1. Health Facilities & Emergency Medical Services Division
Colorado Medical Directors Association
April 27, 2018

2. Our Mission
Protect the health, safety and welfare of all health care system users Ensure access to quality health care for all Coloradans

3. eliable to all stakeholders, citizens and visitors
HFEMSD’s Philosophy of Regulation
eliable to all stakeholders, citizens and visitors
fficient, effective and elegant in all service interactions
ccountable, transparent and collaborative interactions
ompliant through balanced sanctions and fair practices
elpful whenever possible

4. Nursing Facilities
228 currently licensed nursing facilities in Colorado
167 recertification surveys were conducted in FFY 17
603 complaints were investigated in FFY 17 (104 more than the previous year)
8 recertification surveys were conducted by Ascellon
47 full time positions available to conduct surveys and complaint investigations
15 vacant positions – travel demands, long hours & pay are reasons most frequently offered for resignations
In order to operate certain health facilities in Colorado, a license to operate has to be issued and active at all times.
Obviously there are more licensed health care facilities in Colorado, there are the ones in my branch where Radiology Services are either provided at the facility or may be provided under contract with another facility.
Not all health entities are licensed by the department. Urgent Care, physician practices

5. Nursing Facilities (Cont.)
The revised federal recertification survey process was initiated in November 2017
We continue to work towards the goal of completing the survey in 4 days
The Emergency Preparedness surveys were also initiated in November 2017
These surveys are completed at the same time or soon after the recertification survey

6. Occurrences Investigations
Initial Inspections
State Fiscal Year 16-17: 362
Re-Inspections
State Fiscal Year 16-17: 1,002
Occurrences Investigations
State Fiscal Year 15-16: 4,616 State Fiscal Year 16-17: 5,270
Occurrences -- 14% Increase
Complaints % Increase
Complaint Intakes
State Fiscal Year 15-16: 1,272 State Fiscal Year 16-17: 1,605

7. Chapter 7 ALR Rule Revision
2-Year effort collaborating with stakeholders
No comprehensive revision since 1986 initial drafting
ALR residents now have more complex healthcare needs necessitating updated standards
Number of ALRs has risen in the last decade from 500 to approximately 671
Current draft reflects industry standards of care & Division’s specific health and safety expectations

8. Recent Projects
Assisted Living Residence Rule Revision 2-year long project to revise licensing rule for Assisted Living facilities
State Enforcement Actions 150% increase necessitating additional Enforcement Policy Advisor
Complex Service Solutions Council Co-Chair w/ DHS & HCPF
Home Care DORA Sunset for Home Care licensing
Community Integrated Health Care Service (CIHCS) Implementing a new model of integrated, community health care services as mandated by SB16-069

9. ---UPDATE---

10. Questions? Randy Kuykendall Division Director 303-692-2945