1. Implementation of PULSE in Pennsylvania July 2006 Presented by: Vanessa Carter, Account Manager

2. Agenda Introduction – What Is PULSE Change in the Nurse Aide Renewal Process Slide Demonstration of the Renewal Process Your Role as a Facility What Is Gained by Using PULSE? Summary/Review Questions

3. What is PULSE?  PULSE – Promissor Uniform Licensing Solution for E- Government  PULSE allows for an on-line registration renewal process that will allow individuals to:  Renew their nurse aide registration  Update address  Initiate name and SSN# changes  Address updates may be done independent of the renewal process as well as requests for a duplicate registration card  Facilities will be able to update employment history for individuals who are newly hired or terminated

4. Changes to the Renewal Process New Renewal Notice/Application mailed 60-90 days prior to expiration date Aide can immediately renew on-line in real-time : Update demographic information If applicable, aide will see deficiencies on-line Will receive immediate confirmation if registration successfully renewed User friendly on-line renewal instructions provided Renewal Notice/Application mailed 60-90 days prior to expiration date Completed application returned by nurse aide – 30% returned within 30 days 95% processed < 5 days Potential for error in reading handwriting Aide must wait to receive in the mail a deficiency letter if problems with application – Currently, 20% receive deficiency letters Must wait to receive word from Promissor if successfully renewed Renewal Submission Current

5. Sample Renewal Form

6. Information On Renewal Notice  Current Name  Current Address  Current Social Security Number  Registration #  Registration Expiration Date  Registration Renewal Due Date  Renewal ID #

7. PULSE Renewal Demonstration

17. PULSE Request Duplicate Registration

23. PULSE Facility – Add Employee

28. PULSE Facility – Terminate Employee

33. What Can Facilities Do To Assist? Acquaint and encourage nurse aides in your employ to utilize PULSE Encourage aides to promptly renew on-line Encourage aides to promptly update address changes Consider including a segment on PULSE at an in- service training Provide on-line to access to PULSE to nurse aides in your employ Some aides may not have access to a personal computer, or experience using the Internet Submit work history for new hires and terminations on-line

34. What Is Gained By Using PULSE? Real-time renewal processing –Immediate address updates On-line notification of successful renewal Real-time registry verification On-line notification of deficiencies Potential for real-time tracking of employment history

35. Summary Nurse Aides able to renew on-line in real-time Nurse Aides can update demographic information on-line in real-time at any time Nurse Aides may request a duplicate registration cards on-line Immediate confirmation of successful registration renewal, or of deficiency reason Facilities able to update employment hiring and termination actions on-line in real-time

36. Questions