Geriatrics and Extended
Care Operations
Lisa Minor
Chief, Institutional Care Programs
Office of Geriatrics and Extended Care Operations (10NC4)
Department of Veterans Affairs
Geriatrics and Extended Care Operations
GEC
Operations
NonInstitutional
Care
Institutional
Care
Geriatric Care
Team
CLC Operations
Home and
Community Based
Care
SVH Operations
Hospice and
Palliative Care
CNH Operations
2
Institutional Care
•
State Veterans Home (SVH) Operations
Lisa Minor, Chief Institutional Care
GEC
Operations
Lisa.Minor3@va.gov
(202)461-6782
–
NonInstitutional
Care
Contract and Survey Oversight
•
Institutional
Care
–
–
–
CLC Operations
SVH Operations
Theresa.Hayes@va.gov
(202)461-6771
Resident Assessment Instrument (RAI)/
Minimum Data Set (MDS)
•
Hospice and
Palliative Care
Theresa Hayes, Program Analyst, SVH
Operations
–
–
–
Kelly.Mingle@va.gov
(202)461-6707
SVH Issue Briefs, Survey Report Reviews and
Close Outs, and Survey Appeals
•
Home and
Community
Based Care
Kelly Mingle, Management Analyst, SVH/CLC
Operations
–
–
–
JoAnne.Parker3@va.gov
(202)461-6783
SVH Recognitions
•
Geriatric Care
Team
Jo Anne Parker, Management Analyst, SVH
Operations
Janet Barber, Program Analyst, CLC Operations
–
–
Janet.Barber2@va.gov
(706)481-6736
CNH Operations
3
RAI/MDS Update
• Proposed rule to require use of most current
version of RAI/MDS
– No comments received
– In second phase of concurrence
• Most SVH are currently using and transmitting
MDS 3.0 data
– 6 SVH are not at this point
4
FY 2011 SURVEYS
Recognitions = 11
• Annual = 134
• For Cause = 3
Totals Surveys = 148
•
FY 2011 SURVEYS
Top 5 Commonly Cited NH Deficiencies
#
CITATION
S
STANDARD
CFR#
97
Physical Environment: Life Safely
From Fire**
51.200 (a)
25
Quality of Care: Accidents
51.120 (I)
18
Dietary Services: Food**
51.140 (d)
16
Resident Assessments: Frequency
**
51.110 (2)
12
Resident Assessments: Review
51.110 (3
Top 5 Most Commonly Cited DOM
Deficiencies
TAG #
STANDARD
#
CITATION
S
2A
Safety: Current State Fire Marshall’s certificate**
10
2C
Safety: Evidence of Corrective Actions
2
9D
Patient Activities: Patient’s Activity Plan
2
10B
Pharmacy: Safe procurement, control and
distribution of drugs
2
1D
Governance and Administration: Policies &
Procedures
1
Top 5 Immediate Jeopardy Determinations
Tag #
Title
CFR#
108
Quality of Care: Accidents
51.210(i)
123
Dietary Services: Thicken Liquids
51.140(d)(3)
38
Resident Rights: Notification of
Changes
51.70(b)(9)(i)
(B) & (C)
Resident Assessments: Comprehensive
plans need to be individualized
TOP
92 5 IMMEDIATE JEOPARDY
51.110(e)
Nutrition: Based on Comprehensive
51.120(j)(1)
DETERMINATIONS
109
Assessment
THANK YOU!
Questions?
9