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From our Team 

Reminder: ODHS Requesting Provider input  - Due 2/9

See the recent 1/22/24 provider alert requesting the need for AFH provider input to develop provider resources. Click here to complete the questionnaire by the February 9th deadline.

In case you missed it: Rate & Wage Study

See the recent 1/26/24 provider alert with details for how AFH providers should be on the lookout for contact from "Burns & Associates" (a third party contractor) for a survey to gather the needed information about the services providers deliver. This could impact future reimbursement rates.

Tip of the Week - Fire Drills


A common question about fire drills...

“We have a resident who gets upset by our fire drills, and it affects them the rest of the day. Do we need to have this resident take part in our fire drills?”

Often, when you have a resident who is living with dementia or who has other cognitive barriers, fire drills can be quite confusing and upsetting.

The good news is that you can use a proxy, or substitute, for residents who could benefit from a substitute during fire drills.

How does this work? Well, it takes advanced planning and an understanding of the resident’s needs during the drill. You are required to have a fire evacuation plan that identifies what assistance each resident needs during drills. On your plan, note which resident will require a substitute. 

Here are some things to keep in mind when using a proxy/substitute:

Plan ahead 

It is vital to plan ahead so that you have sufficient staffing during your drill when using a substitute. Be sure to have enough staff present during the drill so you have staff to conduct the fire drill, one staff member to be the substitute, and at least one staff member who can stay in the house with the resident who will not be participating. You can also plan your drills around a time you know that particular resident will be out of the house, such as at a doctor’s appointment or with family. You will use the substitute in their place. 

Conduct Your Drill

The staff member who is the substitute will act as if they were the resident, and you will assist the substitute exactly as you would assist the resident for whom they are the substitute. Your drills need to be as realistic as possible. You will still need to get all occupants and residents, including the proxy/substitute, to the initial point of safety within three minutes

Document & Reflect

On the fire drill record, there is a space to note if a substitute was required, where you will check yes or no. Additionally, at the bottom of the form, you will identify which caregiver was used as a substitute for a resident.


For Multnomah County, you will also provide additional information about the process and what went well and what you could have done to improve the process and efficiency.

We encourage all providers, regardless of county, to reflect on your fire drill process and work on improving efficiency. You hope to never experience a real fire, but if you do, you’ll be prepared to keep residents safe and ultimately save lives.

EQC Course Option


Do you need to take Ensuring Quality Care (EQC)? We offer a fully online, flexible option that is available year-round.

Follow the steps below to get started: 


Step #2: Register for one of our upcoming EQC preparation sessions:​​​

Step #3​: Register for the course. After you attend the preparation session, you will receive the link to register and start the course.

Click here for more information

"Friends and good manners will carry you where money won't go."

Margaret Walker, poet & writer (1915 - 1998)

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