1. Michigan Department of Community Health Bureau of Health Systems Mike Pemble, Director April 12, 2011 For Joint Provider Surveyor Training

2. 2010 Early Retirement Incentives Statewide 4,755 Workers Retired by 12-31-10 Pre-Retirement 52,000 Workers Statewide In 2000, There were 60,000 State Workers Many Vacancies will Not be filled $180 Million State Worker Concessions Requested

3. BHS Staffing  60 Vacancies since 10-1-10 (27%)  Vacancies due to Early Retirements, Promotions, and Attrition  Filled 36 Positions  1 Pending Offer  23 Current Vacancies  Approximately 1 Year HCS Independence

4. Health Systems  Key Accomplishments Reduced nursing home complaint backlog 99% since beginning of FY09 from 22 months (882 open intakes) to < 1 month (8 late intakes currently.) Reduced nursing home complaint backlog 99% since beginning of FY09 from 22 months (882 open intakes) to < 1 month (8 late intakes currently.)

5. Source: CASPER 11/29/2010 Michigan is the only state in Region V that shows an increase in the number of surveys conducted in FY 2010.

6. ILINMIMNOHWI FY 2007770422335389870358 FY 2008789483409392880398 FY 2009773532463390891373 FY 2010757521461390895330 Total Number of Surveys Conducted Long Term Care – Standard Health Surveys Source: CASPER 1/3/2011 The number of LTC standard surveys in FY 2010 has decreased in four of six states in Region V. However, Michigan standard surveys held steady for the year. The number of completed standard surveys in Michigan for FY10 is 38% higher than FY07.

7. Source: ACTS 11/17/2010

8. Source: CASPER 11/29/2010 Michigan is the only state in Region V that shows an increase in the number of complaint surveys conducted in FY 2010.

9. Total Number of Surveys Conducted Long Term Care – Revisit Health Surveys Source: CASPER 1/03/2011 MI has increased the numbers of revisits by 52% since 2007. No other state in Region V shows this type of increase.

10. Analysis of Disputed Citations FY 2010 FY 09FY 10 Total of all Health Citations 4,5384,267 Total Number of Standard Survey Citations 3,889 3,365 (8.4 per survey ave) (7.3 per survey ave) Total number of Complaint Survey Citations649 902 (0.9 per survey ave) (0.6 per survey ave) Number of Health Citations appealed through305 299 the IDR process (7% of total) (7% of total) Number Deleted through IDR 70 (< 2% of total) Source: CASPER 1/03/2011 BHS IDR Log FY 10

11. Department of Licensing and Regulatory Affairs  Executive Order 2011-4  Effective April 24, 2011  Steven H. Hilfinger, Director  Four Principal Focuses 1. Licensing and Regulatory 2. MI Administrative Hearing System (Centralized) 3. Employment Services 4. Office of Regulatory Reinvention

12. Steven Levenson, MD, CMD Keynote Presentation: Osteoporosis – A Clinical Process Guideline