Investigating and reporting allegations of misconduct in non nursing home settings
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Investigating and Reporting Allegations of Misconduct (in non-nursing home settings). presented by: University of Wisconsin Oshkosh CCDET WI Department of Health Services DQA.

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Investigating and reporting allegations of misconduct in non nursing home settings

Investigating and Reporting Allegations of Misconduct (in non-nursing home settings)

presented by:

University of Wisconsin Oshkosh CCDET

WI Department of Health Services DQA

Permission is granted to reproduce these training materials with proper attribution for internal use within healthcare organizations or government agencies at no cost to the training participants. Other reproduction is prohibited without written permission from UW Oshkosh CCDET. All rights are reserved. For information on reproducing these materials, please contact the Director of UW Oshkosh CCDET at 920-424-3034.


Welcome
Welcome

  • Project Background/Staff Introductions

  • Reminder: Silence Electronic Devices

  • Agenda

  • CEUs

  • Evaluation

  • Certificate of Attendance

  • Participant Introductions


Learning points
Learning Points

  • Caregiver Misconduct Definitions

  • Developing an Investigation Protocol

  • Conducting an Internal Investigation

  • Interviewing Skills

  • Reporting Requirements


A word about prevention
A Word about Prevention

  • Background Checks Are Good But Not Enough

  • Key Thoughts on Preventing Caregiver Misconduct

  • Adapting Keys to Prevention in Your Facility



Developing a process and protocol
Developing a Process and Protocol

  • Develop a Process

  • Review Protocol Steps 1 – 6

  • Activity: Checking Your Protocol

A Protocol = A Plan of Action


Investigating the allegation
Investigating the Allegation

  • An investigation is a fact-finding mission

  • Internal investigations should be written reports

  • Employment actions are internal entity decisions while the investigation is pending


Elements of an investigation
Elements of an Investigation

  • Who, What, Where, When, Why, How

  • Contact Law Enforcement

  • Preserve Evidence

  • Document the Effect on the Victim

  • Document the Caregiver’s Duty

  • Diagram the Scene

  • Develop a List of Interviewees

  • Write your Report


Incident specific elements
Incident-Specific Elements

  • Physical Abuse

  • Verbal/Psychological Abuse

  • Sexual Abuse

  • Neglect

  • Misappropriation


Activity case studies
Activity: Case Studies

  • Note some elements that are important to your investigation

  • Use your training materials to help remember/apply the elements

  • Assume that:

    • You have taken steps to protect the resident

    • You have taken action re: the accused caregiver



Activity interviewing skills
Activity: Interviewing Skills

  • Video interview between a facility administrator and a witness

  • Compare the video conversation with the interview tips


Signs of deception
Signs of Deception

  • No Single Telltale Sign for a Lie

  • Liars “Might” Have Some Things in Common

  • Behavior During an Interview vs. Behavior under More Normal Circumstances


Reporting requirements non nursing homes

Internal Entity Reporting

Entity Reporting to DQA

Mandated Incident Reporting

Optional Incident Reporting

Reporting Requirements (non-Nursing Homes)

**How to Report to DQA**


More reporting info
More Reporting Info

  • Reporting Requirement Penalties

  • Reporting on Behalf of Adults-at-Risk

  • Caregiver Misconduct Registry


Resources
Resources

  • Wisconsin Caregiver Program Manual

    http://dhs.wisconsin.gov/caregiver/publications/CgvrProgMan.htm

  • Caregiver Abuse and Neglect Prevention Project Training

    www.uwosh.edu/ccdet/caregiver

  • Caregiver Misconduct Training Video

    http://www.dhs.wisconsin.gov/caregiver/training/intInvstTrng.htm


Wrap up
Wrap-Up

  • Questions?

  • Evaluation

  • CEU Application

  • Attendance Certificates


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