Geriatrics and Extended Care Operations

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Presentation transcript:

Geriatrics and Extended Care Operations Lisa Minor Chief, Institutional Care Programs Office of Geriatrics and Extended Care Operations (10NC4) Department of Veterans Affairs

Geriatrics and Extended Care Operations GEC Operations Non-Institutional Care Geriatric Care Team Home and Community Based Care Hospice and Palliative Care Institutional Care CLC Operations SVH Operations CNH Operations

Institutional Care State Veterans Home (SVH) Operations Lisa Minor, Chief Institutional Care Lisa.Minor3@va.gov (202)461-6782 Contract and Survey Oversight Jo Anne Parker, Management Analyst, SVH Operations JoAnne.Parker3@va.gov (202)461-6783 SVH Recognitions Kelly Mingle, Management Analyst, SVH/CLC Operations Kelly.Mingle@va.gov (202)461-6707 SVH Issue Briefs, Survey Report Reviews and Close Outs, and Survey Appeals Theresa Hayes, Program Analyst, SVH Operations Theresa.Hayes@va.gov (202)461-6771 Resident Assessment Instrument (RAI)/ Minimum Data Set (MDS) Janet Barber, Program Analyst, CLC Operations Janet.Barber2@va.gov (706)481-6736 GEC Operations Non-Institutional Care Geriatric Care Team Home and Community Based Care Hospice and Palliative Care Institutional Care CLC Operations SVH Operations CNH Operations

RAI/MDS Update Proposed rule to require use of most current version of RAI/MDS No comments received In second phase of concurrence Most SVH are currently using and transmitting MDS 3.0 data 6 SVH are not at this point

FY 2011 Surveys FY 2011 Surveys Annual = 134 For Cause = 3 Recognitions = 11 Annual = 134 For Cause = 3 Totals Surveys = 148 FY 2011 Surveys

Top 5 Commonly Cited NH Deficiencies # CITATIONS STANDARD CFR# 97 Physical Environment: Life Safely From Fire** 51.200 (a) 25 Quality of Care: Accidents 51.120 (I) 18 Dietary Services: Food** 51.140 (d) 16 Resident Assessments: Frequency ** 51.110 (2) 12 Resident Assessments: Review 51.110 (3

Top 5 Most Commonly Cited DOM Deficiencies TAG # STANDARD # CITATIONS 2A Safety: Current State Fire Marshall’s certificate** 10 2C Safety: Evidence of Corrective Actions 2 9D Patient Activities: Patient’s Activity Plan 10B Pharmacy: Safe procurement, control and distribution of drugs 1D Governance and Administration: Policies & Procedures 1

Top 5 Immediate Jeopardy Determinations Tag # Title CFR# 108 Quality of Care: Accidents 51.210(i) 123 Dietary Services: Thicken Liquids 51.140(d)(3) 38 Resident Rights: Notification of Changes 51.70(b)(9)(i) (B) & (C) 92 Resident Assessments: Comprehensive plans need to be individualized 51.110(e) 109 Nutrition: Based on Comprehensive Assessment 51.120(j)(1) Top 5 Immediate Jeopardy Determinations

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