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Strategies for Enhancing Regulatory Compliance in Assisted Living Facilities

This document discusses the top compliance issues encountered in adult family homes, community-based residential facilities, and residential care apartment complexes in Wisconsin during the first half of 2011. It outlines strategies for promoting regulatory compliance, including criteria for reduced survey frequency for facilities with good compliance history. Collaboration with professional associations, ongoing training, and peer support are emphasized as key components for improvement. Resources and guiding values are also provided for stakeholders in the assisted living sector to enhance quality and safety in residential care environments.

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Strategies for Enhancing Regulatory Compliance in Assisted Living Facilities

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  1. Conversations with BALOctober 26, 2011 DQA/Bureau of Assisted Living Northeastern Regional Office Laurie Arkens

  2. Top 10 Cites for First 6 Months of 2011 • Adult Family Homes • Community Based Residential Facilities • Residential Care Apartment Complexes

  3. Strategies Strategies to Promote Regulatory Compliance: • Adult Family Homes • Community Based Residential Facilities • Residential Care Apartment Complexes *Based on Top 10 Cites for Calendar Year 2010

  4. Abbreviated Survey • Recognize communities with good compliance history • Use all senses - if it feels good, looks good, smells good, sounds good… move on!

  5. The Next Generation of the WI Survey Process ….

  6. Proposal - less frequent reviews of providers with good compliance • Criteria • Facility qualifies for an abbreviated survey and; • Facility is a member of a major association in good standing (WALA, WAHSA, WiCAL, RSA of WI, WADSA) and; • Facility has implemented a “provider association”, “department approved”, quality improvement program that adopts standards of practice and; • Facility has signed a department “self attestation” document that they are in substantial compliance of the regulations.

  7. Events so far ….. • Approval from DHS Secretary • Met with Associations and Advocates • BAL Developed Guiding Values • Partnership with UW Madison for a research component • Updated DQA database to recognize this new group

  8. Next Steps ….. • Meeting to update the associations • DQA/UW Madison grant applications to help fund the start up and the research component • Associations to complete their comprehensive plan and submit to DQA/BAL for approval • Associations to help members implement • Study the effectiveness

  9. WI Coalition for Collaborative Excellence in Assisted Living • Provider Association Sponsored • Department Approved • Comprehensive QA & QI • Includes the following Guiding Values….

  10. Provider Association Support • Training • Mentoring • Peer Review • Resources • Consultation

  11. Standards of Practice • ADLs • Diabetes • Dementia • Pain • Pressure ulcers • Person-centered care • Abuse, neglect • Falls • Mental Health • Infection control • Emergency Management • Medication • Food safety

  12. Regulatory Compliance • WI Administrative Code • State Statute

  13. Activities & Community Involvement • Active • Involved • Connected

  14. Consumer & Advocate Feedback • Residents/Tenants • Families/legal rep. • Staff • Case Managers/Funding • Councils, surveys, grievance process, questionnaires

  15. Leadership & Workforce Support • Leaders • Competency • Professional growth • Recruitment • Retention

  16. Continuous Quality Improvement • Benchmarks • Data Collection • Performance analysis • Continuous

  17. Commitment • Organizational commitment • Licensee self attestation

  18. Department Website Resources • Survey Guide http://www.dhs.wisconsin.gov/publications/p6/p63186.pdf • Post Survey Questionnaire https://doa.wi.gov/dhssurveys/TakeSurvey.aspx?SurveyID=ml00584 • Enforcement Guidelines http://www.dhs.wisconsin.gov/publications/p6/p63200.pdf • Strategies to Promote Regulatory Compliance http://www.dhs.wisconsin.gov/rl_dsl/Providers/resources.htm

  19. Department Website Resources • Medication Management Initiative http://www.dhs.wisconsin.gov/rl_dsl/MedManagement/asstlvgMMI.htm • The Assisted Living Forum http://www.dhs.wisconsin.gov/rl_dsl/Providers/asstdLvgForum.htm • Assisted Living Home Page http://www.dhs.wisconsin.gov/bqaconsumer/AssistedLiving/AsLivindex.htm • DQA Memos, ListServ, CBRF Training, CBRF Administrator’s Course, Family Care, Consultant List, Assisted Living Directories and Profiles, Resident Relocation Information, Forms (Fire Report, Evacuation Assessment Form, Licensure Checklists), OCQ Information, & MORE

  20. Questions/Answers

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