Department of Health and Social Services Division of

Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP) Joint Finance Committee Hearing FY 2014 Mary Peterson Division Director February 20, 2012

Our Mission 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

What is “Long Term”? 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 Division of Long Term Care Residents Protection

Who Do We Protect? Men and Women Boys and Girls from a few weeks of age to over 100 years Division of Long Term Care Residents Protection

Where are They? At large residences which house 100 people or more and in small community based residences that house 3 or 4 people. Division of Long Term Care Residents Protection

Fast-Growing Older Population ** By 2030, Delaware is projected to have the 9 th -highest proportion of people age 65 and older in the U. S. Delaware Health and Social Services

Efficiencies • Online access to the Adult Abuse Registry for employers • Web-based reporting system for facilities, eliminating paper, faxing and duplicate data entry. • The new automated background process goes live on March 8, 2013. It provides background information to employers from 9 data streams at one source. • Emergency Preparedness Symposium and on-going consultative services to facilities on developing All. Hazards Preparedness Plans. • Provided clarification and a process for discharges thru regulations. Division of Long Term Care Residents Protection

Efficiencies (continued) • The most recent survey (inspection) reports are now available on-line for the public to view. • Reduced on-site survey time from 10 days to 6 days, reducing inconvenience to facilities. • Established an Adult Abuse Registry panel to ensure the prosecution of offenders and reducing the funds expended on our contracted hearing officers. Division of Long Term Care Residents Protection

Investigative Section Web-based Incident Reporting System • Reduces paper, faxing and duplication for facilities. • Eliminates indecipherable handwriting and allows facilities to enter follow-up information electronically also. • Eliminates the majority of data entry for our staff. • Results in more complete information being provided to our staff. • Greatly reduces our use of paper, copying, folders and fax toners. Division of Long Term Care Residents Protection

Investigative Section 11 investigators statewide Reported Incidents Total reports Assigned for Follow-up 2011 2012 6, 794 6, 793 2, 121 2, 457 Division of Long Term Care Residents Protection

Investigative Section Adult Abuse Registry 214 persons currently on the registry 27 persons were placed in 2012 16 of those appealed their placements Division of Long Term Care Residents Protection

Investigative Section Criminal Background Checks All Applicants 2010 2011 2012 No Criminal History 7, 614 7, 955 8, 076 History no Disqualifier 3, 549 3, 633 3. 302 History With Disqualifier 73 56 41 11, 236 11, 644 11, 419 TOTAL Division of Long Term Care Residents Protection

Investigative Section Background Check Center $3 million CMS Grant 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 to Children, Youth and Families (DSCYF) DE Criminal Justice Information System (DELJIS) DE Health Information Network (DHIN) Dept. of Safety and Homeland Security FBI Office of the Inspector General (OIG) Sex Offender Registry (SOR) Go Live –March 2013! Division of Long Term Care Residents Protection

Licensing Section • Nursing Homes - 50 • Assisted Living - 34 • Neighborhood Homes for Persons with Developmental Disabilities – 158 • Group Homes for Persons with Mental Illness - 18 • Group Homes for Persons with AIDS – 1 • Rest Family Care Homes – 71 • Intensive Behavioral Support Residences - 12 Total - 344 Division of Long Term Care Residents Protection

Licensing Section Facility Surveys State Funding 45% Federal Funding 55% 19 surveyors statewide Division of Long Term Care Residents Protection

Licensing Section Delaware Health Information Network (DHIN) CMS Grant $91, 000 DHIN trained all facilities to connect to DHIN for receipt of medical records Division of Long Term Care Residents Protection

Licensing Section Disaster Preparedness Project Using grant funding 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 facilities in developing All-Hazards Preparedness Plans. Division of Long Term Care Residents Protection

Certified Nurse Assistants • Approve curriculum and oversight of the testing/ certification process • Initiated a web-based educational tracking system to regulate the 24 hours training minimum requirements including statutory dementia training Division of Long Term Care Residents Protection

Our Challenge To do more with current assets for a growing population Division of Long Term Care Residents Protection

Thank You Are there any questions? Division of Long Term Care Residents Protection