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Phase II – Lets Bust a Move Bringing the Least Medicating Approach to Every California Nursing Home Anthony Chicotel Staff Attorney California Advocates.

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Presentation on theme: "Phase II – Lets Bust a Move Bringing the Least Medicating Approach to Every California Nursing Home Anthony Chicotel Staff Attorney California Advocates."— Presentation transcript:

1 Phase II – Lets Bust a Move Bringing the Least Medicating Approach to Every California Nursing Home Anthony Chicotel Staff Attorney California Advocates for Nursing Home Reform tony@canhr.org Bringing the Least Medicating Approach to Every California Nursing Home Anthony Chicotel Staff Attorney California Advocates for Nursing Home Reform tony@canhr.org

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3 Phase I Re-Cap Lots of good talk Lots of good talk Little collaborative action since Little collaborative action since Goal Setting: Goal Setting: 15% AP reduction by Jan. 1, 2013 15% AP reduction by Jan. 1, 2013 30% AP reduction by July 1, 2013 30% AP reduction by July 1, 2013 Lots of good talk Lots of good talk Little collaborative action since Little collaborative action since Goal Setting: Goal Setting: 15% AP reduction by Jan. 1, 2013 15% AP reduction by Jan. 1, 2013 30% AP reduction by July 1, 2013 30% AP reduction by July 1, 2013

4 Howd We Do? Overall AP use: 4 th Q 2011: 25.26% 4 th Q 2011: 25.26% 4 th Q 2012: 23.99% (5.03% reduction) 4 th Q 2012: 23.99% (5.03% reduction) 2 nd Q 2013: 23.20% (8.16% reduction) 2 nd Q 2013: 23.20% (8.16% reduction) Overall AP use: 4 th Q 2011: 25.26% 4 th Q 2011: 25.26% 4 th Q 2012: 23.99% (5.03% reduction) 4 th Q 2012: 23.99% (5.03% reduction) 2 nd Q 2013: 23.20% (8.16% reduction) 2 nd Q 2013: 23.20% (8.16% reduction)

5 The Good, Bad, and Ugly Good: 10-year low; steady progress, lower than natl avg.; Ventura County Good: 10-year low; steady progress, lower than natl avg.; Ventura County Bad: reduction rate lags the nation; we failed on the goal; Bad: reduction rate lags the nation; we failed on the goal; Ugly: 29 nursing homes with >90% AP use (more than 48 states combined); 94 homes with > 50% use Ugly: 29 nursing homes with >90% AP use (more than 48 states combined); 94 homes with > 50% use Good: 10-year low; steady progress, lower than natl avg.; Ventura County Good: 10-year low; steady progress, lower than natl avg.; Ventura County Bad: reduction rate lags the nation; we failed on the goal; Bad: reduction rate lags the nation; we failed on the goal; Ugly: 29 nursing homes with >90% AP use (more than 48 states combined); 94 homes with > 50% use Ugly: 29 nursing homes with >90% AP use (more than 48 states combined); 94 homes with > 50% use

6 CANHRs Take Appreciative of the gains and momentum Appreciative of the gains and momentum Concerned that were not maximizing our moment Concerned that were not maximizing our moment Outraged by continued use of chemical restraint Outraged by continued use of chemical restraint Appreciative of the gains and momentum Appreciative of the gains and momentum Concerned that were not maximizing our moment Concerned that were not maximizing our moment Outraged by continued use of chemical restraint Outraged by continued use of chemical restraint

7 AP Use is Often Elder Abuse 1) Malpractice 2) Battery 3) Suffering 4) Death We should NOT tolerate this! 1) Malpractice 2) Battery 3) Suffering 4) Death We should NOT tolerate this!

8 Next Steps Demand Real Enforcement DPH / DHCS Collaborative – success?: DPH / DHCS Collaborative – success?: 54.2% AP use in visited facilities in 2009 54.2% AP use in visited facilities in 2009 48.4% AP use 2Q 2013 (down 12.6%) 48.4% AP use 2Q 2013 (down 12.6%) 8 of the 20 facilities have not met state average in AP reduction 8 of the 20 facilities have not met state average in AP reduction Citations Citations 4 citations citing 72528 since 2004 4 citations citing 72528 since 2004 0 citations for 72018 since 1999 0 citations for 72018 since 1999 Demand Real Enforcement DPH / DHCS Collaborative – success?: DPH / DHCS Collaborative – success?: 54.2% AP use in visited facilities in 2009 54.2% AP use in visited facilities in 2009 48.4% AP use 2Q 2013 (down 12.6%) 48.4% AP use 2Q 2013 (down 12.6%) 8 of the 20 facilities have not met state average in AP reduction 8 of the 20 facilities have not met state average in AP reduction Citations Citations 4 citations citing 72528 since 2004 4 citations citing 72528 since 2004 0 citations for 72018 since 1999 0 citations for 72018 since 1999

9 Other Steps Target Californias disproportionately high number of high volume druggers Target Californias disproportionately high number of high volume druggers Dementia Care Listerv Dementia Care Listerv Dementia Care Summit Dementia Care Summit Target Californias disproportionately high number of high volume druggers Target Californias disproportionately high number of high volume druggers Dementia Care Listerv Dementia Care Listerv Dementia Care Summit Dementia Care Summit


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