Staffing Plans in Assisted Living Facilities

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Staffing Plans in Assisted Living Facilities

• Knowing When Staff in Sufficient Numbers is
  Really Sufficient
• Provider Release 2010

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Staffing Plans in Assisted Living Facilities

• Deborah Lloyd, RN
• Health Care Operations Consultant
• Virginia Department of Social Services

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Goals

• For today
• basic thought processes
• manual tools
• For the future
• the whole package
• automated processes
• regulation

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Our History

• the issues within the
• industry
• the issues for Virginia
• in the beginning (or somewhere near)
• the back burner effect
• administrative changes
• restructuring responsibilities
• other peoples priorities
• baby steps in a very grown-up world

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Our History (2)

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Early attempts
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Problems persist
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Starting somewhere

• The Universal Assessment Instrument (UAI)
• The Individualized Service Plan (ISP)
• And ???

a long and winding road!!! or is it even
possible to get there from here???
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Starting somewhere (2)

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Starting somewhere (3)

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Starting over

• Calls
• contacts and
• dead ends!

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Starting over (2)

(RESET)
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The process

• Developing the tools
• Input from staff and provider groups
• Testing the tools

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Determining a need

• Recognizing the warning signs
• Systemic non-compliance with laws/regulations
• Numerous complaints from residents, families,
  employees
• Something just does not feel right!
• Assessing the situation
• Observations
• Record reviews
• Interviews

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The tool

• Handout 1
• DIRECT CARE STAFFING ASSESSMENT
• helps us to complete a basic review of the
• facility operation including a number of
• prescriptive situations that we may not require
  in
• regulation.

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Choices

• STAFF by SHIFT COUNT (short form)
• STAFF by SHIFT COUNT (long form)
• PERSONAL CARE/DIRECT CARE SERVICES CHECKLIST
• Computation of Direct Care/Need-Related Staffing
  Requirements
• DIRECT CARE TIME/TASK ESTIMATES

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Staff by Shift Count (short form or long)

• Handout 2 one page short form
• Handout 3 three page long form

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Personal care/direct care services checklist

• Handout 4

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Computation of direct care/need-related staffing
requirements

• Handout 5

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Direct care time/task estimates

• Handout 6

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Direct care time/task estimates (2)

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The findings

• The facilities
• Similarities.
• Differences.
• Whats missing?

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The findings (2)

• Tools
• Time
• Outcomes

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Where do we go from here?

• Training
• Licensing staff
• interested provider groups
• Revising and refining
• high hopes dreams
• reality check

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Questions/Answers???

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Acknowledgements

• Volunteer Facilities
• Westminster-Canterbury/Richmond, Virginia
• Gloucester House/Gloucester, Virginia
• Summit Square/Waynesboro, Virginia

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Thank you and

• KEEP REACHING FOR THOSE STARS!!!