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Swimlane Process Map

Assisted Living Enforcement Process Improvement Project Swimlane Steps Understanding complexity & consequences Mike Cook, Assistant Chief Long Term Care Service Protective Health Services. Swimlane Process Map. Responsibilities Processes Delays Mistakes Inefficiency. Responsibilities.

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Swimlane Process Map

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  1. Assisted Living Enforcement Process Improvement ProjectSwimlane StepsUnderstanding complexity & consequencesMike Cook, Assistant ChiefLong Term Care ServiceProtective Health Services

  2. Swimlane Process Map Responsibilities Processes Delays Mistakes Inefficiency

  3. Responsibilities • Swimlane Assignments • Survey Staff • Enforcement Staff • LTC Leadership • General Counsel • Assisted Living Center • Admin Law Judge

  4. Optimum Example • No Delays • No Mistakes • Efficient • Swimlane Assignments • Survey Staff • Enforcement Staff • LTC Leadership • General Counsel • Assisted Living Center • Admin Law Judge

  5. Survey Staff • conduct & review survey • complete state forms  Enforcement Staff • Enforcement Staff • review the state forms for Harm, SIC or CNC. • if no conditions then Opportunity to Correct (OTC), prepare state forms & letters  Facility

  6. Assisted Living Center • review state forms • complete the Plan of Correction (POC) •  Enforcement Staff

  7. Enforcement Staff • receives the POC from the Facility  Survey Staff • Survey Staff • reviews the POC • if POC meets all 6 conditions, the POC is accepted • Enforcement is notified of acceptance • Enforcement Staff • notifies Facility of POC acceptance

  8. Survey Staff • schedules the revisit • conduct the revisit & review the survey • complete state forms  Enforcement Staff • Enforcement Staff • review state forms • cycle 1 survey closed, no penalty, send notice to Facility

  9. Delays Mistakes Inefficiency

  10. No Opportunity to Correct • Harm • Serious and Immediate Concern • Continuing Non-compliance Penalties, Legal Counsel, IDRs, Extended Time Delays

  11. Deficiencies – Not Corrected Continuing Non-compliance, Penalties, Legal Counsel, IDRs, Extended Time Delays

  12. Swimlane Assignments • Survey Staff • Enforcement Staff • LTC Leadership • General Counsel • Assisted Living Center • Admin Law Judge

  13. Plan of Correction – Not Accepted Survey Staff  Notify Enforcement Staff  Notify Facility  Facility prepares a new POC  Submits POC to Enforcement Staff  Survey Staff for review

  14. Areas of Delays, Mistakes & Inefficiency • No Opportunity to Correct • Deficiencies – Not Corrected • Plan of Correction – Not Accepted • Areas of Opportunity • Reduction in Enforcement Actions • Reduction in Penalties • Reduction in Legal Counsel • Reduction in Time Delays • Optional Plan of Correction Tool • designed to walk Assisted Living Center • through all the required elements

  15. Thank You ! Mike Cook, Assistant ChiefLong Term Care ServiceProtective Health Servicesmikec@health.ok.gov

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