1 / 20

Trends in Long-Term Care Deficiencies Howard Roitman Division Director

Trends in Long-Term Care Deficiencies Howard Roitman Division Director Health Facilities & Emergency Medical Services Division Colorado Department of Public Health and Environment Colorado Medical Directors’ Association Annual Conference April 29, 2011.

meryle
Download Presentation

Trends in Long-Term Care Deficiencies Howard Roitman Division Director

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Trends in Long-Term Care Deficiencies Howard Roitman Division Director Health Facilities & Emergency Medical Services Division Colorado Department of Public Health and Environment Colorado Medical Directors’ Association Annual Conference April 29, 2011

  2. Trends in Long-Term Care Deficiencies • Top 5 deficiencies, FFY 2007-2010 • Recent citations under top 5 • Colorado survey trends • National, regional survey trends • Trends in IDRs • Trends in IJs and SQCs • QIS Process

  3. FFY 2009 FFY 2010 FFY 2007 FFY 2008 Summary of Top Five Deficiencies in Colorado Federal Recertification Data Source: Aspen Reports

  4. Recent Citations Under F323Accidents, Supervision Falls Unsafe smoking Resident-to-resident abuse in cognitively impaired Source: Aspen Reports

  5. Recent Citations Under F281Professional Standards Medication administration errors Nursing practice with medication pass Lack of signing off on MARs Not verifying orders Not transcribing orders Poor practice with medication pass Source: Aspen Reports

  6. Recent Citations Under F309 Quality of Care Pain Blood sugar Failure to implement care plans generally Diabetic care with insulin administration Lack of ulcer care/treatments Source: Aspen Reports

  7. Recent Citations Under F279 Comprehensive Care Plans No individualistic care plans Not including all problem areas/interventions Not comprehensive Source: Aspen Reports

  8. Recent Citations Under F371 Kitchen Sanitation Hand hygiene! Food temperatures Kitchen sanitation Improper handling of food delivery Sanitation in the dining room during service Sanitation assisting residents Source: Aspen Reports

  9. Total Number of Deficiencies in Colorado Federal Recertification Data Source: Aspen Reports

  10. Percentage of Deficiency-Free Surveys in Colorado Federal Recertification Data Source: Aspen Reports

  11. Average Number of Deficiencies Per Recertification Survey (FFY 2003-FFY 2010) Nation, Region, and Colorado Federal Recertification Data Source: Casper Reports

  12. Average Number of Deficiencies Per Recertification Survey, 1st Half FFY 2011 , Nation, Region, and Colorado Federal Recertification Data Source: Casper Reports

  13. Number of Complaint Surveys FFY 2004 - 2010 Source: Aspen Reports

  14. Complaint Survey Data for Colorado Source: Aspen Reports

  15. Smoking with oxygen (2) F323 K Hot beverage temperatures not within safe parameters (2) F323 K Gaps between mattress and rails/bars (3) K Hypoglycemic episodes (1) J Immediate Jeopardy, FFY 2010 Source: Aspen Reports

  16. Smoking with oxygen (1) F 323 Hypoglycemia episodes (1)F309 Resident-to-resident abuse (1) F323 Immediate Jeopardy, 1st Half FFY 2011 Source: Aspen Reports

  17. 886 Tags Overall Outcomes in Informal Dispute Resolution Decisions, 8/03-3/11 Source: Aspen Reports

  18. QIS Data for 1st Half FFY 2011 26 QIS surveys completed 6.8 average number of days on site 17.4 average number of citations per survey 3.8% of QIS surveys result in IJ citation 3.6 % of QIS deficiencies are cited at G or above Source: Aspen Reports

  19. Impact of QIS Project for 1st Half FFY 2011 Difficulty meeting workload Longer to complete surveys Increased surveyor turnover Negative ergonomic implications Longer training period Dependence on technology Source: Aspen Reports

  20. Thank you

More Related