Transcript from BAL Regional Directors - Wisconsin Assisted Living Association

Conversations with BAL
October 26, 2011
DQA/Bureau of Assisted Living
Northeastern Regional Office
Laurie Arkens
Top 10 Cites for First 6
Months of 2011
• Adult Family Homes
• Community Based Residential Facilities
• Residential Care Apartment Complexes
Top Ten Citations CBRF (Jan. - June 2011)
30
LICENSEE ENSURES FACILITY COMPLIES WITH LAWS
27
SERVICE PLANS UPDATED ANNUALLY OR ON CHANGES
25
OTHER EVACUATION DRILLS
22
COMPREHENSIVE INDIVIDUALIZED SERVICE PLAN
CONTINUING EDUCATION
21
RIGHTS OF RESIDENTS: PROMPT AND ADEQUATE
TREATMENT
21
RIGHTS OF RESIDENTS: TO RECEIVE MEDICATION
19
PRN PSYCHOTROPIC MEDICATION
19
18
LISTED AREAS FOR ASSESSMENTS
CAREGIVER: INVESTIGATING ABUSE AND NEGLECT
16
BATH AND TOILET AREAS: WATER TEMPERATURE
16
Top Citations - AFH (Jan - June 2011)
RESPONSIBILITIES
17
HOME ENVIRONMENT
16
REVIEW OF ISP
15
SAFE PHYSICAL ENVIRONMENT
13
TRAINING-8 HOURS ANNUALLY
12
SMOKE DETECTORS-TESTING AND MAINTENANCE
10
FIRE EVACUATION ANNUAL EVALUATION
10
TRAINING-15 HOURS WITHIN 6 MONTHS
9
FREE OF HAZARDS
7
ANNUAL WELL WATER INSPECTIONS
7
FIRE SAFETY-SMOKE DETECTORS
7
EXITING FROM THE FIRST FLOOR
7
FIRE SAFETY EVACUATION PLAN REVIEW
7
Strategies
Strategies to Promote Regulatory
Compliance:
• Adult Family Homes
• Community Based Residential Facilities
• Residential Care Apartment Complexes
*Based on Top 10 Cites for Calendar Year 2010
Abbreviated Survey
• Recognize
communities with
good compliance
history
• Use all senses - if it
feels good, looks
good, smells good,
sounds good… move
on!
The Next Generation of the
WI Survey Process ….
Proposal - less frequent reviews of
providers with good compliance
•
Criteria
–
–
–
–
Facility qualifies for an abbreviated survey and;
Facility is a member of a major association in
good standing (WALA, WAHSA, WiCAL, RSA of
WI, WADSA) and;
Facility has implemented a “provider
association”, “department approved”, quality
improvement program that adopts standards of
practice and;
Facility has signed a department “self
attestation” document that they are in substantial
compliance of the regulations.
Events so far …..
•
•
•
•
Approval from DHS Secretary
Met with Associations and Advocates
BAL Developed Guiding Values
Partnership with UW Madison for a
research component
• Updated DQA database to recognize
this new group
Next Steps …..
• Meeting to update the associations
• DQA/UW Madison grant applications to
help fund the start up and the research
component
• Associations to complete their
comprehensive plan and submit to
DQA/BAL for approval
• Associations to help members implement
• Study the effectiveness
WI Coalition for Collaborative
Excellence in Assisted Living
•
•
•
•
Provider Association Sponsored
Department Approved
Comprehensive QA & QI
Includes the following Guiding Values….
Provider Association Support
•
•
•
•
•
Training
Mentoring
Peer Review
Resources
Consultation
Standards of Practice
•
•
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•
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•
•
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•
•
ADLs
Diabetes
Dementia
Pain
Pressure ulcers
Person-centered care
Abuse, neglect
Falls
Mental Health
Infection control
Emergency Management
Medication
Food safety
Regulatory Compliance
• WI Administrative
Code
• State Statute
Activities & Community
Involvement
• Active
• Involved
• Connected
Consumer & Advocate Feedback
•
•
•
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Residents/Tenants
Families/legal rep.
Staff
Case Managers/Funding
Councils, surveys,
grievance process,
questionnaires
Leadership & Workforce Support
•
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Leaders
Competency
Professional growth
Recruitment
Retention
Continuous Quality Improvement
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Benchmarks
Data Collection
Performance analysis
Continuous
Commitment
• Organizational
commitment
• Licensee self attestation
Department Website Resources
• Survey Guide
http://www.dhs.wisconsin.gov/publications/p6/p63186.pdf
• Post Survey Questionnaire
https://doa.wi.gov/dhssurveys/TakeSurvey.aspx?SurveyID=
ml00584
• Enforcement Guidelines
http://www.dhs.wisconsin.gov/publications/p6/p63200.pdf
• Strategies to Promote Regulatory Compliance
http://www.dhs.wisconsin.gov/rl_dsl/Providers/resources.ht
m
Department Website Resources
• Medication Management Initiative
http://www.dhs.wisconsin.gov/rl_dsl/MedManagement/asstlvgMMI.h
tm
• The Assisted Living Forum
http://www.dhs.wisconsin.gov/rl_dsl/Providers/asstdLvgForum.htm
• Assisted Living Home Page
http://www.dhs.wisconsin.gov/bqaconsumer/AssistedLiving/AsLivin
dex.htm
• DQA Memos, ListServ, CBRF Training, CBRF Administrator’s
Course, Family Care, Consultant List, Assisted Living Directories
and Profiles, Resident Relocation Information, Forms (Fire Report,
Evacuation Assessment Form, Licensure Checklists), OCQ
Information, & MORE
Questions/Answers