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

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

3. BACKGROUND INFORMATION

4. BACKGROUND INFORMATION
Each Area has Nursing Homes
Each Area has 10 Surveyors
2 Teams of 4
2 Complaint Surveyors

5. 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

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

7. 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

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

9. 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.

10. 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.

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

12. 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

13. 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 to surveyor or team with recommendations for revision, or

14. 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 it back to the surveyor or team to use in making recommended corrections to the report in their ASEQ.

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

16. 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

17. 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