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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) Joint Finance Committee Hearing Fiscal Year 2015 Mary Peterson Division Director February 26, 2014

Our Mission • To promote the quality of care, safety and security of people 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 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 Delaware Health and Social Services

Who Do We Protect? Men and Women Boys and Girls from a few weeks Who Do We Protect? Men and Women Boys and Girls from a few weeks of age to over 100 years Delaware Health and Social Services

Where are They? Delaware Health and Social Services Where are They? Delaware Health and Social Services

Where are They? Delaware Health and Social Services Where are They? Delaware Health and Social Services

Efficiencies • Web-based event reporting system for facilities • Automated Background Check Center • Efficiencies • 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 Delaware Health and Social Services

Investigative Section 11 investigators statewide Reported Incidents Total reports Assigned for Follow-up 2012 2013 Investigative Section 11 investigators statewide Reported Incidents Total reports Assigned for Follow-up 2012 2013 6, 793 5, 903 2, 457 2, 072 Delaware Health and Social Services

Investigative Section Adult Abuse Registry 173 persons currently on the registry 16 persons were Investigative Section Adult Abuse Registry 173 persons currently on the registry 16 persons were placed in 2013 13 of those appealed their placements Delaware Health and Social Services

Investigative Section Criminal Background Checks All Applicants 2011 2012 2013 No Criminal History 7, Investigative Section Criminal 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 Delaware Health and Social Services

Investigative Section Background Check Center $3 million Centers for Medicare and Medicaid Services Grant Investigative Section Background Check Center $3 million Centers for Medicare and Medicaid Services 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 for. Children, Youth and Their Families (DSCYF) DE Criminal Justice Information System (DELJIS) DE Health Information Network (DHIN) Dept. of Safety and Homeland Security Federal Bureau of Investigation (FBI) Office of the Inspector General (OIG) Sex Offender Registry (SOR) Went Live & On-Line 2013 Delaware Health and Social Services

Licensing Section • Nursing Homes - 50 • Assisted Living - 32 • Neighborhood 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 Delaware Health and Social Services

Licensing Section Healthcare Transitions Through a grant-funded project, the Division ensured that all nursing Licensing Section Healthcare Transitions Through 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. Delaware Health and Social Services

Licensing Section Disaster Preparedness Project • In 2012, the Division presented an Emergency Preparedness Licensing Section Disaster Preparedness Project • 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. Delaware Health and Social Services

Certified Nursing Assistants • We continue to approve curriculum and provide oversight of the 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 Delaware Health and Social Services

Our Challenge To do more with current assets for a growing population Delaware Health Our Challenge To do more with current assets for a growing population Delaware Health and Social Services

Thank You Are there any questions? Delaware Health and Social Services Thank You Are there any questions? Delaware Health and Social Services