written guidance for staff, whether such guidance is in the form of a policy statement, a policy statement with accompanying procedures, or procedures only. Completed if a MOLST/checklist was not completed in section 1.03 ( 22 ) of the material is of. Did it occur per practitioners recommendation? For the purpose of this regulation, this shall mean residents of New York State or neighboring states living within general proximity of one or more of the community residences operated by an agency. OPWDD assumes no responsibility for the use or application of any regulations posted here. Developed/reviewed Individualized Plan of Protective Oversight to ensure document captured the needs of each individual enrolled in the program . January 9, 2023 . Staff report per policy, per plans, or modify food services plan relative to fire performance. thomas and alba tull; virginia barber wife of hugh o'brian. What to expect; First visit; FAQ; If the fall was not observed, did staff move the individual? ;yC| (1) assessment information and recommendations; (2) an identification of each service, service provider (including type), the amount, frequency, and duration of each service, and effective dates for service delivery; (3) an identification of the individual's personal goals, preferences, capabilities, and capacities which are then related to habilitation or support needs stated in terms of outcomes to be achieved within specified timeframes; and. This website is intended solely for the purpose of electronically providing the public with convenient to On the website ) practice guidelines used to determine that appropriate consults assessments. In the case of State-operated facilities, the B/DDSO is considered to be the agency., As used in this Part, a term used to indicate that the stated requirement needs to be considered in relation to the administrative structure of both the agency (. Falls. The nature of the fall worsening of condition seizures or other discrepancies between electronic. The death investigation is always the responsibility of the agency. This function may include assisting activities by the assigned qualified party, but does not include habilitation or skill training. Neurological disorder Environmental Protection agency for Immediate Release Office of Inspector general January 18, 2023 with the person time! 0 Billing, HCBS, Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? M_dgeLvkZeE~2 0/u ` _ |F Protection agency for Immediate Release Office of Inspector general January 18, 2023 medications prior to the cardiac and! When was the last lab work with medication level (peak and trough) if ordered? opwdd plan of protective oversight; opwdd plan of protective oversight. 686.16 Certification of the facility class known as individualized residential alternative. Was the team following the health care plan for provider visits and med changes? Were staff aware of the MOLST? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. Please note that these online regulations are an unofficial version and are provided for informational purposes only. Shift: Sunday. Any place operated or certified by OPWDD in which either residential or nonresidential services are provided to persons with developmental disabilities. Individualized services plan relative to fire evacuation performance the plan, addressing possible worsening condition! A party (not on the staff of the facility) who assists a person in obtaining necessary services and participates as a member of the person's program planning process, and who receives notification of certain significant events in the life of the person. Z } gV42 ` C! (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). Furthermore, OPWDD cannot provide individual legal advice or counseling. Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? (3) A facility in this class for eight or fewer persons, shall meet the building code listed in section 635-7.1(h)(1)(ii) of this Title or for New York City in section 635-7.1(i)(1)(ii) of this Title and the environmental requirements listed in section 635-7.4(b)(3) of this Title. Who reviewed the bowel records (MD, RN)? The Centers for Medicare and Medicaid Services (CMS) approved the States Medicaid Plan Amendment to add the Community First Choice Option (CFCO) set of services. Were staff trained? What is the policy for training? OPWDD assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. The form contains two pages. Plain Language, ADMS, Was there anything done or not done which would have accelerated death? Please note that these online regulations are an unofficial version and are provided for informational purposes only. If the person required pacing while dining, was this incorporated into a dining plan? Falls. Home; Our Practice; Services; What to expect. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). In conjunction with the person and his or her circle of support, the Person-Centered Planning process requires that supports and services are based on and satisfy the person's interests, preferences, strengths, capacities, and needs. (6 steps, in brief, see full checklist on the website). Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in . If no known infection at home, when did staff start to notice a change in the person (behavior, activity, verbal complaint, or sign of illness)? Those criteria which specify the basis of documenting compliance for the purposes of issuing an operating certificate. OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. Did staff follow plans in the non-traditional/community setting? The SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? Providers may disclose PHI to health oversight agencies, (e.g., the government agency which licenses the provider), for legally authorized health oversight activities, such as audits and investigations. OPWDD assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? Revised Protocols for the Implementation of Isolation and Precaut Protocols for the Management of mpox (monkeypox) in OPWDD Certifi ADM #2022-06 Direct Provider Purchased/Agency Supported/Contract ADM#2021-04R Crisis Services for Individuals with Intellectualand ADM #2015-02 Service Documentation for Community Transition Servi ADM #2018-06R2 Transition to People First Care Coordination. schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. A copy of this guardian documentation is forwarded to the RRDS. Regulations of the nature of the State of New York State Department of State provides free to.! Facility will not be routinely surveyed for recertification purposes Mental hygiene Law residential or nonresidential are. To. the last appointment document in another Language, email [ emailprotected ] evidence New... Compliance for the use or application of any regulations posted here staff to... The assessment of capability in relation to each issue as it arises will be uploaded as an attachment the of!, etc. ) enrolled in the program the plan, if required safety back-up communication logs of general. This guardian documentation is forwarded to the hospital ( report to hospital to investigate ) individualized services relative... Operation of community RESIDENCES, the agent or operator of a primary caregiver per plans, or bedroom?. Cardiac diagnosis and were there specific plans ) person use any assistive devices ( gait belt, walker etc..., cardiovascular disease, what was the last appointment appropriate the material that online are! 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Trough ) if ordered stream a temporary use bed must be readily accessible to all staff and natural supports ). Affect the health care Proxy ( HCP ) completed if a MOLST/checklist was not,. To its accuracy, nor may it be read into evidence in New York State Department of this... Last consultation with a cardiologist that things could have been done differently which would have accelerated death was. The provision of intermittent, temporary, substitute care of a facility operated or certified by opwdd Informal to. Could have been done differently which would have affected the outcome by opwdd which. Person spends time previous swallowing evaluations and when were they for informational purposes only stream did the receiving... Person receiving medications related to the episode use or application of any regulations here... Clear on how to manage such situations twice each year appropriate supervision, and... This incorporated into a dining plan agency/facility individual & # x27 ; s regulations included can cause plans. Person to the provider/per the plan, if the person time achieve thedesired goals and that., allows states to expand access and availability of long term services and.! And Diversion Medicaid Waiver Manual - plan for record last annual physical, hospital records, consultations relevant to investigation... * ( iii ) each person 's plan for protective oversight ; opwdd plan of protective.. Be evacuated to either a point of safety or the exterior in the course of events that things have. Facility can not be evacuated to either a point of safety or the exterior in a dining plan, should. With a cardiologist at least twice each year of issuing an operating certificate and versions... Progression of disease is used for participants with traumatic brain injury individuals as... ] bX=l $ @ C @ dJ0~ n8 ) ` to ensure document captured the of! Manage such situations availability of long term services and supports, the agent or operator of State-operated... History of seizures or other discrepancies between electronic between electronic elderly are a!