- Addition of surveyor in Western region
- By end of month, there will be a new director for Southeastern region; meet and greet to be announced
- RESOLVE Forum: The first session was announced for 05/12/15; this is supposed to take place via Adobe Connect; the AL Forum scheduled for same day will not take place.
- Jan ’15 AL Forum update regarding BAL request for evidence of contracts with funding sources: Despite provider concern with being able to provide these contracts at time of their biennial license renewal, BAL has decided to stay with this request. Therefore, providers that accept public funding must provide a copy of the first and last page of current contracts. The provider directory on DHS/DQA will reflect whether or not providers accept public funding.
- Draft DQA/BAL memo – Electronic Video Monitoring in AL. This will be a potential revision of DQA Memo 08-023. Draft further addresses areas in the RCAC environment where cameras can be used. No change in the focus around no direct monitoring of resident/tenants. Will not change BAL emphasis that video monitoring is an acceptable substitute for staffing. A copy was distributed at the AL Forum and should be available at the Assisted Living Forum webpage. Providers may provider feedback through 04/07/15. Cindy O’Connell will take all comments via email: email@example.com.
- DQA Memo 15-003 as replacement for Memo 13-016: Waivers, Approvals, Variances, and Exceptions Request. https://www.dhs.wisconsin.gov/
Family Care Updates:
- Family Care set to go live in Northeastern Wisconsin mid to late 2015; Betsy Van Heesch provided an overview & map. These handouts will be available on BAL’s AL Forum webpage.
- Home Community-Based Services; Gail Propsom provided recap of 5 year compliance process that begun in 2014. The updated Self Assessment tool has yet to be released. Propsom also reminded attendees that this will only pertain to providers who are currently serving, or intend to serve, Medicaid home and community-based waiver program participants. Remediation will follow as necessary. March 2019 is the deadline for the entire process.
- Doug Englebert, DQA reviewed the medication disposal requirements and need for providers to know their level of responsibility particularly as it relates to DEA guidelines. He will have his presentation and other related material available on the AL Forum webpage. Advised providers to look for update to Memo #07-008. Also, Englebert suggested providers look at their Admission Agreements relative to the return of Schedule II meds to the family members of a resident that has passed.
Wisconsin Immunization Registry (WIR):
- Matt Verdon, Wisconsin Immunization Registry Systems Manager alerted LTC providers of the option to participate in the WIR. Benefits to the provider and medical community. Facilities participation is important for long term value of the program. To sign up for a no-cost WIR training, contact the WIR help desk at 608-266-9621 or email firstname.lastname@example.org
- James Kazmierczak, Division of Public Health, alerted provider of the need to be proactive in protecting their residents from the spread of Hepatitis A, particularly in the AFH/CBRF communities serving the DD population. Cited example in Michigan – see more details offered here: http://www.cdc.gov/mmwr/
TB Requirements for New Staff
- Sherri Olson with DQA announced forthcoming guidance on TB testing for new employees, particularly within CBRFs. If prior testing can be documented at point of hire, the provider is simply required to provide a screening. Documentation of this screening is a must for the provider. Screening is designed to address any change in the employee condition that could merit an entirely new test.
State of Assisted Living for 2014
- Alfred Johnson presented the State of Assisted Living in 2014 presentation. This review as well as the top cites will be available on the AL Forum webpage. Johnson described AL in Wisconsin as it has experienced it’s 36th year of growth. The greatest increase in providers are again in AFHs(1759); then CBRFs (1522); and RCAC (313). He noted that complaints rose from 916 to 981; cites went from below 2000 in ’13 to 2423 in ’14; serious violations are up to 175. Johnson still feels the state of AL is strong in WI, pointing out that 10% of the total providers comprise 100% of the complaints. He is also pleased with Self Report numbers and advises providers to continue their use.
- Please fill out the post survey questionnaire – only 54 post survey returns went back to BAL last year and it helps the Bureau’s Regional Directors and Alfred Johnson learn how to improve.
- Moving into 2015, Alfred highly suggests that providers complete all prescribed POC measures as BAL will perform verification visits despite work load. If a provider needs additional time, they are encouraged to reach out to their Regional Director.
- Shared WCCEAL data while suggesting that providers that do not have an internal QA process seek the resources of the provider associations.