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Office of Health Facility Complaints (OHFC) Legislative Report March 2006. Minnesota Department of Health. OHFC Budget And Staffing History. Nursing homes represent approximately 52% of OHFC’s complaints in FY05

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office of health facility complaints ohfc legislative report march 2006

Office of Health Facility Complaints (OHFC) Legislative Report March 2006

Minnesota Department of Health

slide3

Nursing homes represent approximately 52% of OHFC’s complaints in FY05

Nursing homes represent approximately 83% of OHFC’s facility reported incidents in FY05

No significant change in number of nursing home complaints between FY03 and FY05

Significant decreases in number of nursing home facility reported incidents between FY03 and FY05

slide5

All complaints and facility reported incidents receive an initial OHFC review

Only a small proportion require further review (15% in FY05)

OHFC onsite investigations decreased and referrals to survey increased in FY05

slide7

An onsite investigation is required for OHFC to make a finding that an allegation is substantiated

Of the 5,121 complaints and facility reported incidents received by OHFC in FY05, only 165 (3.2%) resulted in findings of a substantiated allegations

The proportions of substantiated, inconclusive and unsubstantiated findings have remained relatively consistent between FY03 and FY05

areas of focus for ffy 06
Areas of Focus for FFY06
  • Comparison with Region versus state
  • Accuracy and consistency
  • Training
comparison region v state

Comparison Region v State

Minnesota is an outlier within Region V, with far fewer complaint surveys than facilities

CMS is reviewing our processes, including triage methods

MDH staff are collecting information from other states as to number of staff assigned to complaints, prioritization of complaints, and complaint procedures

table 13 ffy05 complaint surveys in region v by state nursing home count as of 9 30 05
Table 13: FFY05 Complaint Surveys in Region V by State & Nursing Home Count as of 9/30/05

Source: Federal CASPER (Certification & Survey Provider Enhanced Reporting) System

slide12
Table 14: FFY05 Deficiencies by Scope and Severity Issued as a Result of a Complaint Survey in Region V by State
source federal casper certification and survey provider enhanced reporting system
Source: Federal CASPER (Certification and Survey Provider Enhanced Reporting) System
  • Table 14 does not include 9 deficiencies included in the Department’s count of 82 deficiencies issued in FFY05, as 7 of the deficiencies were subject to IIDRs, all of which have been subsequently withdrawn by the nursing home. The remaining 2 deficiencies are subject to a pending IIDR.
slide14
The MDH is aware there is a pending report on the complaint process to be issued by the Department of Health and Human Services Office of Inspector General, and it is possible that the report may recommend additional changes to the federal complaint process. As noted in a General Accountability Office report issued in December 2005, CMS is working on revised definitions of actual harm and immediate jeopardy that might alter the triaging decisions currently utilized by OHFC.