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Geriatrics and Extended Care Operations Lisa Minor Chief, Institutional Care Programs Office of Geriatrics and Extended Care Operations (10NC4) Department.

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Presentation on theme: "Geriatrics and Extended Care Operations Lisa Minor Chief, Institutional Care Programs Office of Geriatrics and Extended Care Operations (10NC4) Department."— Presentation transcript:

1 Geriatrics and Extended Care Operations Lisa Minor Chief, Institutional Care Programs Office of Geriatrics and Extended Care Operations (10NC4) Department of Veterans Affairs

2 Geriatrics and Extended Care Operations 2 GEC Operations Non- Institutional Care Geriatric Care Team Home and Community Based Care Hospice and Palliative Care Institutional Care CLC Operations SVH Operations CNH Operations

3 State Veterans Home (SVH) Operations Lisa Minor, Chief Institutional Care (202) – Contract and Survey Oversight Jo Anne Parker, Management Analyst, SVH Operations – – (202) – SVH Recognitions Kelly Mingle, Management Analyst, SVH/CLC Operations – – (202) – SVH Issue Briefs, Survey Report Reviews and Close Outs, and Survey Appeals Theresa Hayes, Program Analyst, SVH Operations – – (202) – Resident Assessment Instrument (RAI)/ Minimum Data Set (MDS) Janet Barber, Program Analyst, CLC Operations – – (706) GEC Operations Non- Institutional Care Geriatric Care Team Home and Community Based Care Hospice and Palliative Care Institutional Care CLC Operations SVH Operations CNH Operations Institutional Care

4 RAI/MDS Update Proposed rule to require use of most current version of RAI/MDS – No comments received – In second phase of concurrence Most SVH are currently using and transmitting MDS 3.0 data – 6 SVH are not at this point 4

5 FY 2011 SURVEYS Recognitions = 11 Annual = 134 For Cause = 3 Totals Surveys = 148 FY 2011 SURVEYS

6 Top 5 Commonly Cited NH Deficiencies # CITATION S STANDARDCFR# 97Physical Environment: Life Safely From Fire** (a) 25Quality of Care: Accidents (I) 18Dietary Services: Food** (d) 16Resident Assessments: Frequency ** (2) 12Resident Assessments: Review (3

7 Top 5 Most Commonly Cited DOM Deficiencies TAG #STANDARD# CITATION S 2ASafety: Current State Fire Marshall’s certificate**10 2CSafety: Evidence of Corrective Actions2 9DPatient Activities: Patient’s Activity Plan2 10BPharmacy: Safe procurement, control and distribution of drugs 2 1DGovernance and Administration: Policies & Procedures 1

8 TOP 5 IMMEDIATE JEOPARDY DETERMINATIONS Tag #TitleCFR# 108Quality of Care: Accidents51.210(i) 123Dietary Services: Thicken Liquids51.140(d)(3) 38Resident Rights: Notification of Changes 51.70(b)(9)(i) (B) & (C) 92 Resident Assessments: Comprehensive plans need to be individualized51.110(e) 109 Nutrition: Based on Comprehensive Assessment (j)(1) Top 5 Immediate Jeopardy Determinations

9 THANK YOU! Questions? 9


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