Transcript TITLE PAGE

Personal Care Home Program
Presented by:
Elaine Wright, Director
Personal Care Home Program
Healthcare Facility Regulation Division
Date: 11/21/14
Mission
The Georgia Department of Community Health
We will provide access to affordable, quality health care
to Georgians through effective planning, purchasing
and oversight.
We are dedicated to a healthy Georgia.
PCH Program
•
•
•
•
PCHs
CLAs
ALCs
UNL PCH
PCH Staff/Organization
• Statewide program
• Survey and Certification
• Complaints Intake
– Supervisor – Theresa Thompson
• Applications
– Yolanda Smith
• Main # – 404-657-5850
Personal Care Home
• Any dwelling, whether operated for profit or not, which
undertakes through its ownership or management to
provide or arrange for the provision of housing, food
service, and one or more personal services for two or more
adults who are not related to the owner or administrator by
blood or marriage.
• Personal Services includes but is not limited to, individual
assistance with ambulation and transfer, and essential
activities of daily living such as eating, bathing, grooming,
dressing and toileting.
Community Living Arrangement
• Means any residence, whether operated for profit or
not, that undertakes through its ownership or
management to provide or arrange for the provision
of daily personal services, supports, care or
treatment exclusively for two or more adults who
are not related to the owner or administrator by
blood or marriage an whose residential services are
financially supported, in whole or in part, by funds
designated through the Department of Behavioral
Health and Disabilities Division (DBHDD).
Assisted Living Community
• Assisted Living Care means the specialized care and
services provided by an assisted living community which
includes the provision of personal services, the
administration of medications by a certified medication aide
and the provision of assisted self-preservation.
• Assisted self-preservation means the capacity of a resident
to be evacuated from an assisted living community to a
designated point of safety and within an established period
of time as determined by the Office of Fire Safety
Commissioner.
Assisted Living Community
• Assisted Self-Preservation is a function of all the following:
• The condition of the individual
• The assistance that is available to be provided to the
individual by the staff of the assisted living community.
• The construction of the building in which the ALC is
housed, including whether such building meets the state
fire and safety requirements applicable to an existing health
care occupancy.
Number of PCHs by Year
2,500
2,000
1,500
1,000
500
0
2000 2002 2004 2006 2008 2010 2012 2013
Facilities
PCH Beds by Year
35,000
30,000
25,000
20,000
Beds
15,000
10,000
5,000
0
2000
2002
2004
2009
2012
2013
3/22/06
New Permits Issued
700
600
500
400
CLA
PCH
Total
300
200
100
0
FY 07
FY 08
FY 09
FY 10
FY 11
FY 12
FY 13
Complaints Received
4/12/12
1200
1000
800
CLAs
PCHs
TOTAL
600
400
200
0
FY 07
FY 08
FY 09
FY 10
FY 11
Complaints
• Average 1300 per year
– 1000 Licensed
– 300 Unlicensed
• May conduct with Annual or Other Inspection
• Variety of Sources for Complaints
Source of Complaints
160
140
120
100
80
60
40
20
0
Resident
Hlth Pro
F Staff
C Staff
PCH
LTCO
Family
Other
Anon
State Ag
Friend
MD
Incident Reports Received
3500
3000
2500
2000
CLA
PCH
Total
1500
1000
500
0
FY 07
FY 08
FY 09
FY 10
FY 11
Number of CLAs by Year
800
700
600
500
400
Facilities
300
200
100
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2103
CLAs by Bed Size
120
100
80
60
Res
40
20
0
2
3
4
5
6
>6
Number of CLA Complaints
140
120
100
80
CLAs
60
40
20
0
FY 07
FY 08
FY 09
FY 10
FY 11
FY13
Source of CLA Complaints
12
10
8
6
4
2
0
Resident
Hlth Pro
F Staff
CLA
LTCO
Family
Other
Anon
State Ag
Friend
Number of ALCs by Year
90
80
70
60
50
Facilities
40
30
20
10
0
2014
Program Responsibilities
• Issue Permits
• Conduct Complaint
Investigations
• Conduct Initial
Inspections
• Conduct Annual
Inspections
• Conduct Monitoring
Visits
• Conduct Follow-up
Inspections
• Provide Training
• Take Enforcement
Actions
• Ensure quality of life,
quality of care of
residents, facilities meet
minimum standards
Issue Permits - PCH
•
•
•
•
•
10-25 issued per month
Does not include CHOWs (change of ownership)
Review within one week
Issue or deny within 60 days
Currently have 100 applications for conversion to
ALC.
• Licensing and annual fees based on number of
beds
Initial Inspections
• Prior to licensure
• Complete review of all rules
• 10-25 per month
Annual Surveys
•
•
•
•
Since January 2000
80-150/month
Unannounced
Average about 18 months
Follow-up Visits
• Need to Ensure Resident Care
• Timeframe Depends Upon Seriousness of
Violations
• May Monitor Facility
Monitoring Visits
• Ensure resident care
• Ensure compliance
• In conjunction with adverse actions
Training
• Information On-line
• External and Internal
Enforcement
• Scope & Severity of Deficiencies
• Facility’s Compliance History
• Imposition of Sanction
– Sanctions against Applicants
– Sanctions against Licensees
Goals
• Motivate Facilities to Remain in
Compliance
• Ensure Equitable and Consistent
Enforcement
• Link Appropriate Remedy to
Deficiencies
Sanctions Against Applicants
• Authorized by Chapter 111-8-25, Rules
and Regulations for Enforcement of
Licensing Requirements
– Refuse to Grant a License
– Prohibit Persons in Management or Control
– Limit or Restrict a License
Sanctions Against Licensees
•
•
•
•
•
•
•
Administer a Public Reprimand
Suspend a License
Prohibit Persons in Management or Control
* Revoke a License
* Impose a Fine
* Limit or Restrict a License
Voluntary Suspension of License
Other Actions
• Inspection Warrant
• Injunction - Unlicensed Facilities
• Fines - Unlicensed Facilities
CLA Adverse Actions
•
•
•
•
Fines
Licenses Denied
Included in totals with PCHs
Revocations
Questions?
Contact our office at any time if there are additional
questions or if assistance is needed.
Phone # 404-657-5850
Contact Information
Personal Care Home Program
Healthcare Facility Regulation Division
Department of Community Health
2 Peachtree St., NW, Suite 31.447
Atlanta, GA 30303
404-657-5850
CONTACTS
Elaine Wright, Director, 404-657-5856
[email protected]
Kay Heidt, Manager, 404-657-4074
[email protected]
Shirley Rodrigues, Manager 4-4657-4302
[email protected]
Cathy Mullican, Manager, 404-293-9419
[email protected]