Presentation on theme: "Texas TERCAP Implementation"— Presentation transcript:
1Texas TERCAP Implementation Designing the Action PlanMary Beth Thomas, PhD, RNJ. L. Skylar Caddell, BS, RN,C
2The Texas ObjectivesImplement with the most time efficient method that would produce quality resultsMinimize the revisions needed to the existing processesSupplement and expand the existing structureStart with small group of RN InvestigatorsImplement TERCAP on cases in all phases of processing
3The Texas Objectives -Case Mix Considerations Open new practice cases with tools designed to collect all TERCAP dataSix to eighteen months is a typical time frame for case resolutionNew cases will have full data when reviewedComplete a TERCAP on existing practice cases when they result in Board actionExisting cases may have incomplete data
4The Texas Objectives - Challenges & Successes Gradual 18+/- month transition periodFrom data with many unknows to data that is complete as existing cases resolve and new cases move through the pipelineResults in a period of training and refinement, using incomplete data, and facilitates increased TERCAP proficiency as authorized investigators become more experienced in TERCAP analysis
5Texas TERCAP - Designing the Action Plan Develop a plan & tools for data collectionSee Texas TERCAP Data Needs Analysis and Data Source DeterminationDevelop Policy and ProcedureFormalize implementation process decisionsCreates accountabilityDevelop Training PlanEmphasis on support and interrater reliability
6Texas TERCAP Implementation Questions and Answers
7New Hampshire’s Experience with the TERCAP Instrument Margaret Walker Ed.D., RNAttorney Norman Patenaude
8IntroductionNew Hampshire’s interest in learning about the TERCAP process.Desire for data outcomes to have an idea of our position in comparison with other jurisdictions.Desire for data outcomes for planning and quality improvements.
9Investigation Understanding TERCAP tool. Investigating practice breakdown.Investigating licensee unprofessional conduct such as drug diversion.Obtaining information and provide ordered documentation.
10Reporting recommendations Investigation results are orderly.Reports provide a synopsis of the investigation with recommendations based on law and administrative rules.
11TERCAP toolInvestigation is given to the Executive Director who then reviews the record, notes, and Investigator recommendations.
12Completion of TERCAPCurrently the EO completes the tool and then gives the paper copy to the secretary to input into the database.Staffing shortages have required creative time management for tool completion and thus it is completed at home…leisurely.
13“A HAH” MomentsBecause the tool is completed away from the constant interruptions of the busy office, the EO has realized patterns of reporting themes and issues.Diversion issues have surfaced as the highest reportable practice issue in NH since beginning the TERCAP project.
14Quality before we receive the TERCAP report With the Investigator/Prosecutor completing the data collection and the EO completing the TERCAP form, many conversations have resulted with the Board on current observations.
15Early realization….We are now working on our Alternative Program to improve processes and oversight of participants.We have seen a smaller percentage of actual practice breakdown…does this mean that we have under-reporting of actual practice breakdown issues? We have more questions.
16Awaiting TERCAP outcomes Upon results, Investigator and EO plan to carefully review and analyze data to determine:Public education offering to employers/supervisors of licensees.Approaches to issues received in the board office.Future recommendations for board actions.
17Questions and AnswersThis is only a beginning and we have a lot more to learn……Thank you, Margaret and NormNH Board of Nursing