1. Conversations with BAL October 26, 2011 DQA/Bureau of Assisted Living Northeastern Regional Office Laurie Arkens

2. Top 10 Cites for First 6 Months of 2011 Adult Family Homes Community Based Residential Facilities Residential Care Apartment Complexes

5. Strategies Strategies to Promote Regulatory Compliance: Adult Family Homes Community Based Residential Facilities Residential Care Apartment Complexes *Based on Top 10 Cites for Calendar Year 2010

6. Abbreviated Survey Recognize communities with good compliance history Use all senses - if it feels good, looks good, smells good, sounds good… move on!

7. The Next Generation of the WI Survey Process ….

8. Proposal - less frequent reviews of providers with good compliance Criteria –Facility qualifies for an abbreviated survey and; –Facility is a member of a major association in good standing (WALA, WAHSA, WiCAL, RSA of WI, WADSA) and; –Facility has implemented a “provider association”, “department approved”, quality improvement program that adopts standards of practice and; –Facility has signed a department “self attestation” document that they are in substantial compliance of the regulations.

9. Events so far ….. Approval from DHS Secretary Met with Associations and Advocates BAL Developed Guiding Values Partnership with UW Madison for a research component Updated DQA database to recognize this new group

10. Next Steps ….. Meeting to update the associations DQA/UW Madison grant applications to help fund the start up and the research component Associations to complete their comprehensive plan and submit to DQA/BAL for approval Associations to help members implement Study the effectiveness

11. WI Coalition for Collaborative Excellence in Assisted Living Provider Association Sponsored Department Approved Comprehensive QA & QI Includes the following Guiding Values….

12. Provider Association Support Training Mentoring Peer Review Resources Consultation

13. Standards of Practice ADLs Diabetes Dementia Pain Pressure ulcers Person-centered care Abuse, neglect Falls Mental Health Infection control Emergency Management Medication Food safety

14. Regulatory Compliance WI Administrative Code State Statute

15. Activities & Community Involvement Active Involved Connected

16. Consumer & Advocate Feedback Residents/Tenants Families/legal rep. Staff Case Managers/Funding Councils, surveys, grievance process, questionnaires

17. Leadership & Workforce Support Leaders Competency Professional growth Recruitment Retention

18. Continuous Quality Improvement Benchmarks Data Collection Performance analysis Continuous

19. Commitment Organizational commitment Licensee self attestation

20. Department Website Resources Survey Guide http://www.dhs.wisconsin.gov/publications/p6/p63186.pdf Post Survey Questionnaire https://doa.wi.gov/dhssurveys/TakeSurvey.aspx?SurveyID= ml00584 Enforcement Guidelines http://www.dhs.wisconsin.gov/publications/p6/p63200.pdf Strategies to Promote Regulatory Compliance http://www.dhs.wisconsin.gov/rl_dsl/Providers/resources.ht m

21. Medication Management Initiative http://www.dhs.wisconsin.gov/rl_dsl/MedManagement/asstlvgMMI.h tm The Assisted Living Forum http://www.dhs.wisconsin.gov/rl_dsl/Providers/asstdLvgForum.htm Assisted Living Home Page http://www.dhs.wisconsin.gov/bqaconsumer/AssistedLiving/AsLivin dex.htm DQA Memos, ListServ, CBRF Training, CBRF Administrator’s Course, Family Care, Consultant List, Assisted Living Directories and Profiles, Resident Relocation Information, Forms (Fire Report, Evacuation Assessment Form, Licensure Checklists), OCQ Information, & MORE Department Website Resources

22. Questions/Answers