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STRIVE STRIVE Staff Time and Resource Staff Time and Resource Intensity Verification Intensity Verification State Call State Call November 30, 2006 November 30, 2006 [email protected] [email protected]

STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 [email protected]

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Page 1: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVESTRIVEStaff Time and Resource Staff Time and Resource

Intensity VerificationIntensity Verification

State Call State Call

November 30, 2006November 30, 2006

[email protected]@IFMC.ORG

Page 2: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.2

Call AgendaCall Agenda

Welcome and IntroductionsWelcome and Introductions STRIVE Project UpdateSTRIVE Project Update State Preparation TimelineState Preparation Timeline Volunteer Data Monitor RecruitmentVolunteer Data Monitor Recruitment CEU UpdateCEU Update Next StepsNext Steps Question & Answer PeriodQuestion & Answer Period

Page 3: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.3

STRIVE Project UpdateSTRIVE Project Update

As of 11/30/06:As of 11/30/06: 70 facilities visited70 facilities visited 49 residents per facility average49 residents per facility average About a quarter of the planned populationAbout a quarter of the planned population

Page 4: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.4

STRIVE Project UpdateSTRIVE Project Update

Completed States:Completed States: Iowa – Apr-Aug ’06 Iowa – Apr-Aug ’06 Kentucky – Aug-Oct ’06Kentucky – Aug-Oct ’06 Montana – Sep-Oct ’06Montana – Sep-Oct ’06 New York – Sept-Nov ’06New York – Sept-Nov ’06

States in Process:States in Process: Ohio – Nov-Dec ’06Ohio – Nov-Dec ’06 South Dakota – Sep ’06 -Feb ’07South Dakota – Sep ’06 -Feb ’07 Washington – Oct ’06 -Jan ’07Washington – Oct ’06 -Jan ’07 Texas (TMF) – Nov ’06 -Summer ’07Texas (TMF) – Nov ’06 -Summer ’07

Page 5: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.5

STRIVE Project UpdateSTRIVE Project Update

States Scheduled for 2007:States Scheduled for 2007: DC – Jan-Feb ’07DC – Jan-Feb ’07 IL – Mar-May ’07IL – Mar-May ’07 LA – Mar-May ’07LA – Mar-May ’07 MI – Late Spring ’07MI – Late Spring ’07 NV – Jan-Mar ‘07NV – Jan-Mar ‘07 VA – Feb-Apr ’07VA – Feb-Apr ’07

Page 6: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.6

Timeline Timeline IFMC StateIFMC State

2-3 Months before study2-3 Months before studyDevelops facility sample for State and Develops facility sample for State and CMS Regional Office reviewCMS Regional Office review

Receives facility sample for reviewReceives facility sample for review

Hosts Association Call for facility and Hosts Association Call for facility and data monitor recruitmentdata monitor recruitment

Participates in Association CallParticipates in Association Call

Begins facility recruitmentBegins facility recruitment Begins data monitor recruitmentBegins data monitor recruitment

Coordinates mailing of facility Coordinates mailing of facility invitationsinvitations

Provides invitation informationProvides invitation information

Hosts Facilities Call Hosts Facilities Call Participates in Facilities CallParticipates in Facilities Call

Page 7: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.7

Timeline Timeline IFMC StateIFMC State

1-2 Months before study1-2 Months before studyCoordinates data monitor trainingCoordinates data monitor training Makes arrangements for data monitor Makes arrangements for data monitor

trainingtraining

Finalizes facility schedulesFinalizes facility schedules Finalizes data monitor schedulesFinalizes data monitor schedules

1 week before study1 week before studyConducts data monitor trainingConducts data monitor training Attends data monitor TrainingAttends data monitor Training

First StudyFirst StudyProvides on-site support for first studyProvides on-site support for first study Performs first studyPerforms first study

Page 8: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.8

Volunteer Data Monitor Volunteer Data Monitor RecruitmentRecruitment

Best Practices for States using volunteers Best Practices for States using volunteers as data monitors (DMs):as data monitors (DMs): Start recruitment AS SOON AS POSSIBLEStart recruitment AS SOON AS POSSIBLE

State/local associationsState/local associations Facility volunteer organizationsFacility volunteer organizations Colleges/UniversitiesColleges/Universities

More More volunteers volunteers needed….needed….

Page 9: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.9

Volunteer Data Monitor Volunteer Data Monitor RecruitmentRecruitment

Traits of successful data monitors:Traits of successful data monitors: ““Average” (or better) computer skillsAverage” (or better) computer skills Outgoing personality, people skills, reliableOutgoing personality, people skills, reliable Available Monday through Thursday during Available Monday through Thursday during

study week study week Must be available on-site during assigned Must be available on-site during assigned

study hoursstudy hours CEUs may be available for volunteersCEUs may be available for volunteers

Page 10: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.10

Data Monitors: CEUsData Monitors: CEUs

IFMC has developed a continuing IFMC has developed a continuing education module in cooperation with the education module in cooperation with the American Association of Nurse American Association of Nurse Assessment Coordinators (AANAC)Assessment Coordinators (AANAC)

Nurse data monitors (volunteers and state Nurse data monitors (volunteers and state staff) will be able to earn CEUs for training staff) will be able to earn CEUs for training nursing home staff and conducting studiesnursing home staff and conducting studies CEU testing will be available via on-line web CEU testing will be available via on-line web

self study at AANAC.ORGself study at AANAC.ORG

Page 11: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.11

Data Monitors: CEUs Data Monitors: CEUs

CEUs will also be available for data CEUs will also be available for data monitors who have already been trained monitors who have already been trained

Monitor STRIVE website for information on Monitor STRIVE website for information on CEU testing CEU testing https://www.qtso.com/strive.htmlhttps://www.qtso.com/strive.html

Page 12: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.12

Facility RecruitingFacility Recruiting

Best Practices for discussing STRIVE Best Practices for discussing STRIVE Project with facilities:Project with facilities: Stress importance of participationStress importance of participation Share testimonials of nursing homesShare testimonials of nursing homes Share “What happens during a study?”Share “What happens during a study?” Share any relevant experiencesShare any relevant experiences

Page 13: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.13

Facility Study TimelineFacility Study Timeline

Pre-Study Preparation - IFMCPre-Study Preparation - IFMC Facility accepts Facility accepts

Facility receives acceptance packet from IFMC Facility receives acceptance packet from IFMC 2 wks pre-study2 wks pre-study

Facility provides resident/staff rosters to IFMCFacility provides resident/staff rosters to IFMC IFMC provides study materials to facilityIFMC provides study materials to facility

1 wk pre-study1 wk pre-study Facility can begin assessments data collection Facility can begin assessments data collection

(ARD is Thursday of the study week)(ARD is Thursday of the study week)

Page 14: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.14

Facility Study TimelineFacility Study Timeline Study Week Typical Schedule - StateStudy Week Typical Schedule - State

This is an example. The start date may vary.This is an example. The start date may vary. Monday Monday

OrientationOrientation Data monitors begin training facility staffData monitors begin training facility staff

TuesTues Staff training/practice day; therapy staff begin to record their time Staff training/practice day; therapy staff begin to record their time

datadata Wed-ThursWed-Thurs

Nursing home staff record their time dataNursing home staff record their time data Thurs-SunThurs-Sun

Therapy staff use paper tool to record their time data Therapy staff use paper tool to record their time data Fri Fri

Data monitors pack up equipment and send to next siteData monitors pack up equipment and send to next site

Page 15: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.15

Facility Study TimelineFacility Study Timeline

Post Study Activities - IFMCPost Study Activities - IFMC 1 wk post study1 wk post study

All paper tools and misc. paperwork sent to IFMCAll paper tools and misc. paperwork sent to IFMC 2 wks post-study2 wks post-study

Facility staff ensures all assessments are Facility staff ensures all assessments are completed and sent to IFMCcompleted and sent to IFMC

Page 16: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.16

Next StepsNext Steps

Completed States:Completed States: Celebrate! Provide expertise to upcoming Celebrate! Provide expertise to upcoming

statesstates In Process StatesIn Process States

Continue studies; provide feedbackContinue studies; provide feedback Future StatesFuture States

Begin volunteer & facility recruitment effortsBegin volunteer & facility recruitment efforts

Page 17: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.17

Sources of InformationSources of Information

Project MilestonesProject Milestones SchedulesSchedules News itemsNews items

Newsletter Newsletter Website: https://www.qtso.com/strive.htmlWebsite: https://www.qtso.com/strive.html

Page 18: STRIVE Staff Time and Resource Intensity Verification State Call November 30, 2006 STRIVE@IFMC.ORG

STRIVE State Call Nov. 30, 2006Iowa Foundation for Medical Care

Notice: These materials are in the public domain and cannot be copyrighted.18

Question and Answer SessionQuestion and Answer Session

Thank you for participatingThank you for participating

Questions or comments:Questions or comments:

[email protected]@IFMC.org

866-242-0921866-242-0921