Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity &...
-
Upload
garett-ansell -
Category
Documents
-
view
213 -
download
0
Transcript of Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity &...
![Page 1: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/1.jpg)
Assisted Living Enforcement Process Improvement Project
Swimlane StepsUnderstanding complexity & consequences
Mike Cook, Assistant ChiefLong Term Care Service
Protective Health Services
![Page 2: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/2.jpg)
2
Swimlane Process Map
ResponsibilitiesProcesses
DelaysMistakesInefficiency
![Page 3: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/3.jpg)
3
Swimlane Assignments• Survey Staff• Enforcement Staff• LTC Leadership• General Counsel• Assisted Living Center• Admin Law Judge
Responsibilities
![Page 4: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/4.jpg)
4
Swimlane Assignments• Survey Staff• Enforcement Staff• LTC Leadership• General Counsel• Assisted Living Center• Admin Law Judge
Optimum Example• No Delays• No Mistakes• Efficient
![Page 5: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/5.jpg)
5
Survey Staff• conduct & review survey• complete state forms Enforcement Staff
Enforcement Staff• review the state forms for Harm, SIC or CNC.• if no conditions then Opportunity to Correct (OTC),
prepare state forms & letters Facility
![Page 6: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/6.jpg)
6
Assisted Living Center• review state forms• complete the Plan of Correction (POC) Enforcement Staff
![Page 7: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/7.jpg)
7
Enforcement Staff• receives the POC from the Facility Survey Staff
Survey Staff• reviews the POC• if POC meets all 6 conditions, the POC is accepted• Enforcement is notified of acceptance
Enforcement Staff• notifies Facility of POC acceptance
![Page 8: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/8.jpg)
8
Survey Staff• schedules the revisit• conduct the revisit & review the survey• complete state forms Enforcement Staff
Enforcement Staff• review state forms• cycle 1 survey closed, no penalty, send notice to Facility
![Page 9: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/9.jpg)
9
DelaysMistakesInefficiency
![Page 10: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/10.jpg)
10
No Opportunity to Correct• Harm• Serious and Immediate Concern• Continuing Non-compliance
Penalties, Legal Counsel, IDRs, Extended Time Delays
![Page 11: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/11.jpg)
11
Deficiencies – Not Corrected
Continuing Non-compliance, Penalties, Legal Counsel, IDRs, Extended Time Delays
![Page 12: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/12.jpg)
12
Swimlane Assignments• Survey Staff• Enforcement Staff• LTC Leadership• General Counsel• Assisted Living Center• Admin Law Judge
![Page 13: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/13.jpg)
13
Plan of Correction – Not Accepted
Survey Staff Notify Enforcement Staff Notify Facility Facility prepares a new POC Submits POC to Enforcement Staff Survey Staff for review
![Page 14: Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care.](https://reader038.fdocuments.in/reader038/viewer/2022110116/551b783a550346d6338b51f4/html5/thumbnails/14.jpg)
14
Areas of Delays, Mistakes & Inefficiency• No Opportunity to Correct• Deficiencies – Not Corrected• Plan of Correction – Not Accepted
Areas of Opportunity• Reduction in Enforcement Actions• Reduction in Penalties• Reduction in Legal Counsel• Reduction in Time Delays
Optional Plan of Correction Tool• designed to walk Assisted Living Center through all the required elements