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Office of Integrated Health

Progress Report

The Office of Integrated Health

The relationship between physical and mental health is inextricable for all individuals. The Office of Integrated Health (OIH) is a new department established by the Interim Commissioner for DBHDS. OIH was designed to form collaborative relationships with the expertise from Behavioral Health, Substance Abuse, and Developmental Disability Services (DDS), and other departments within DBHDS. OIH aims to build cohesive associations with the Virginia Department of Health, community clinicians, and related state agencies. This office will provide the initiatives through the Health Support Network for (DDS), PASRR, and Hiram Davis Medical Center. The goal of the Office of Integrated Health is to ensure quality health services through community integrated care statewide.

Health and Safety Alerts

2017 Alerts

 2015 Alerts


 2014 Alerts


Archived Health Safety and Quality Alerts

Letter to physicians treating persons with intellectual disabilities


Dysphagia - Aspiration

Hazards of Holiday Plants

Information about how to prevent unexpected deaths

Letter to providers-families-providing support 2013

Peanut Butter Safety

Psychotropic Medications Sedation and Constipation

Travel or other significant changes of schedule




Phone Number


Dawn M. Adams, DNP, ANP-BC, CHC

Director, Office of Integrated Health



Heather Martin, MS

Program Specialist




Mary Irvin, RN BSN

Community Nurse Integration Consultant



John Clay

Administrative Office Specialist



Darlene Lindsey

Contract Manager



Lisa Rogers, RN BS

Community Transition Nurse 



Community Nursing Team

Susan Moon, RN BS

Registered Nurse Care Consultant



Susan Rudolph RN BSN

Registered Nurse Care Consultant



Christina Gleason, RN, BSN

Registered Nurse Care Consultant



Mobile Rehab Engineering Team

Tammie Williams, RN MSN

Registered Nurse Care Consultant



Susan Alabanza, OTR/L

Occupational Therapy Director



David Sharp Jr

Rehab Engineer



Danny Thomas

Rehab Mechanic



Michael Shumaker

Rehab Mechanic



Dental Team




Casey Tupea, RDH

Dental Hygienist



Tamika Clark, BS

Dental Assistant



Please click here to view the OIH Organizational Chart  

Health Support Network (HSN)

What is the HSN?

HSN stands for Health Support Network. This idea is new and is the culmination of extensive research, deliberation, and strategizing with statewide stakeholders (individuals, families, advocates, community-based organizations, and state-based agencies) in an effort to support the healthcare needs of individuals moving from institutions to their preferred community. It will also serve as a resource for information related to healthcare, wellness, healthcare providers, and health related services within the state. The HSN will replace the Regional Community Support Centers in both name and function. 

The Health Support Network (HSN) is a state-based infrastructure to ensure appropriate quality supports toward barrier-free, community integrated healthcare for people with intellectual and developmental disabilities. The HSN exists to provide person-centered services to meet the needs for those who choose to access its providers, and proactively seeks to ensure that former residents of Training Centers, large Intermediate Care Facilities and Nursing Facilities (NFs) with medical issues receive the right health services, at the right time, by the right providers.


Fixed Rate Dental Program

The HSN has established from the ground up an opportunity for individuals to receive two basic/preventative dental appointments per year in community with participating clinics at a predetermined rate. These dental appointments are separate from the initial appointment establishing their plan of care. Once the dentist has made a plan of care, these appointments offer a complete visit consistent with the plan of care, even if it takes more than one visit to do this. The success of this pilot in HPR 4 (Richmond and surrounding areas) enabled the HSN to implement a similar program in Northern Virginia. 

Statewide Dentists:  this is a link to a PDF of the statewide list of dentists sorted by city. (Source: Virginia Department of Health)

Sedation Dental Program

The HSN established the Sedation Dental Program based on an innovative model utilizing a Certified Registered Nurse Anesthetist (CRNA) and certified moderation sedation dentist to provide a wider variety of services within the community setting. This is currently a pilot program in Northern Virginia aimed at meeting the needs of former NVTC residents and community members requiring moderate sedation (IM, IV). This program started on August 7, 2016; and seeks to provide less costly care to a greater number of individuals with IDD by eliminating the need for an in the office anesthesiologists. This program does not replace services associated with Medicaid for which general anesthesia in needed. 

Mobile Rehab Engineering (MRE) 

The HSN established a Mobile Rehab Engineering program to fill a gap that exists for all individuals with mobility challenges. This program ensures that individuals who rely on DME such as wheelchairs, shower chairs or other mobility equipment and have access to maintenance and repair services that do not already exist. Goals include safety evaluations, repairs, maintenance, safety education and power washing as needed within the comfort of their home or daycare program. The MRE staff includes an Engineer, Occupational Therapist and Registered Nurse Care Consultant (RNCC).

Related Reports

From May through July the department reviewed the recommendations of the HSN stakeholder groups, interviewed various individuals, agencies and advocates, and performed an extensive literature review to revise the HSN initial plan. In August this overarching concept draft was posted for public comment.

An overview of the HSN was presented at the stakeholder’s meeting on August 13, 2014 Susan Rudolph with the ARC of Greater Prince William/Insight presented a response to the plan.

Public comments were received over several weeks. All comments were greatly appreciated, valued and considered. 

The final draft for the overarching concept paper has been finalized and is available for review by clicking the following link.

Since the publication of the HSN draft for public comment, the Statewide Health Provider Survey data was collected and assimilated. The survey remains open to allow for maximal participation. A summary of findings through September is laid out in PowerPoint format and saved as a PDF.

Next Steps:

  • Develop specific long and short-term measurable goals to operationalize the plan.

  • Post these specific measurable short and long-term with a projected timeline.

  • Begin region specific community based nursing meetings.

  • Develop and implement Dentist specific survey to assess openness to preventative and basic dental proposal.
  • Hire registered nurses working from the Central Office within individual regions.

HSN Status Update June 2015   Click Here

Nursing Facilities and Large Intermediate Care Facilities(NF/Large ICF-IID)
From May through July the department reviewed the recommendations of the NF/Large ICF-IID stakeholder groups, interviewed various individuals, agencies and advocates, and performed an extensive literature review to revise the NF/Large ICF-IID initial plan. In late August this overarching concept draft was posted for public comment.

Public comments to the concept draft were received over approximately one month. All comments were greatly appreciated, valued and considered.


The Preadmission Screening and Resident Review (PASRR) process is a federal mandated process to ensure that individuals with a Serious Mental Illness (SMI), Intellectual Disability (ID), and/or a Related Condition (RC) are not inappropriately placed in nursing facilities. The PASRR process requires that all applicants to Medicaid-certified Nursing Facilities be given a preliminary assessment to determine whether they have a MI, ID, or a Related Condition that meets the criteria to be included in the PASRR process. This is called a "Level I screen". Those individuals who are identified with a SMI, ID, or RC are then evaluated through the "Level II" PASRR process to ensure that the Individual meets the criteria for Nursing Facility admission and to make recommendations for rehabilitative and Specialized Services. 

The Omnibus Budget Reconciliation Act (OBRA) dates back to 1987. It was developed to ensure individuals residing in nursing facilities receive quality care and have access to specialized services that normally are not provided in a nursing facility. OBRA provides specialized services to individuals with mental illness, intellectual disability or related condition (developmental disability) who live in nursing facilities across the Commonwealth. Specialized services are those services individuals need to maximize self-determination and independence. Community living skills, assistive technology, day support, transportation and education are some of the services provided through specialized services. 

The Community Transition team was developed in an effort to implement a post-move monitoring process for children being discharged from a nursing facility to ensure that services and supports are in place at the time of their discharge and there are no gaps in care. The process will include the frequency and intensity of monitoring as appropriate to individual circumstances and a monitoring checklist. 

Hiram W Davis Medical Center (HWDMC) is a 94-bed Long Term Care Nursing, Skilled Nursing, and General-Medical level facility specializing in the care of individuals with developmental disabilities/serious mental illness and concomitant illnesses; located near Petersburg, Virginia. It is a CMS/VDH and Joint Commission accredited facility.

Hiram Davis Medical Center

Mailing Address: PO Box 4030, Petersburg, VA  238303

Physical Address: Albermarle and 7th Streets, Petersburg, VA  23803

Facility Director: Brenda Buenvenida, (804) 524-7112

The purpose of this section is to provide individuals, families, and direct service providers ongoing health information in language that specifically lacks medical jargon. Every effort is made to be accurate, helpful and current. None of the information is a substitute for seeking appropriate medical care. The goal is to provide a mix of information in a variety of formats around medical issues and just as important, the preventative needs of individuals with intellectual and developmental disabilities. If you have suggestions for this page, please contact us by email with your ideas. Every effort will be made to address them in a timely fashion. 

Supplemental Education

The information below is specific to health prevention and education specifically targeted to non-medical professionals.

Seasonal Alerts:

Supplemental Education:

Health Curriculum

Below is a curriculum developed by the Office of Integrated Health along with the accompanying PowerPoint. Accompanying activities and documentation to follow.

Health Risks

Listed below are five common, yet serious conditions that individuals with DD may be faced with. Educational sheets have been provided on these conditions to inform you of the risk(s) and to offer recommendations for care plans you may initiate.

Aspiration: critical riskhigh riskmoderate risklow risk

Bowel Obstruction: critical riskhigh riskmoderate risklow risk

Dehydration: critical riskhigh riskmoderate risklow risk

GERD: critical riskhigh riskmoderate risklow risk

Seizures: Critical riskhigh riskmoderate risklow risk