Presentation on theme: "Personal Care Home Program"— Presentation transcript:
1Personal Care Home Program Presented by: Elaine Wright, DirectorPersonal Care Home ProgramHealthcare Facility Regulation DivisionDate: 11/21/14
2Mission The Georgia Department of Community Health We will provide access to affordable, quality health care to Georgians through effective planning, purchasing and oversight.We are dedicated to a healthy Georgia.
5Personal Care HomeAny dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage.Personal Services includes but is not limited to, individual assistance with ambulation and transfer, and essential activities of daily living such as eating, bathing, grooming, dressing and toileting.
6Community Living Arrangement Means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage an whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Disabilities Division (DBHDD).
7Assisted Living Community Assisted Living Care means the specialized care and services provided by an assisted living community which includes the provision of personal services, the administration of medications by a certified medication aide and the provision of assisted self-preservation.Assisted self-preservation means the capacity of a resident to be evacuated from an assisted living community to a designated point of safety and within an established period of time as determined by the Office of Fire Safety Commissioner.
8Assisted Living Community Assisted Self-Preservation is a function of all the following:The condition of the individualThe assistance that is available to be provided to the individual by the staff of the assisted living community.The construction of the building in which the ALC is housed, including whether such building meets the state fire and safety requirements applicable to an existing health care occupancy.
13Complaints Average 1300 per year 1000 Licensed300 UnlicensedMay conduct with Annual or Other InspectionVariety of Sources for Complaints
14Source of ComplaintsRed is anonymous – represents fair chunk of complaints.Medium blue is family.LTCO is between dark blue and medium blue…. About 100 complaints.Dark blue is PCH – represents increase 128… obviously coded some reports from facilities as complaints as opposed to self reports.Bright green – health providers, hospitals, ERs, etc.Light Blue is former staffBright yellow represents state agencies – MHDDAD, DFCS, APS, etc.
19Source of CLA Complaints State Agency – bright yellow, makes sense – MHDDAD.Chuck from LTCO, Family, Other.
20Number of ALCs by Year All 40 changed from PCHs to CLAs in FY 2003. FY 04 number is 226Already that number has increased to 271 to date.20
21Program Responsibilities Issue PermitsConduct Complaint InvestigationsConduct Initial InspectionsConduct Annual InspectionsConduct Monitoring VisitsConduct Follow-up InspectionsProvide TrainingTake Enforcement ActionsEnsure quality of life, quality of care of residents, facilities meet minimum standards
22Issue Permits - PCH 10-25 issued per month Does not include CHOWs (change of ownership)Review within one weekIssue or deny within 60 daysCurrently have 100 applications for conversion to ALC.Licensing and annual fees based on number of beds
23Initial Inspections Prior to licensure Complete review of all rules 10-25 per month
24Annual Surveys Since January 2000 80-150/month Unannounced Average about 18 months
25Follow-up Visits Need to Ensure Resident Care Timeframe Depends Upon Seriousness of ViolationsMay Monitor Facility
26Monitoring Visits Ensure resident care Ensure compliance In conjunction with adverse actions
27TrainingInformation On-lineExternal and Internal
28Enforcement Scope & Severity of Deficiencies Facility’s Compliance HistoryImposition of SanctionSanctions against ApplicantsSanctions against Licensees
29Goals Motivate Facilities to Remain in Compliance Ensure Equitable and Consistent EnforcementLink Appropriate Remedy to Deficiencies
30Sanctions Against Applicants Authorized by Chapter , Rules and Regulations for Enforcement of Licensing RequirementsRefuse to Grant a LicenseProhibit Persons in Management or ControlLimit or Restrict a License
31Sanctions Against Licensees Administer a Public ReprimandSuspend a LicenseProhibit Persons in Management or Control* Revoke a License* Impose a Fine* Limit or Restrict a LicenseVoluntary Suspension of License