Joint Finance Committee Hearing FY 2014 Mary Peterson Division Director February 20, 2012 Department...

Joint Finance Committee HearingFY 2014

Mary PetersonDivision DirectorFebruary 20, 2012

Department of Health and Social ServicesDivision of Long Term Care Residents

Protection (DLTCRP)

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; andTo advocate on behalf of residents

Our Mission

Division of Long Term Care Residents Protection

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


Who Do We Protect?

Men and Women

Boys and Girls

from a few weeks of age

to over 100 years


Where are They?

At large residences which house 100 people or more

and

in small community based

residences that house 3 or 4

people.

Delaware Health and Social Services

Fast-Growing Older Population

0

50000

100000

150000

200000

250000

300000

350000

400000

2000 2005 2010 2015 2020 2025 2030 2035 2040

Age 60+

Age 75+

Age 85+

** By 2030, Delaware is projected to have the 9th-highest proportion of people age 65 and older in the U.S.


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.


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.


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.


Investigative Section11 investigators statewide

ReportedIncidents

2011 2012

Total reports

6,794 6,793

Assigned for Follow-up

2,121 2,457


Investigative SectionAdult Abuse Registry

214 persons currently on the registry

27 persons were placed in 2012

16 of those appealed their placements


Investigative SectionCriminal 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

TOTAL 11,236 11,644 11,419


Investigative SectionBackground Check Center

$3 million CMS GrantProvides 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

FBIOffice of the Inspector General (OIG)

Sex Offender Registry (SOR)

Go Live –March 2013!


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


Licensing SectionFacility Surveys

State Funding 45%

Federal Funding 55%

19 surveyors statewide


Licensing Section

Delaware Health Information Network (DHIN)

CMS Grant $91,000

DHIN trained all facilities to connect to DHIN for receipt of medical records


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.


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


Our Challenge

To do more with current assets

for a growing population


Thank You

Are there any questions?

Joint Finance Committee Hearing FY 2014 Mary Peterson Division Director February 20, 2012 Department...

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