1. Joint Finance Committee Hearing FY 2012 Susan Del Pesco Division Director Wednesday, March 2, 2011 Division of Long Term Care Residents Protection

2. 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; and To advocate on behalf of residents Our Mission

3. Division of Long Term Care Residents Protection Who do we Protect? Men and Women Boys and Girls from a few weeks of age to over 100 years

4. Division of Long Term Care Residents Protection 31 million seconds in a year

5. Division of Long Term Care Residents Protection January 1, 2011 8 seconds An American reaches 65 years of Age

6. Division of Long Term Care Residents Protection 10,000 people per day 19 years

7. Division of Long Term Care Residents Protection Every 70 seconds someone in America develops Alzheimer’s disease

8. Division of Long Term Care Residents Protection And the Delaware population is agingat 1.5 x the national rate.

9. Division of Long Term Care Residents Protection Where are They? At large residences which house 100 people or more and In small community based residences that house 3 or 4 people.

10. Division of Long Term Care Residents Protection What’s “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

11. Division of Long Term Care Residents Protection Investigative Section 11 investigators statewide 6,879 incident reports received in CY 2010 down from 13,946 in 2009 2,204 assigned for investigation (32%) up from 1,821 in 2009 (13%)

12. Division of Long Term Care Residents Protection Incident Reports Initiated project for on-line filing to: Increase accuracy of reporting Expedite handling Eliminate much data entry

13. Division of Long Term Care Residents Protection Criminal Background Checks 2010 -- 11,191 checks 34 disqualifications 2009 -- 10,029 checks 60 disqualifications

14. Division of Long Term Care Residents Protection $3 Million Grant To assemble background data from: 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 FBI Office of the Inspector General (OIG)

15. Division of Long Term Care Residents Protection Adult Abuse Registry The AAR website had more than 5,000 inquiries in 2010 28 persons were placed in 2010 17of those appealed their placements

16. Division of Long Term Care Residents Protection Licensing Nursing Homes - 49 Assisted Living - 32 Neighborhood Homes for Persons with Developmental Disabilities - 147 Group Homes for Persons with Mental Illness - 19 Group Homes for Persons with AIDS - 1 Rest Residential Homes - 3 Rest Family Care Homes - 95 Total - 346

17. Division of Long Term Care Residents Protection

21. Division of Long Term Care Residents Protection

22. Facility Surveys State Funding 45% Federal Funding 55% 17 surveyors statewide Nation’s highest rate of harm citations

23. Division of Long Term Care Residents Protection Advocacy New statutes Delaware Durable Personal Power of Attorney Vulnerable Adult statute

24. Division of Long Term Care Residents Protection Certified Nurse Assistants Approve curriculum and oversight of the testing/certification process Contracted with a new testing company at a savings of $6,000 per year Secured legislation requiring continuing education Will be implementing an educational segment for dementia training

25. Division of Long Term Care Residents Protection FY 12 Governor’s Recommended Budget Funding FY 11 General Fund – $2,368.2 FY 12 General Fund – $2,318.7

26. Division of Long Term Care Residents Protection Our Challenge To protect residents in large residences and in community settings To effectively manage our resources and, to those ends, To embrace innovation

27. Division of Long Term Care Residents Protection Thank you Are there any Questions?