MOBILE WORKFORCE AN INDIANA PERSPECTIVE Kim Rhoades Division of Long Term Care

BACKGROUND INFORMATION 550 Nursing Homes 10 Supervisors (All RNs) 100 Surveyor Positions 95 RNs 5 Other (Dietitian, Social Workers, Public Health Professional)

BACKGROUND INFORMATION

BACKGROUND INFORMATION Each Area has 50-60 Nursing Homes Each Area has 10 Surveyors 2 Teams of 4 2 Complaint Surveyors

PROCESS AND EQUIPMENT Field staff are issued an HP tablet, a portable printer and some have a scanner, Iphone or wifi card for internet access Survey shells are created in-house either upon request or based on scheduled survey reports

PROCESS AND EQUIPMENT CONT’D The survey shell and accompanying data is sent to the surveyor via email. The completed survey report is sent to the supervisor via email. Survey packet of documentation is either mailed or scanned and attached to the survey.

COMPLAINTS AND INCIDENTS Incidents entered via the gateway by facility staff Incidents are reviewed by in house staff and forwarded to the area supervisor Area supervisor notifies intake staff if incident requires onsite investigation

INCIDENTS AND COMPLAINTS CONT’D. If an incident requires an onsite investigation, it is turned into a complaint and assigned a priority Supervisors emailed a copy of every complaint at a facility in their area. The complaint document is password protected.

INCIDENTS AND COMPLAINTS CONT’D. On every survey, staff call in on a toll free hotline and check to see if a new complaint has been received. If a new one has been received, it is sent to the staff and they investigate while there. When possible, complaints are done with an annual.

INCIDENTS AND COMPLAINTS CONT’D Supervisors and their complaint investigation staff review their complaint lists on a daily or weekly basis and schedule the investigations according to priority and need for evening or weekend visit.

FIELD SUPERVISORS Supervisors: Visit each team/surveyor at least twice per month Go onsite during IJs Monitor schedules Assign complaints

FIELD SUPERVISORS CONT’D. Complete quality review of reports Review and approve POCs Have Area Meetings 4 times a year All Staff Meetings twice per year

QUALITY REVIEW OF 2567 Supervisor receives the report via email Supervisor uploads the report into ASE-Q Report is either printed, read, and annotated followed by an email to surveyor or team with recommendations for revision, or

QUALITY REVIEW OF 2567 CONT’D. The supervisor uses “Journaling” which allows the supervisor to make notations on the 2567 directly in ASEQ, save it, and email it back to the surveyor or team to use in making recommended corrections to the report in their ASEQ.

QUALITY REVIEW OF 2567 CONT’D Once the surveyor(s) have made the corrections, the report is emailed back to the supervisor for one final quick review and then submitted into ACO as final and ready to go to the provider.

PERFORMANCE EVALUATION Onsite Observations Review of 2567 Review of survey packets/QIS tool Provider questionnaires Cumulative data in Evaluation Report Quarterly DARRO/DARRSA IDR discussion/feedback

MANAGEMENT Supervisors report to the Deputy Director, an RN who is a former surveyor for 10 years and a former area supervisor for 6 years Supervisors come to the central office once per week Two Monthly Meetings General Education/Issues Quality Review of Reports