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Joint Finance Committee HearingFY 2012
Susan Del PescoDivision Director
Wednesday, March 2, 2011
Division of Long Term Care Residents Protection
To promote the quality of care, safety and security of people living
in long-term care settings; To ensure facilities' compliance with state and federal laws and
regulations; andTo advocate on behalf of residents
Our Mission
Division of Long Term Care Residents Protection
Who do we Protect?
Men and Women
Boys and Girls
from a few weeks of age
to over 100 years
Division of Long Term Care Residents Protection
Division of Long Term Care Residents Protection
January 1, 2011
8 seconds
An American reaches
65 years of Age
Division of Long Term Care Residents Protection
10,000 people per day
19 years
Division of Long Term Care Residents Protection
Every 70 seconds someone in America develops
Alzheimer’s disease
Division of Long Term Care Residents Protection
And the Delaware population is aging at
1.5 x
the national rate.
Division of Long Term Care Residents Protection
Where are They?
At large residences which house 100 people or
more
and
In small community based residences that house
3 or 4 people.
Division of Long Term Care Residents Protection
What’s “Long Term”?
Historically: many years or until the end of life.
Today : several days….. to end of life.
because of the prevalence of
rehabilitative services and hospice care
Division of Long Term Care Residents Protection
Investigative Section
11 investigators statewide
6,879 incident reports received in CY 2010 down from 13,946 in 2009
2,204 assigned for investigation (32%) up from 1,821 in 2009 (13%)
Division of Long Term Care Residents Protection
Incident Reports
Initiated project for on-line filing to:• Increase accuracy of reporting• Expedite handling• Eliminate much data entry
Division of Long Term Care Residents Protection
Criminal Background Checks
2010 -- 11,191 checks
34 disqualifications
2009 -- 10,029 checks
60 disqualifications
Division of Long Term Care Residents Protection
$3 Million GrantTo assemble background data from:
Dept. of Health and Social Services (DHSS)
Dept. of State (State)
Dept. Services to Children, Youth and Families (DSCYF)
DE Criminal Justice Information System (DELJIS)
DE Health Information Network (DHIN)
Dept. of Safety and Homeland Security
FBI
Office of the Inspector General (OIG)
Division of Long Term Care Residents Protection
Adult Abuse Registry
• The AAR website had more than 5,000 inquiries in 2010
• 28 persons were placed in 2010• 17of those appealed their placements
Division of Long Term Care Residents Protection
Licensing
• Nursing Homes - 49• Assisted Living - 32• Neighborhood Homes for Persons with Developmental
Disabilities - 147• Group Homes for Persons with Mental Illness - 19• Group Homes for Persons with AIDS - 1• Rest Residential Homes - 3• Rest Family Care Homes - 95
Total - 346
Division of Long Term Care Residents Protection
40 43 44 44 44 44 44 47 48 50 50 50 49
0
10
20
30
40
50
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Nursing Homes
Number of Facilities
Division of Long Term Care Residents Protection
0
10
20
30
40
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Assisted Living Facilities
Number of Facilities
Division of Long Term Care Residents Protection
Group Homes f/t Mentally Ill & Neighborhood Homes
Number of Facilities
0
50
100
150
200
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
GHMI Neighborhood Homes
Division of Long Term Care Residents Protection
•
66 66
76 79
92
101
113119
123132
136 138 147
0
20
40
60
80
100
120
140
160
Group Homes for the Mentally Ill (GHMI)and Neighborhood Homes (DDDS)
GHMI DDDS
Division of Long Term Care Residents Protection
Assisted Living 1991(24%) Nursing Homes
5181(63%)
Other Community Settings
1110 (13%)
Division of Long Term Care Residents Protection
Facility Surveys
State Funding 45%
Federal Funding 55%
17 surveyors statewide
Nation’s highest rate of harm citations
Division of Long Term Care Residents Protection
Advocacy New statutes
• Delaware Durable Personal Power of Attorney• Vulnerable Adult statute
Division of Long Term Care Residents Protection
Certified Nurse Assistants• Approve curriculum and oversight of the
testing/certification process
• Contracted with a new testing company at a savings of $6,000 per year
• Secured legislation requiring continuing education
• Will be implementing an educational segment for dementia training
Division of Long Term Care Residents Protection
FY 12 Governor’s Recommended Budget
Funding
FY 11 General Fund – $2,368.2
FY 12 General Fund – $2,318.7
Division of Long Term Care Residents Protection
Our Challenge
To protect residents
in large residences and in community settings
To effectively manage our resources
and, to those ends,
To embrace innovation
Division of Long Term Care Residents Protection
Thank you
Are there any Questions?
