1. Joint Finance Committee Hearing FY 2013 Susan Del Pesco Division Director February 21, 2012 Department of Health and Social Services Division of Long Term Care Residents Protection

2. Division of Long Term Care Residents Protection Our Mission 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

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 Population Growth

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

6. 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.

7. 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

8. Division of Long Term Care Residents Protection Investigative Section 11 investigators statewide Reported Incidents 2010 (CY)2011 (CY) Total reports6,8796,794 Assigned for Follow-up 2,0762,121

9. Division of Long Term Care Residents Protection Investigative Section Enhancement $30,000 CMS Grant Web-based incident filing system March 8, 2012

10. Division of Long Term Care Residents Protection Investigative Section Criminal Background Checks All Applicants200920102011 No Criminal History 6,9267,6147,955 History no Disqualifier 3,0583,5493,633 History With Disqualifier 967356 Total10,08011,23611,644

11. Division of Long Term Care Residents Protection Investigative Section Background Check Center $3 Million CMS Grant 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) Go Live - September 2012

12. Division of Long Term Care Residents Protection Investigative Section Adult Abuse Registry 189 persons currently on the registry 27 persons were placed in 2011 16 of those appealed their placements

13. Division of Long Term Care Residents Protection Licensing Section Nursing Homes - 49 Assisted Living - 34 Neighborhood Homes for Persons with Developmental Disabilities - 150 Group Homes for Persons with Mental Illness - 19 Group Homes for Persons with AIDS – 1 Rest Family Care Homes – 83 Total - 336

14. Licensing Section Number of Beds by Type of Facility

15. Division of Long Term Care Residents Protection Licensing Section Facility Surveys s tate Funding 45% Federal Funding 55% 19 surveyors statewide Nation’s 2 nd highest rate of citations

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

17. Division of Long Term Care Residents Protection Licensing Section Disaster Preparedness Project CMS Grant $143,000 Contract with UD College of Health Sciences To evaluate recent disaster experiences To hold a conference for education and development of disaster preparedness plan

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

19. Division of Long Term Care Residents Protection FY 13 Governor’s Recommended Budget Funding FY 12 General Fund – $2,320.2 FY 13 General Fund – $2,358.2

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

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