1. New Jersey Nurse Delegation Pilot Program William A. B. Ditto Director NJ Division of Disability Services

2. Background Several years of work with stakeholders including the NJ State Board of Nursing, home care industry, academics, researchers and consumers.Several years of work with stakeholders including the NJ State Board of Nursing, home care industry, academics, researchers and consumers. Funded by the Robert Wood Johnson Foundation as a 36 month PilotFunded by the Robert Wood Johnson Foundation as a 36 month Pilot Goal is to experiment with nurse delegation in home care (Medicaid personal care program)Goal is to experiment with nurse delegation in home care (Medicaid personal care program)

3. Why Did NJ Pursue This? DemographicsDemographics EconomicsEconomics Support to unpaid Family CaregiversSupport to unpaid Family Caregivers Better use of professional nursing personnel in home care agenciesBetter use of professional nursing personnel in home care agencies Patient SafetyPatient Safety Acknowledge home health aide skills & talentsAcknowledge home health aide skills & talents

4. Long Range Goals Add options for individuals to remain at home & in the community or to leave a nursing facility.Add options for individuals to remain at home & in the community or to leave a nursing facility. Address the Olmstead decision mandates.Address the Olmstead decision mandates. Inform changes in the State Board of Nursing Regulations to support delegated medication administration by home health aides.Inform changes in the State Board of Nursing Regulations to support delegated medication administration by home health aides. Make better use of existing home care provider agency services.Make better use of existing home care provider agency services.

5. Questions? Susan Brennan McDermott, RN Project Manager 609 292-1268 William A. B. Ditto, MSW Project Director William.Ditto@dhs.state.nj.us