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Joint Finance Committee Hearing Fiscal Year 2015 Mary Peterson Division Director February 26, 2014 Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

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Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP). Joint Finance Committee Hearing Fiscal Year 2015 Mary Peterson Division Director February 26, 2014. Our Mission. - PowerPoint PPT Presentation

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Page 1: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Joint Finance Committee HearingFiscal Year 2015

Mary PetersonDivision DirectorFebruary 26, 2014

Department of Health and Social ServicesDivision of Long Term Care Residents

Protection (DLTCRP)

Page 2: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

• To promote the quality of care, safety and security of people living in long-term care settings;

• To ensure facilities' compliance with state and federal laws and regulations; and

• To advocate on behalf of residents

Our Mission

Page 3: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Historically: many years or until the end of life

Today: several days… to end of life

because of the prevalence of rehabilitative services and hospice care

What is “Long Term?”

Page 4: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Men and Women

Boys and Girls

from a few weeks of age

to over 100 years

Who Do We Protect?

Page 5: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Where are They?

Nursing Homes

Assisted Living

Other CommunitySettings

5,135Beds62%

1,091Beds

13%

2,043 Beds25%

Page 6: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Where are They?

Page 7: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

• Web-based event reporting system for facilities

• Automated Background Check Center

• Developed All-Hazards Preparedness Plans for every nursing home in Delaware

• The first statewide Administrator and Director of Nursing conference for nursing homes and assisted living facilities

• Survey inspection reports are available on-line for public access

• Reduced on-site survey time from 10 to 5 days

• Implemented placement policies for Adult Abuse Registry

Efficiencies

Page 8: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Investigative Section11 investigators statewide

ReportedIncidents

2012 2013

Total reports

6,793 5,903

Assigned for Follow-up

2,457 2,072

Page 9: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Investigative SectionAdult Abuse Registry

173 persons currently on the registry

16 persons were placed in 2013

13 of those appealed their placements

Page 10: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Investigative SectionCriminal Background Checks

All Applicants 2011 2012 2013

No Criminal History 7,955 8,076 9,552

History No Disqualifier 3,633 3,302 1,650

History With Disqualifier 56 41 0

TOTAL 11,644 11,419 11,202

Page 11: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Background Check Center$3 million Centers for Medicare and Medicaid Services Grant

Investigative Section

Provides background information on applicants for employment from 9 data streams in one place:

Dept. of Health and Social Services (DHSS)Dept. of State (State)

Dept. Services forChildren, Youth and Their Families (DSCYF)DE Criminal Justice Information System (DELJIS)

DE Health Information Network (DHIN)Dept. of Safety and Homeland SecurityFederal Bureau of Investigation (FBI)Office of the Inspector General (OIG)

Sex Offender Registry (SOR)

Went Live & On-Line 2013

Page 12: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Licensing Section• Nursing Homes - 50• Assisted Living - 32• Neighborhood Homes for Persons with Developmental

Disabilities - 163• Group Homes for Persons with Mental Illness - 18• Group Homes for Persons with AIDS - 1• Rest Family Care Homes - 72• Intensive Behavioral Support Residences - 7

Total - 343

Page 13: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Healthcare TransitionsThrough a grant-funded project, the Division ensured that

all nursing homes accessed the Delaware Health Information Network.

The Division is now working with the Post Acute Care Council and the Transitional Care Consortium to ensure seamless transitions between healthcare settings and to

reduce readmissions to hospitals.

Licensing Section

Page 14: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

• In 2012, the Division presented an Emergency Preparedness Conference for facilities in conjunction with the UD College of Health Services and contracted with a consultant to assist nursing homes in developing All-Hazards Preparedness plans.

• In 2013, All-Hazard Preparedness plans were completed for all nursing homes.

Licensing Section Disaster Preparedness Project

Page 15: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Certified Nursing Assistants

• We continue to approve curriculum and provide oversight of the testing/certification process

• The web-based educational tracking system regulates the 24-hour minimum training requirements

Page 16: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

To do more with current assets

for a growing population

Our Challenge

Page 17: Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

Delaware Health and Social Services

Thank You

Are there any questions?