Behavior Support Plan
Our new BSP Module provides a mechanism for creating Behavior Support Plans that capture a person’s background, medical history, triggers and warnings, target behaviors, adaptive behaviors, goals, and procedures such as proactive strategies and reinforcement strategies, as well as other interventions such as restrictive procedures.
As the BSP is being filled out, the user can specify what data is to be collected for each component of the plan, and in what format/metric. This allows for the team to get meaningful data, and for the DSP to provide it by checking off a few boxes in the Care Tracker each day.
Step 1: Go to a person’s echart and click on the Behavior Support Plan button.
This will bring up a list of all the BSP’s on file for the person, and their status (Draft, Current, Past).
Step 2: When you’re ready, click Start New BSP. You can enter the BSP date or you have the option to copy everything from the previous BSP by clicking “Clone Implemented BSP”.
Step 3: In draft mode complete/update each section of the BSP, starting with the Appraisal and Assessment Summary section.
Step 4: Click the next tab for Medical. This page lists all medical diagnoses listed in the person’s profile. You can check off a box to show that diagnosis on the BSP, and comment if you would like to add a comment about how the BSP addresses the diagnoses or impacts the person’s life.
Step 5: Click Triggers and Warnings to simply add a list of triggers and warnings that are known to the person. Simply click Add and toggle between triggers and warnings to add both of these to your plan. Note: This will come in later allowing you to track which triggers and warnings were present for certain behaviors.
The next couple of sections are closely tied with the Services Screen on the eChart. In fact, the behavior and data you want to track about it, can be set up right in services like you set up other Care Tracker services.
Here is the new Behavior Supports screen in the eChart - Services. You will see new sections for Target Behavior, Adaptive Behavior, Proactive Strategies, and Reinforcement Strategies.
Enter each target behavior and if you want to set up data tracking, go into the detail view to the right. The blue pen will edit the information. Here you can add a description of the behavior, and the expected outcomes. This is where staff will document the occurrence of behavior so you want to use this field to list anything you want to capture. Click Readings and Prompts to set up readings (ex. Frequency count) or prompts on a given outcome. Or you can capture these at the behavior level, below the status and protocol fields.
Here you can bring in the triggers and warnings you want staff to mark off when this behavior occurs.
Next, you can link the goal the behavior plan is supporting by targeting a behavior, when and how often data will be collected on the Care Tracker, and who will provide the service (example, DSP).
If you want staff to start collecting data, click Show on CareTracker to turn it on. Be sure to enter which funding streams this BSP is being implemented in, so data will become part of the service note for that particular service.
Repeat the same steps for Adaptive Behavior, Proactive Strategies, and Reinforcement Strategies.
So now, how does the DSP see all this?
Example 1: Target Behavior- Taking unattended food from others
Example 2: Target Behavior - Self-Injurious Behavior
Example 3: Reinforcement Strategy - Verbal Praise
Example 4: Adaptive Support Strategy - accept staff support to report pain or discomfort.
The benefit to adding each of these behaviors and strategies into the Care Tracker for staff, is that all they have to do is click a few buttons and you will get nice aggregate data to see how the implementation of the plan is going.
First add the goal and narrative. Next, fill out the Interventions section.
Once you have entered all the narrative into your plan, and identified the data you’d like to capture, you can implement the BSP.
To implement the BSP, click the green Implement BSP button.
The Implemented Date is the date the BSP should go into effect.
The BSP Target Date is usually a year from the Implementation Date - when the next BSP will be due.
Then you can click Generate BSP to generate a printable BSP document.
In order for staff to have access and work in this module you must allow them permission. System administrators must visit the permission settings and go to Clinical Services for all roles needing this functionality.
If you need any further assistance please reach out to us.
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