1. Joint Finance Committee Hearing FY 2014 Mary Peterson Division Director February 20, 2012 Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

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 What is “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

4. 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

5. 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.

6. Delaware Health and Social Services Fast-Growing Older Population ** By 2030, Delaware is projected to have the 9th-highest proportion of people age 65 and older in the U.S.

7. Division of Long Term Care Residents Protection Efficiencies Online access to the Adult Abuse Registry for employers Web-based reporting system for facilities, eliminating paper, faxing and duplicate data entry. The new automated background process goes live on March 8, 2013. It provides background information to employers from 9 data streams at one source. Emergency Preparedness Symposium and on-going consultative services to facilities on developing All- Hazards Preparedness Plans. Provided clarification and a process for discharges thru regulations.

8. Division of Long Term Care Residents Protection Efficiencies (continued) The most recent survey (inspection) reports are now available on-line for the public to view. Reduced on-site survey time from 10 days to 6 days, reducing inconvenience to facilities. Established an Adult Abuse Registry panel to ensure the prosecution of offenders and reducing the funds expended on our contracted hearing officers.

9. Division of Long Term Care Residents Protection Investigative Section Web-based Incident Reporting System Reduces paper, faxing and duplication for facilities. Eliminates indecipherable handwriting and allows facilities to enter follow-up information electronically also. Eliminates the majority of data entry for our staff. Results in more complete information being provided to our staff. Greatly reduces our use of paper, copying, folders and fax toners.

10. Division of Long Term Care Residents Protection Investigative Section 11 investigators statewide Reported Incidents 20112012 Total reports6,7946,793 Assigned for Follow-up 2,1212,457

11. Division of Long Term Care Residents Protection Investigative Section Adult Abuse Registry 214 persons currently on the registry 27 persons were placed in 2012 16 of those appealed their placements

12. Division of Long Term Care Residents Protection Investigative Section Criminal Background Checks All Applicants201020112012 No Criminal History 7,6147,9558,076 History no Disqualifier 3,5493,6333.302 History With Disqualifier 735641 TOTAL11,23611,64411,419

13. Division of Long Term Care Residents Protection Investigative Section Background Check Center $3 million CMS Grant Provides background information on applicants for employment from 9 data streams in one place: 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) Sex Offender Registry (SOR) Go Live –March 2013!

14. Division of Long Term Care Residents Protection Licensing Section Nursing Homes - 50 Assisted Living - 34 Neighborhood Homes for Persons with Developmental Disabilities – 158 Group Homes for Persons with Mental Illness - 18 Group Homes for Persons with AIDS – 1 Rest Family Care Homes – 71 Intensive Behavioral Support Residences - 12 Total - 344

15. Division of Long Term Care Residents Protection Licensing Section Facility Surveys State Funding 45% Federal Funding 55% 19 surveyors statewide

16. Division of Long Term Care Residents Protection Licensing Section Delaware Health Information Network (DHIN) CMS Grant $91,000 DHIN trained all facilities to connect to DHIN for receipt of medical records

17. Division of Long Term Care Residents Protection Licensing Section Disaster Preparedness Project Using grant funding the Division presented an Emergency Preparedness Conference for facilities in conjunction with the UD College of Health Services and contracted with a consultant to assist facilities in developing All-Hazards Preparedness Plans.

18. Division of Long Term Care Residents Protection Certified Nurse Assistants Approve curriculum and oversight of the testing/ certification process Initiated a web-based educational tracking system to regulate the 24 hours training minimum requirements including statutory dementia training

19. Division of Long Term Care Residents Protection Our Challenge To do more with current assets for a growing population

20. Division of Long Term Care Residents Protection Thank You Are there any questions?