Download presentation
Presentation is loading. Please wait.
1
Long Term Care Ombudsman AK Care Coordination Association June 28, 2017
Bring: Handouts of presentation Example of ID card/volunteer name badge New poster Brochures Business cards By Teresa Holt
2
Long Term Care Ombudsman
What is Long Term Care (LTC)? Care for individuals provided by a nursing facility or an assisted living home What is an Ombudsman? Swedish word meaning representative of the people An official appointed to investigate individuals' complaints against maladministration Long term Care Ombudsman Paid employees or volunteers who resolve complaints on behalf of residents in long term care facilities with a priority for individuals 60 years and older Created by federal statute in 1978, one in every state In Alaska, we are in the Dept of Revenue under the Alaska Mental Health Trust Authority, so that we can investigate any agencies even the state How many people in the room are thinking of serving seniors in their ALH?
3
Map of LTC Facilities 18 NF with 692 beds-goal to visit quarterly
654 ALH facilities with 3880 beds 273 ALH licensed to serve seniors with 2492 beds-goal to visit quarterly 29 communities (approx. 450 in Anchorage area)
4
LTCO STAFF Teresa Holt Lisa Gowdy Leana Christy Alvin Ancheta
State LTCO Lisa Gowdy Assistant LTCO Leana Christy Alvin Ancheta Karol Collyer LTC Specialist Kathryn Curry Deputy LTCO Our focus is to resolve the senior’s issue Can provide resources/brainstorm solutions Contact us if you have any questions/systems issues
5
Regional Staff Assignments
Leana Christy Lisa Gowdy Alvin Ancheta Anchorage Zip Codes 99501 Downtown 99502 Airport/Dimond 99503 Midtown 99515 Klatt 99516 Rabbit Creek 99517 West High 99518 Midtown South Anchorage Zip Codes 99505 Debarr 99507 Tudor South 99508 East High 99567 Chugiak 99577 Eagle River Anchorage Zip Codes 99504 Boniface to Muldoon 99654 Mat Su Southeast and Barrow Valdez Cordova Haines Juneau Sitka Petersburg Wrangell Ketchikan Interior and Northwest Bethel Dillingham Fairbanks Northpole Delta Junction Galena Tanana Kotzebue Nome Barrow Interior and Northwest Seward Soldotna Kenai Kasilof Homer Kodiak
6
Volunteer Ombudsmen A passion for older Alaskans Friendly and outgoing
Creative problem solving skills Ability to be observant and nonjudgmental A good listener who likes talking with elders Receive 20 hours of training including supervised visits Show example of name badge Interested? Contact Our Volunteer Coordinator Kathryn Curry
7
Duties of the LTC Ombudsman
VISIT EDUCATE EMPOWER RESOLVE I & R Visit: Quarterly unannounced visits to nursing and assisted living homes Educate: residents and family members about resident rights Empower: support residents to advocate for themselves Resolve: complaints by seniors living in nursing and assisted living homes. To residents satisfaction May investigate and resolve complaints by seniors not living in facilities related to their residential circumstances Complaints against senior housing manager, Financial exploitation I&R: assist seniors in locating to correct service/information to resolve their issue Systems Change: laws/regs and policies/practice Assisted living home regulations Implementation of the ADRD roadmap POA law API transition project SYSTEMS
8
OLTCO Process Who do we receive complaints from?
Resident/family/guardians Community members Care coordinators State licensing agencies-nursing facility and assisted living home Adult Protective Services (APS) Other providers including EMT, police, doctors, etc Facility administrators and staff What to we do when we receive a complaint? Generally visit day the complaint is received Talk with all the residents in the home Talk with guardians and family members May collect records Look for a solution that meets the residents expectations Talk with staff/administrator Make a referral if needed Follow up to ensure change continues 90 complaints a month, 90% come from ALH Confidentiality-cannot share with you who said what or who filed complaint but will work with you to resolve issue
9
Mandatory Reporter Alaska Statute requires suspected maltreatment of vulnerable be reported to Adult Protective Services by: Health care providers Clergy Law enforcement Guardians and conservators Administrators and employees of facilities Care coordinators Care givers Note: with the passage of SB 83 you no longer meet your reporting requirement by reporting to OLTCO! If the resident is over 60 years old, you can report to the LTCO and this meets the requirement under the MR law.
10
Nursing Home Licensing Adult Protective Services
Unique Role of the LTCO LTC Ombudsman Nursing Home Licensing Residential Licensing Adult Protective Services Several agencies play a role in guarding the safety of seniors…. The LTC Ombudsman has a unique role: Jurisdiction Resolution Empowerment of residents Systems change Other agencies involved in guarding senior safety: Medicaid Fraud Control Unit Elder Fraud and Assistance Law Enforcement Court System Jurisdiction-from residents’ point of view Resolve Issues to residents’ satisfaction (may not be in resident’s best interest or what family would prefer) Empowerment-support residents to advocate for themselves, resident and family councils Systems change- statutes, regulations, policies, procedures administrative actions, public awareness of need for systems change Same vs Different LTC Ombudsman Adult Protective Services-send disposition reports to APS Nursing Home Licensing Assisted Living Home Licensing MFCU Elder Fraud and Assistance Law Enforcement Court System Also Occupational Licensing
11
Resident Rights INFORMATION CHOICES RESPECT AND DIGNITY PRIVACY
Plan of care Medical condition Cost of care CHOICES Health care providers Daily schedule Care and treatment Money Visit with friends and family Activities RESPECT AND DIGNITY Free from abuse Receive good care Not be ignored Free from discrimination Not be restrained PRIVACY Phone calls and mail Close door to room, visitors Care provided in private Information kept confidential This is their home… how are you treated in your own home? Have personal possessions May administer their own medications!!! choices- diabetic, smoking Constitutional rights (except guns…you should have a policy about that) Must give notice of discharge
12
Top 5 Factors of Quality Care
Staff that performs well Home like environment Good food Activities Cleanliness Staff that performs well Respectful, treated like an adult Prompt response to call Home like environment Own furnishings Own decorations No odor Good food Access to food when want Access to food residents like (own ethnicity, not that of care givers) Healthy food not just cheep food (box mac and cheese with hot dogs) Activities Something to do each day besides watch TV Access to community activities (church, etc) Appropriate visiting hours Cleanliness Home clean and odor free Furniture in good repair, not stained Home in good repair
13
OLTCO Data for FFY2016 Facility Visits Friendly visits = 735
Case related visits=191 Volunteers donated 360 hours Complaints 662 complaints 92% resolved to the satisfaction of the resident Contacts 399 consultations with individuals 153 consultations with facility staff 39 community education events
14
Top Complaints in FY 2016 Nursing Facilities Assisted Living Homes
Food (quality & choice) Legal Issues Discharge and Eviction Dignity and Respect Choice and Rights Discharge and Eviction Dignity and Respect Medication Choice and Rights Symptoms Unattended 93% of LTCO complaints are from ALHs Lack of timely access to medical services-falls with dementia, ask if okay, then later to ER
15
Recommended Readings Palliative Care for People with Dementia by Caringkind Being Mortal by Atul Gawande Dementia Beyond Disease (and Drugs) by Al Powers Created by federal statute in 1978, one in every state In Alaska, we are in the Dept of Revenue under the Alaska Mental Health Trust Authority, so that we can investigate any agencies even the state How many people in the room are thinking of serving seniors in their ALH?
16
but to one person you are the world!
To the World you may be just one person…. Questions?
Similar presentations
